ERIC R SHIPLEY


Address: 1035 116th Ave Ne, Bellevue, WA 98004-4604
Phone: 4256885124

ERIC R SHIPLEY (NPI# 1811099815) 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) 1811099815
Entity Type Individual
Full Name ERIC R SHIPLEY
Credential MD
Practice Address 1035 116th Ave Ne
Bellevue
WA 98004-4604
Mailing Address Po Box 34960
Seattle
WA 98124-1960
Practice Telephone 4256885124
Mailing Telephone 4256564255
Mailing Fax Number 4256564003
Enumeration Date 2006-09-01
Last Update Date 2010-07-30
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207PE0004X Emergency Medicine
Specialization: Emergency Medical Services
MD00038537 WA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WA 8256299 05
WA REGENCE B/S PROV # 5272SH 01
WA LABOR&INDUSTRIES PROV # 0185720 01

Office Location

Street Address 1035 116TH AVE NE
City BELLEVUE
State WA
Zip Code 98004-4604

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609843382 Karen Knops Internal Medicine 1035 116th Ave Ne, Bellevue, WA 98004-4604 2006-03-02
1699389494 Mary Katherine O'sullivan Registered Nurse 1035 116th Ave Ne, Bellevue, WA 98004-4604 2020-08-31
1942813878 Alyssa Nguyen Registered Nurse 1035 116th Ave Ne, Bellevue, WA 98004-4687 2020-08-29
1811511603 Magen Alicia Hamil Registered Nurse 1035 116th Ave Ne, Bellevue, WA 98004-4604 2020-06-08
1053935007 Linda Iraola Nurse Practitioner 1035 116th Ave Ne, Bellevue, WA 98004-4604 2020-06-05
1417583386 Cody Jolene Espinoza Registered Nurse 1035 116th Ave Ne, Bellevue, WA 98004-4687 2020-03-22
1255967477 Taylor Kae Young Registered Nurse 1035 116th Ave Ne, Bellevue, WA 98004-4604 2020-03-19
1285267070 Penelope Tait Registered Nurse 1035 116th Ave Ne, Bellevue, WA 98004-4604 2020-02-19
1295372373 Adaugo Iwuoha Registered Nurse 1035 116th Ave Ne, Bellevue, WA 98004 2019-12-07
1528520855 Caresse Wicheta Registered Nurse 1035 116th Ave Ne, Bellevue, WA 98004-4604 2019-04-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306458328 Geneva Paula Hoskins-dorsey Nurse Practitioner 11120 Ne 33rd Place, Suite 202, Bellevue, WA 98004 2020-08-20
1720553613 Christine Eyler Pediatrics Bellevue Pediatrics, C & C Medical Associates, 1940 116th Ave Ne, Ste 200, Bellevue, WA 98004 2018-10-08
1437634730 Hazelden Betty Ford Foundation Clinic/Center 1231 116th Ave. Ne Suite 410, Bellevue, WA 98004 2018-10-02
1356827828 Seattle Spine Group, Pllc Orthopaedic Surgery 1220 116th Ave Ne Ste 102, Bellevue, WA 98004 2018-07-17
1669989216 Atsuko Nakajima Acupuncturist 2223 112th Ave. Ne, Ste 201, Bellevue, WA 98004 2018-01-04
1740794718 Radka Chapin Counseling, LLC Clinic/Center 1611 116th Ave Ne Ste 119, Bellevue, WA 98004 2017-11-28
1962912105 Cuyler Ann Simmons Counselor 3805 108th Ave Ne Ste 204, Bellevue, WA 98004 2017-10-02
1639690357 Nicolas Lopez-montalvo Behavioral Analyst 3003 Northup Way Suite 200, Bellevue, WA 98004 2017-07-03
1124579537 Matthew Thomas Haley Pharmacist 107 Bellevue Way, Se, Bellevue, WA 98004 2016-10-20
1649727348 Kelsey Tanaka Nurse Practitioner 400- 108th Ave Ne, Suite 100, Bellevue, WA 98004 2016-09-10
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Taxonomy Information

Taxonomy Code 207PE0004X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine
Specialization Emergency Medical Services

Taxonomy Definition

An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215984455 George Loring Pratt Emergency Medicine 13504 Tregaron Cir, Bellevue, NE 68123-3465 2006-05-30

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1316422454 Cmdpn Medical Group of Washington, P.C. Emergency Medicine 707 West Main Ave. Ste B1, Pmb 117, Spokane, WA 99201 2018-09-25
1740713627 Anthony Warfield Emergency Medicine 120 Republican St, #404, Seattle, WA 98109-4745 2017-04-06
1083877559 Lisa Marie Wilson Emergency Medicine 925 Seneca St., Mailstop H6-ed, Virginia Mason Medical Center, Seattle, WA 98101 2008-07-05
1467574863 Mark Urmanski Emergency Medicine 3700 Martin Way E, Suite 108, Olympia, WA 98506-5052 2007-04-04
1790805190 Cascade Urgent Care, Inc., Ps Emergency Medicine 1413 S 348th Street, L106, Federal Way, WA 98003-8373 2007-03-30
1508952060 John R. Knudsen Emergency Medicine 6046 Portal Way, Ste 103, Ferndale, WA 98248-7829 2006-10-04
1376574160 Jeffrey Philip Roger Emergency Medicine 2005 Nw Sammamish Road, Issaquah, WA 98027 2006-07-06
1750329777 Stephani J. Amstadter Emergency Medicine 5920 - 100th St. Sw #31, Lakewood, WA 98499-2751 2006-06-03
1922059187 Stephen E Pohl Emergency Medicine Hpo 1, Boone Road, Navy Hospital, Bremerton, WA 98312 2006-05-13
1871569012 Steven Temerlin Emergency Medicine 1717 South J Street, Tacoma, WA 98405-4933 2006-02-27
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Competitor

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City BELLEVUE
Zip Code 98004

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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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