DR. JEREMY HENRY CONKLIN


Address: 747 Broadway, Seattle, WA 98122-4379
Phone: 2062152520

DR. JEREMY HENRY CONKLIN (NPI# 1700830882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700830882
Entity Type Individual
Full Name DR. JEREMY HENRY CONKLIN
Credential DO
Practice Address 747 Broadway
Seattle
WA 98122-4379
Mailing Address 747 Broadway
Seattle
WA 98122-4307
Practice Telephone 2062152520
Practice Fax Number 2062156364
Mailing Telephone 2062152520
Mailing Fax Number 2062156364
Enumeration Date 2006-05-21
Last Update Date 2020-04-24
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0102X Surgery
Specialization: Surgical Critical Care
OP60816242 WA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WA 1700830882 05

Office Location

Street Address 747 BROADWAY
City SEATTLE
State WA
Zip Code 98122-4379

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215935960 Marilee M. Jensen Registered Nurse 747 Broadway, Seattle, WA 98122-4379 2005-07-07
1366058919 Mairghread Foley Registered Nurse 747 Broadway, Seattle, WA 98122-4307 2020-09-18
1891301628 Jessica C Kelley Registered Nurse 747 Broadway, Seattle, WA 98122-4307 2020-09-17
1972116010 Lindsey Gervascio Registered Nurse 747 Broadway, Seattle, WA 98122-4379 2020-08-28
1669097572 Jisun Park Dietitian, Registered 747 Broadway, Seattle, WA 98122-4379 2020-06-16
1023633187 Hang Hoang-nguyen Pharmacist 747 Broadway, Seattle, WA 98122-4307 2020-06-14
1558981357 Caitlin Elizabeth Busbee Student in an Organized Health Care Education/Training Program 747 Broadway, Seattle, WA 98122-4307 2020-04-21
1164041323 Emma Ludesi Makoba Student in an Organized Health Care Education/Training Program 747 Broadway, Seattle, WA 98122-4379 2020-04-08
1043849375 Kaitlin Jane Byerly Student in an Organized Health Care Education/Training Program 747 Broadway, Seattle, WA 98122-4307 2020-04-07
1649809161 Jia Hui Wang Student in an Organized Health Care Education/Training Program 747 Broadway, Seattle, WA 98122-4307 2020-04-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053938506 Quality Counseling and Consultation Service LLC Counselor 1525 Harvard Ave #509, Seattle, WA 98122 2020-07-01
1912535626 Cesar Andrade Student in an Organized Health Care Education/Training Program 550 16th Avenue #400, Seattle, WA 98122 2020-03-29
1366089666 Peter Nguyen Pharmacy Technician 914 East Jefferson Street, Campion Hall, Seattle, WA 98122 2019-12-05
1356903140 Jason Dandino Specialist/Technologist 550 14th Avenue, Seattle, WA 98122 2019-07-02
1962066415 Seattle Colleges Local Education Agency (LEA) Mainstay At Seattle Central College, 1701 Broadway Ms Be3210, Seattle, WA 98122 2019-04-30
1538621412 Mitchell R Ornelas Student in an Organized Health Care Education/Training Program Swedish Family Medicine Residency Cherry Hill; 550 16th, Avenue #400, Seattle, WA 98122 2019-04-01
1003374265 Michael Russell Surgery 747 Broadway Heath Building 10th Floor, Seattle, WA 98122 2019-03-06
1639646821 Maritza E Cajiao Doula 747 Broadway, Seattle, Seattle, WA 98122 2018-10-25
1336616762 Suzanna M Lovin Social Worker 401 Broadway, 1st Floor, Seattle, WA 98122 2018-10-24
1184137770 Walter Franklin Krengel Jr. Orthopaedic Surgery 2000 1st Ave Suite 2201, Seattle, WA 98122 2017-11-06
Find all providers in zip 98122

Taxonomy Information

Taxonomy Code 2086S0102X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Surgical Critical Care

Taxonomy Definition

A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538351036 Edgar Jose Figueredo II Surgery 1959 Ne Pacific St, C212, Box 356340, Seattle, WA 98195-0001 2007-08-17
1073611489 Saman Arbabi Surgery 325 9th Ave, Box 359796, Seattle, WA 98104-2420 2006-09-20
1639286123 Sharmila D Dissanaike Surgery 1959 Ne Pacific St, C-212, Box 356340, Seattle, WA 98195-6340 2006-08-23

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1891233250 Teresa D. Bell, Md, LLC Surgery 2522 N Proctor St # 42, Tacoma, WA 98406-5338 2017-02-06
1902123094 Linda Ding Surgery 1321 Colby Ave, Everett, WA 98201-1665 2010-04-28
1902090061 Khaled Rashad Pharaon Surgery 505 Ne 87th Ave, Suite 301, Vancouver, WA 98664-1989 2007-08-31
1033313820 Long Duc Tran Surgery 315 Martin Luther King Jr. Way, Mailstop 315-j1--trauma, Tacoma, WA 98415-0299 2007-06-13
1861431330 Philip Patrick Alford Surgery 4815 N Assembly St, Department of Surgery, Spokane, WA 99205-6185 2006-06-06

Competitor

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City SEATTLE
Zip Code 98122

Improve Information

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Dataset Information

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.

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