SAMUEL M ELCIK (NPI# 1710449277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710449277 |
| Entity Type | Individual |
| Full Name | SAMUEL M ELCIK |
| Practice Address |
4915 25th Ave Ne Seattle WA 98105-5667 |
| Mailing Address |
2293 S 800 E Salt Lake City UT 84106-1872 |
| Practice Telephone | 2065241600 |
| Mailing Telephone | 4438229965 |
| Enumeration Date | 2019-04-03 |
| Last Update Date | 2019-04-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | WA | Student, Health Care |
| Street Address |
4915 25TH AVE NE |
| 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 |
| 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 |
| 1306270905 | Advanced Dermatology and Laser Institute of Seattle Pllc | Dermatology | 4915 25th Ave Ne, Seattle, WA 98105-5667 | 2013-08-30 |
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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 | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342358 | Emma Peconga | Student in an Organized Health Care Education/Training Program | 3619 Ashworth Ave N, Seattle, WA 98103-8116 | 2020-10-02 |
| 1780290361 | Compassionate Peer Counseling LLC | Student in an Organized Health Care Education/Training Program | 3250 Airport Way S Ste 608, Seattle, WA 98134-2172 | 2020-09-19 |
| 1336751684 | Binabahen Shah | Student in an Organized Health Care Education/Training Program | 6035 4th Ave Nw, Seattle, WA 98107-2109 | 2020-08-18 |
| 1316558968 | Jimmy Nguyen | Student in an Organized Health Care Education/Training Program | 5525 23rd Ave S, Seattle, WA 98108-2918 | 2020-08-16 |
| 1174133672 | Selomie Habtemichael | Student in an Organized Health Care Education/Training Program | 10000 30th Ave Sw, Seattle, WA 98146-3720 | 2020-08-09 |
| 1659980720 | Joseph Banham | Student in an Organized Health Care Education/Training Program | 12057 Lakeside Pl Ne, Seattle, WA 98125-5956 | 2020-07-24 |
| 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 |
| 1659993723 | Caroline Mullins | Student in an Organized Health Care Education/Training Program | 701 N 36th St Ste 3000, Seattle, WA 98103-8868 | 2020-05-12 |
| 1730700741 | Christian Van Rooyen | Student in an Organized Health Care Education/Training Program | 1951 Pacific Street, Seattle, WA 98195 | 2020-04-30 |
| 1669092128 | Ahmed Abdelrazek | Student in an Organized Health Care Education/Training Program | 1959 Ne Pacific Street, 356560, Department of Psychiart, Seattle, WA 98195-6560 | 2020-04-24 |
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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.