INTEGRATIVE CHILD AND ADULT NEUROLOGY (NPI# 1700255502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700255502 |
| Entity Type | Organization |
| Organization Name | INTEGRATIVE CHILD AND ADULT NEUROLOGY |
| Practice Address |
2900 Ne Blakeley St Suite C Seattle WA 98105-3100 |
| Mailing Address |
Po Box 15851 Seattle WA 98115-0851 |
| Practice Telephone | 2063791213 |
| Mailing Telephone | 2063791213 |
| Enumeration Date | 2015-09-22 |
| Last Update Date | 2015-11-28 |
| Authorized Official Name | DR. ILENE S RUHOY (OWNER) |
| Authorized Official Telephone | 2063791213 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | 603337701 | WA | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | INTEGRATIVE CHILD AND ADULT NEUROLOGY, PLLC | 2900 Ne Blakeley St Ste C, Seattle, WA 98105-3100 |
| Street Address |
2900 NE BLAKELEY ST SUITE C |
| City | SEATTLE |
| State | WA |
| Zip Code | 98105-3100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700192044 | Ilene Sue Ruhoy | Psychiatry & Neurology | 2900 Ne Blakeley St, Suite C, Seattle, WA 98105-3100 | 2010-08-24 |
| 1699226845 | Helen Widlansky, Ph.d. | Clinic/Center | 2900 Ne Blakeley St, Suite C, Seattle, WA 98105-3100 | 2016-10-21 |
| 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 |
| Find all providers in zip 98105 | ||||
| Taxonomy Code | 204C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine, Sports Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013927854 | Arthur Henry Ginsberg | Neuromusculoskeletal Medicine, Sports Medicine | 10740 Meridian Ave N, Suite 107, Seattle, WA 98133-9010 | 2006-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902975170 | Public Hospital District #3 Snohomish County | Neuromusculoskeletal Medicine, Sports Medicine | 9109 271st St Nw, Stanwood, WA 98292-5999 | 2006-11-06 |
| 1649358573 | Nancy Kristine Haller | Neuromusculoskeletal Medicine, Sports Medicine | 6625 S 190th St, Kent, WA 98032-2115 | 2006-11-01 |
| 1760423958 | Gary P. Hunter | Neuromusculoskeletal Medicine, Sports Medicine | 34612 6th Ave S Ste 300, Federal Way, WA 98003-8723 | 2006-06-09 |
| 1831150879 | Eric Walter Luria | Neuromusculoskeletal Medicine, Sports Medicine | 4402 Hunt St Nw, Gig Harbor, WA 98335-7313 | 2006-03-29 |
| 1033118054 | Edward J Knoll | Neuromusculoskeletal Medicine, Sports Medicine | 800 Meridian S, Suite B, Puyallup, WA 98371-6995 | 2005-07-20 |
| 1144225780 | Laura Lynn Hershkowitz | Neuromusculoskeletal Medicine, Sports Medicine | 316 Martin Luther King Jr Way, #408, Tacoma, WA 98405-4252 | 2005-06-20 |
| 1538455977 | Paul R Lentz | Neuromusculoskeletal Medicine, Sports Medicine | 401 15th Ave Se, Puyallup, WA 98372-3715 | 2011-06-23 |
| 1447584040 | Sonya Marie Elhardt | Neuromusculoskeletal Medicine, Sports Medicine | 1329 Broadway, Longview, WA 98632 | 2009-09-29 |
| 1467598144 | Carrie Fang | Neuromusculoskeletal Medicine, Sports Medicine | 1737 Wells St, Enumclaw, WA 98022-3518 | 2007-01-29 |
| 1528154770 | Lyudmila Ivanovna Petruk | Neuromusculoskeletal Medicine, Sports Medicine | 209 Martin Luther King Jr Way, Tacoma, WA 98405-4265 | 2006-10-05 |
| Find all providers with the same taxonomy | ||||
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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.