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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
MD00038537 | WA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | 8256299 | 05 | |
WA | REGENCE B/S PROV # | 5272SH | 01 |
WA | LABOR&INDUSTRIES PROV # | 0185720 | 01 |
Street Address |
1035 116TH AVE NE |
City | BELLEVUE |
State | WA |
Zip Code | 98004-4604 |
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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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 |
Find all providers in zip 98004 |
Taxonomy Code | 207PE0004X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Emergency Medicine |
Specialization | Emergency Medical Services |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215984455 | George Loring Pratt | Emergency Medicine | 13504 Tregaron Cir, Bellevue, NE 68123-3465 | 2006-05-30 |
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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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.