SUE LEE MORENI (NPI# 1699787119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699787119 |
| Entity Type | Individual |
| Full Name | SUE LEE MORENI |
| Credential | MD |
| Practice Address |
4915 25th Ave Ne Suite 300-w Seattle WA 98105-5667 |
| Mailing Address |
Po Box 50095 Seattle WA 98145-5095 |
| Practice Telephone | 2065257777 |
| Mailing Telephone | 2065436420 |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2012-11-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | MD60079337 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | L&I | 0297634 | 01 |
| WA | 1699787119 | 05 |
| Street Address |
4915 25TH AVE NE SUITE 300-W |
| City | SEATTLE |
| State | WA |
| Zip Code | 98105-5667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144222795 | Sarah K Pohlmann | Internal Medicine | 4915 25th Ave Ne, #301, Seattle, WA 98105-5667 | 2005-08-12 |
| 1710449277 | Samuel M Elcik | Student in an Organized Health Care Education/Training Program | 4915 25th Ave Ne, Seattle, WA 98105-5667 | 2019-04-03 |
| 1376001867 | Kristen Caprye Williams | Acupuncturist | 4915 25th Ave Ne, Seattle, WA 98105-5667 | 2019-03-04 |
| 1871026328 | Matthieu Sullivan | Dentist | 4915 25th Ave Ne, #205, Seattle, WA 98105-5667 | 2017-04-11 |
| 1710428578 | Heather Ann Freese Riley | Social Worker | 4915 25th Ave Ne, Ste 300-w, Seattle, WA 98105-5667 | 2017-03-13 |
| 1215385877 | Laura Burgett | Student in an Organized Health Care Education/Training Program | 4915 25th Ave Ne, Suite 205, Seattle, WA 98105-5667 | 2016-05-24 |
| 1497147201 | Brandon Ware | Physician Assistant | 4915 25th Ave Ne, Seattle, WA 98105-5667 | 2015-03-03 |
| 1699183293 | Kevin Kunde | Specialist/Technologist | 4915 25th Ave Ne, Seattle, WA 98105-5667 | 2014-07-27 |
| 1699190835 | John M Owen Iv | Dentist | 4915 25th Ave Ne, Suite 205, Seattle, WA 98105-5667 | 2014-02-25 |
| 1295156784 | Sound Plastic Surgery Pllc | Plastic Surgery | 4915 25th Ave Ne, Seattle, WA 98105-5667 | 2013-12-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326662396 | Dale Justin Podolsky | Student in an Organized Health Care Education/Training Program | 4800 Sand Point Way Ne, Ob.9.520, Seattle Children's, Seattle, WA 98105 | 2020-06-04 |
| 1376170878 | Andrew Crompton Yazman | Pediatrics | 4800 Sand Point Way, Ne Oc.7.830, Seattle, WA 98105 | 2020-03-25 |
| 1427688845 | Daniela Michell Zepeda | Behavioral Analyst | 4616 25th Ave Ne Pmb 437, Seattle, WA 98105 | 2020-01-24 |
| 1255981189 | Emily King | Student in an Organized Health Care Education/Training Program | Mark Hawkins, Pa-c, Mpas, 4311 11th Ave Ne Suite 200, WA 98105 | 2019-09-12 |
| 1821659327 | Sara Katherine Horne | Student in an Organized Health Care Education/Training Program | 4800 Sand Point Way Ne, Mb.11.500, Department of Anesthesiology and Pain Medicine, Seattle, Seattle, WA 98105 | 2019-06-25 |
| 1881252575 | Darryl Lee Wright | Peer Specialist | Gossett Place, 4719 12th Ave Ne, Seattle, WA 98105 | 2019-05-29 |
| 1487117891 | Nirupama Madhavan | Behavioral Analyst | 5001 25th Ave Ne, Seattle, WA 98105 | 2019-04-11 |
| 1780155648 | Eryn R Mcentee | Naturopath | 2216 Ne46th St, Seattle, WA 98105 | 2018-12-17 |
| 1356811921 | Kyle Leland Bernbach | Massage Therapist | 5224 Ravenna Ave Ne, Seattle, WA 98105 | 2018-11-27 |
| 1548742380 | Janal Kim | Physician Assistant | 4726 11th Ave Ne, Apt 511, Seattle, WA 98105 | 2018-08-29 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275982720 | Ralph Nicholas Burns | Obstetrics & Gynecology | 1959 Ne Pacific St Box 356460, Seattle, WA 98195-3233 | 2016-06-06 |
| 1538554357 | Hayley Jane Mackinnon | Obstetrics & Gynecology | 1959 Ne Pacific St. Box 356460, University of Washington Department of Obgyn, Seattle, WA 98109 | 2015-03-30 |
| 1033523675 | Tariro Mupombwa | Obstetrics & Gynecology | Virginia Mason Medical Center, 1100 9th Avenue, X8-gyn, Seattle, WA 98104 | 2014-06-11 |
| 1386989804 | Laura Marie Macpherson | Obstetrics & Gynecology | 5243 S Pearl St, Seattle, WA 98118-2147 | 2012-12-10 |
| 1073801379 | Joelle E. Thomas | Obstetrics & Gynecology | 1101 Madison St Ste 901, Seattle, WA 98104-1306 | 2011-07-20 |
| 1497047807 | Elizabeth Kay Harrington | Obstetrics & Gynecology | 4245 Roosevelt Way Ne Fl 4, Seattle, WA 98105-6008 | 2011-05-04 |
| 1629388921 | Ballard Obgyn, P.C. | Obstetrics & Gynecology | 1801 Nw Market Street Suite 100, Seattle, WA 98107 | 2010-10-20 |
| 1134438849 | Tzu S Chiang | Obstetrics & Gynecology | 4735 E. Marginal Way South, Seattle, WA 98134 | 2010-09-29 |
| 1245494830 | Sara A Durkee | Obstetrics & Gynecology | Dept of Ob Gyn Hsc Bb661, 1959 Ne Pacific Street, Seattle, WA 98195-0001 | 2008-07-14 |
| 1720288376 | Nicole Smith Saint Clair | Obstetrics & Gynecology | 161 30th Ave, Seattle, WA 98122-6205 | 2007-07-23 |
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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.