DR. MARLENE PENG (NPI# 1770697112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770697112 |
| Entity Type | Individual |
| Full Name | DR. MARLENE PENG |
| Credential | MD |
| Practice Address |
515 Minor Ave 3rd Floor Seattle WA 98104-2120 |
| Mailing Address |
515 Minor Ave Seattle WA 98104-2120 |
| Practice Telephone | 2063869500 |
| Practice Fax Number | 2065763802 |
| Mailing Telephone | 2063869500 |
| Mailing Fax Number | 2065763802 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2012-05-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207K00000X | Allergy & Immunology | 68453341205 | UT | Allopathic & Osteopathic Physicians |
| Y | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
MD60102678 | WA | Allopathic & Osteopathic Physicians |
| N | 2080P0201X |
Pediatrics Specialization: Pediatric Allergy/Immunology |
46653 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | LNI | 256768 | 01 |
| WA | 8560427 | 05 | |
| WI | 34622400 | 05 | |
| WA | REGENCE | 0024PE | 01 |
| Street Address |
515 MINOR AVE 3RD FLOOR |
| City | SEATTLE |
| State | WA |
| Zip Code | 98104-2120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568461507 | William E Berg | Psychiatry & Neurology | 515 Minor Ave, #210, Seattle, WA 98104 | 2005-07-20 |
| 1235629213 | Hailey Mayo | Specialist/Technologist | 515 Minor Ave, Seattle, WA 98104-2120 | 2018-05-15 |
| 1043717903 | Jennifer Weaver | Nurse Practitioner | 515 Minor Ave, Seattle, WA 98104-2120 | 2018-04-08 |
| 1932635133 | Proliance Surgeons, Inc., P.s. | Ophthalmology | 515 Minor Ave, Suite 160, Seattle, WA 98104-2120 | 2017-05-08 |
| 1962942896 | Anne Hubbell | Dietitian, Registered | 515 Minor Ave, Suite 22, Seattle, WA 98104-2120 | 2017-02-25 |
| 1023565975 | Laurel Charbonneau | Physical Therapist | 515 Minor Ave, Suite 22, Seattle, WA 98104-2120 | 2016-09-08 |
| 1740636018 | Swedish Health Services | Clinical Medical Laboratory | 515 Minor Ave, Suite 100, Seattle, WA 98104-2120 | 2016-05-05 |
| 1891149027 | Swedish Health Services | Radiology | 515 Minor Ave, Suite 110, Seattle, WA 98104-2120 | 2016-04-13 |
| 1346609575 | Proliance Surgeons, Inc., P.s. | Clinic/Center | 515 Minor Ave, Seattle, WA 98104-2120 | 2016-02-16 |
| 1841664430 | Shannon Noel Narasimhan | Physical Therapist | 515 Minor Ave, Ste 22, Seattle, WA 98104-2120 | 2015-11-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699394312 | Richard Charles Harruff | Pathology | King County Medical Examiners Office, 325 Ninth Avenue, Seattle, WA 98104 | 2020-04-13 |
| 1558999474 | Nathan Richard Benner | Student in an Organized Health Care Education/Training Program | Uw Medicine-harborview Medical Center Orthopaedics, 325 Ninth Avenue, Seattle, WA 98104 | 2020-03-27 |
| 1063058493 | Brook, LLC. | Health Educator | 311 1/2 Occidental Ave South, Suite 210, Seattle, WA 98104 | 2019-11-20 |
| 1609418813 | Stephanie Amanda Ann Mason | Student in an Organized Health Care Education/Training Program | 325 9th Avenue, Mail Stop #359796, Seattle, WA 98104 | 2019-10-09 |
| 1013480250 | Robert Kenneth Lozier | Pedorthist | Norm Maleng Building, 410 9th Ave, 4th Floor, Seattle, WA 98104 | 2019-01-10 |
| 1548739576 | Lee Hanses | Physical Therapist | 1124 Columbia Street, Level P1, Suite P100, Seattle, WA 98104 | 2018-11-20 |
| 1821579095 | Karissa Lin Lee | Pharmacist | 401 Broadway #2075, Seattle, WA 98104 | 2018-08-27 |
| 1477042091 | Maham Jehangir | Student in an Organized Health Care Education/Training Program | 325 9th Ave Department of Radiology, Seattle, WA 98104 | 2018-05-09 |
| 1740786581 | Philip Daniel Tolley | Student in an Organized Health Care Education/Training Program | 325 9th Ave. Mail Stop#359796, 7th Floor Center Tower Rm #73.1, Seattle, WA 98104 | 2018-04-02 |
| 1528564242 | Vanessa Dawn Leonhard | Student in an Organized Health Care Education/Training Program | 325 9th Ave, 7th Floor Center Tower Room 73.1, Mail Stop #359796, Seattle, WA 98104 | 2018-04-02 |
| Find all providers in zip 98104 | ||||
| Taxonomy Code | 207KA0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| Specialization | Allergy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700957701 | John D. Morgan | Allergy & Immunology | 801 Broadway Ste 901, Seattle, WA 98122-4328 | 2006-11-13 |
| 1851385132 | Pandora E Christie | Allergy & Immunology | 9725 3rd Ave Ne Ste 500, Seattle, WA 98115-2024 | 2005-09-01 |
| 1265826523 | David Thomas Coleman | Allergy & Immunology | 1959 Ne Pacific St, Seattle, WA 98195-6013 | 2015-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982755104 | David S. Buscher | Allergy & Immunology | 8195 166th Ave Ne, Suite 101, Redmond, WA 98052-3960 | 2007-01-15 |
| 1669532842 | Taiil Ted Song | Allergy & Immunology | 11307 Bridgeport Way Sw Ste 200, Lakewood, WA 98499-3024 | 2006-12-11 |
| 1346309614 | Gayathri R Vatsia | Allergy & Immunology | 7516 W Deschutes Place, Kennewick, WA 99336 | 2006-12-06 |
| 1285702217 | Eloise Whittlesey Kailin | Allergy & Immunology | 160 Kane Ln, Sequim, WA 98382-9715 | 2006-11-30 |
| 1689758195 | Gregory Joseph Martonick | Allergy & Immunology | 320 W Willow St Ste 6, Walla Walla, WA 99362-2922 | 2006-10-24 |
| 1639285034 | Jon E Welch | Allergy & Immunology | 2320 130th Ave Ne, Ste 220, Bellevue, WA 98005-1718 | 2006-08-21 |
| 1508830126 | Linda L Brown | Allergy & Immunology | Allergy/immunization Service, Madigan Army Medical Center, Tacoma, WA 98431-0001 | 2006-02-13 |
| 1366422453 | Sanford T. Ward | Allergy & Immunology | 835 Se Bishop Blvd Ste 601, Pullman, WA 99163-5512 | 2006-01-17 |
| 1205825288 | Mark La Shell | Allergy & Immunology | 11511 N.e. 10th St., Bellevue, WA 98004 | 2005-10-21 |
| 1407223985 | Proliance Surgeons, Inc., P.s. | Allergy & Immunology | 104 27th Ave Se, Puyallup, WA 98374 | 2015-08-31 |
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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.