DR. KELSEY IDINA SHIDELER


Address: 747 Broadway, Heath Building, 10th Floor, Seattle, WA 98122
Phone: 2062154253

DR. KELSEY IDINA SHIDELER (NPI# 1811459837) 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) 1811459837
Entity Type Individual
Full Name DR. KELSEY IDINA SHIDELER
Credential MD
Practice Address 747 Broadway
Heath Building, 10th Floor
Seattle
WA 98122
Practice Telephone 2062154253
Mailing Telephone 2062154253
Enumeration Date 2019-04-01
Last Update Date 2019-06-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208600000X Surgery ML60962155 WA Allopathic & Osteopathic Physicians

Office Location

Street Address 747 BROADWAY
HEATH BUILDING, 10TH FLOOR
City SEATTLE
State WA
Zip Code 98122

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
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Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
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
1477181758 Michael Joseph Skerda Surgery 747 Broadway Apt 111, Seattle, WA 98122-4307 2020-03-31
1184185779 Arezu Hajar Monawer Surgery 747 Broadway Bldg 10th, Seattle, WA 98122-4307 2019-03-27
1003374265 Michael Russell Surgery 747 Broadway Heath Building 10th Floor, Seattle, WA 98122 2019-03-06
1891248969 Jad Abou-khalil Surgery 1430 Summit Ave, Appt 502, Seattle, WA 98122-3533 2016-07-25
1285016196 Amer Nassar Surgery Department of Surgery Education, University of Washington, Box 356410, Seattle, WA 98195-0001 2015-06-27
1477949857 Richard Stein Surgery 4545 8th Ave Ne, Apt 610, Seattle, WA 98105-5795 2015-04-12
1518353044 Brian Cook Surgery 815 Mercer St. Box 358047, Uw Medicine South Lake Union, Seattle, WA 98109-4325 2015-04-10
1073956058 Colette S. Inaba Surgery 1959 Ne Pacific St, Seattle, WA 98195-0001 2013-04-09
1518223122 Joy Candace Chen Surgery 1959 Ne Pacific St Bb-487 Box #356410, Seattle, WA 98195-2462 2012-04-09
1851680102 Lara Senekjian Surgery Po Box 359796, Seattle, WA 98195-9796 2011-04-06
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Competitor

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City SEATTLE
Zip Code 98122

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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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