DR. TRAC M. DUONG (NPI# 1659566560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659566560 |
| Entity Type | Individual |
| Full Name | DR. TRAC M. DUONG |
| Credential | M.D. |
| Practice Address |
1231 116th Ave Ne Suite 915 Bellevue WA 98004-3804 |
| Mailing Address |
805 Madison St Suite 901 Seattle WA 98104-1172 |
| Practice Telephone | 4254543938 |
| Practice Fax Number | 4254542568 |
| Mailing Telephone | 2062648100 |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2014-10-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | MD60340252 | WA | Allopathic & Osteopathic Physicians |
| N | 207Y00000X | Otolaryngology | A87603 | CA | Allopathic & Osteopathic Physicians |
| N | 207Y00000X | Otolaryngology | 52979 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | LABOR & INDUSTRIES | 0314742 | 01 |
| WA | MEDICARE PTAN | G8921375 | 01 |
| Street Address |
1231 116TH AVE NE SUITE 915 |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98004-3804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811996531 | Ann M Kolwitz | Obstetrics & Gynecology | 1231 116th Ave Ne, Suite 950, Bellevue, WA 98004-3804 | 2005-07-14 |
| 1114536356 | Laura Ann Menenberg | Registered Nurse | 1231 116th Ave Ne, Suite 915, Bellevue, WA 98004 | 2020-07-23 |
| 1891238556 | Christine Park | Marriage & Family Therapist | 1231 116th Ave Ne, Bellevue, WA 98004-3804 | 2016-11-29 |
| 1467810283 | Tyler William Kuhk | Nurse Practitioner | 1231 116th Ave Ne, Suite 400, Bellevue, WA 98004-3804 | 2016-02-08 |
| 1013328400 | The Moore Center, PC | Psychiatric Hospital | 1231 116th Ave Ne, 8th Floor, Bellevue, WA 98004-3804 | 2014-05-19 |
| 1578801718 | Proliance Surgeons, Inc., P.s. | Surgery | 1231 116th Ave Ne, Suite 535, Bellevue, WA 98004-3804 | 2013-01-23 |
| 1437426970 | Alexandra L. Degroot | Audiologist | 1231 116th Ave Ne, Suite 915, Bellevue, WA 98004-3804 | 2011-11-29 |
| 1851675284 | Alysse M. Moury | Audiologist | 1231 116th Ave Ne, Suite 915, Bellevue, WA 98004-3804 | 2011-10-04 |
| 1386930188 | Amy Melissa Foley | Audiologist | 1231 116th Ave Ne, Suite 915, Bellevue, WA 98004-3804 | 2011-06-21 |
| 1003119009 | Jessica Swenson | Nurse Practitioner | 1231 116th Ave Ne, Suite 950, Bellevue, WA 98004-3804 | 2010-12-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306458328 | Geneva Paula Hoskins-dorsey | Nurse Practitioner | 11120 Ne 33rd Place, Suite 202, Bellevue, WA 98004 | 2020-08-20 |
| 1720553613 | Christine Eyler | Pediatrics | Bellevue Pediatrics, C & C Medical Associates, 1940 116th Ave Ne, Ste 200, Bellevue, WA 98004 | 2018-10-08 |
| 1437634730 | Hazelden Betty Ford Foundation | Clinic/Center | 1231 116th Ave. Ne Suite 410, Bellevue, WA 98004 | 2018-10-02 |
| 1356827828 | Seattle Spine Group, Pllc | Orthopaedic Surgery | 1220 116th Ave Ne Ste 102, Bellevue, WA 98004 | 2018-07-17 |
| 1669989216 | Atsuko Nakajima | Acupuncturist | 2223 112th Ave. Ne, Ste 201, Bellevue, WA 98004 | 2018-01-04 |
| 1740794718 | Radka Chapin Counseling, LLC | Clinic/Center | 1611 116th Ave Ne Ste 119, Bellevue, WA 98004 | 2017-11-28 |
| 1962912105 | Cuyler Ann Simmons | Counselor | 3805 108th Ave Ne Ste 204, Bellevue, WA 98004 | 2017-10-02 |
| 1639690357 | Nicolas Lopez-montalvo | Behavioral Analyst | 3003 Northup Way Suite 200, Bellevue, WA 98004 | 2017-07-03 |
| 1124579537 | Matthew Thomas Haley | Pharmacist | 107 Bellevue Way, Se, Bellevue, WA 98004 | 2016-10-20 |
| 1649727348 | Kelsey Tanaka | Nurse Practitioner | 400- 108th Ave Ne, Suite 100, Bellevue, WA 98004 | 2016-09-10 |
| Find all providers in zip 98004 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881925956 | Steve Lars Risa | Otolaryngology | 4538 177th Ave Se, Bellevue, WA 98006-6519 | 2010-01-28 |
| 1124260351 | Adrienne Maria Laury | Otolaryngology | 1231 116th Ave Ne Ste 915, Bellevue, WA 98004 | 2009-04-02 |
| 1023265261 | James Matthew Ridgway | Otolaryngology | 1231 116th Ave Ne Ste 900, Bellevue, WA 98004-3822 | 2008-08-19 |
| 1679669782 | Philip A Young | Otolaryngology | 1810 116th Ave Ne Ste 102, Bellevue, WA 98004-3058 | 2006-10-05 |
| 1740393461 | Natalie P Higgins | Otolaryngology | 1800 116th Ave Ne Ste 102, Bellevue, WA 98004 | 2006-08-16 |
| 1467680108 | Anh Quoc Truong | Otolaryngology | 1231 116th Ave Ne, Suite 915, Bellevue, WA 98004-3804 | 2009-07-01 |
| 1124295423 | William Gregory Young Jr. | Otolaryngology | 1800 116th Ave Ne, Suite 102, Bellevue, WA 98004-3043 | 2008-05-15 |
| 1255500542 | Proliance Surgeons, Inc., P.s. | Otolaryngology | 1231 116th Ave Ne, Suite 915, Bellevue, WA 98004-3804 | 2008-02-21 |
| 1275726739 | Proliance Surgeons, Inc., P.s. | Otolaryngology | 1800 116th Ave Ne, Suite 102, Bellevue, WA 98004-3043 | 2007-08-19 |
| 1023218617 | Jonathan Chaim Kopelovich | Otolaryngology | 1231 116th Ave Ne, Suite 915, Bellevue, WA 98004-3804 | 2007-07-20 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.