GEORGIANA K ELLIS (NPI# 1821174681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821174681 |
| Entity Type | Individual |
| Full Name | GEORGIANA K ELLIS |
| Credential | MD |
| Practice Address |
Seattle Cancer Care Alliance 825 Eastlake Avenue East Seattle WA 98109 |
| Mailing Address |
Po Box 50095 Seattle WA 98145-5095 |
| Practice Telephone | 2062887400 |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2008-05-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
MD00020969 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| INTERNAL ID-MOTOR VEHICLE ID | 5718 | 01 | |
| WA | RAILROAD MEDICARE | 110097209 | 01 |
| WA | 1035781 | 05 |
| Street Address |
SEATTLE CANCER CARE ALLIANCE 825 EASTLAKE AVENUE EAST |
| City | SEATTLE |
| State | WA |
| Zip Code | 98109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588629588 | Nancy N Chang | Pharmacist | Seattle Cancer Care Alliance, 825 Eastlake Ave. E, Seattle, WA 98109 | 2006-04-20 |
| 1275690471 | Sherrill J Slichter | Pathology | Seattle Cancer Care Alliance, 825 Eastlake Avenue East, Seattle, WA 98109 | 2007-01-03 |
| 1467538264 | Barbara Ann Goff | Obstetrics & Gynecology | Seattle Cancer Care Alliance, 825 Eastlake Avenue East, Seattle, WA 98109 | 2006-10-27 |
| 1639255441 | Terry B Gernsheimer | Internal Medicine | Seattle Cancer Care Alliance, 825 Eastlake Avenue East, Seattle, WA 98109 | 2006-10-27 |
| 1861578668 | Pamela Sue Becker | Internal Medicine | Seattle Cancer Care Alliance, 825 Eastlake Avenue East, Seattle, WA 98109 | 2006-10-27 |
| 1740366558 | Janis L Abkowitz | Internal Medicine | Seattle Cancer Care Alliance, 825 Eastlake Avenue East, Seattle, WA 98109 | 2006-10-27 |
| 1851477509 | Kenneth J Russell | Radiology | Seattle Cancer Care Alliance, 825 Eastlake Avenue East, Seattle, WA 98109 | 2006-10-27 |
| 1679659320 | Lupe Gomez Salazar | Internal Medicine | Seattle Cancer Care Alliance, 825 Eastlake Avenue East, Seattle, WA 98109 | 2006-10-27 |
| 1710063516 | Michael Lee Linenberger | Internal Medicine | Seattle Cancer Care Alliance, 825 Eastlake Avenue East, Seattle, WA 98109 | 2006-10-27 |
| 1720164478 | Robert Edwin Richard | Internal Medicine | Seattle Cancer Care Alliance, 825 Eastlake Avenue East, Seattle, WA 98109 | 2006-10-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710590179 | Direct Urgent Care Inc | Internal Medicine | 220 6th Avenue North, Seattle, WA 98109 | 2020-08-26 |
| 1073147104 | Hannah Christine Hoyt | Registered Nurse | 1354 Aloha St, Seattle, WA 98109 | 2020-02-27 |
| 1508402645 | Emily Elizabeth Rock | Counselor | Rain City Integrative Clinic, 2730 Westlake Ave N, Seattle, WA 98109 | 2019-11-25 |
| 1770048464 | Roger Leach | Massage Therapist | 4162, Roy Street, Seattle, WA 98109 | 2019-02-06 |
| 1306316658 | Laura Katie Richer | Counselor | 1817 Queen Anne Ave. N., 204, Seattle, WA 98109 | 2018-11-29 |
| 1912492828 | One Medical Group of Washington, P.C. | Psychologist | 625 Boren Avenue North, Seattle, WA 98109 | 2018-06-25 |
| 1942793526 | Washington Dental Corporation, PC | Dentist | 527 Boren Ave N, Seattle, WA 98109 | 2018-06-08 |
| 1417449968 | Chelsie Mccalla | Occupational Therapy Assistant | Mirabella, 116 Fairview Ave N, Seattle, Seattle, WA 98109 | 2018-05-31 |
| 1710405964 | Next Level Sports Performance Consulting | Clinic/Center | 24 Roy Street, #461, Seattle, WA 98109 | 2017-09-07 |
| 1679091953 | Amy Ly Indorf | Pharmacist | 825 Eastlake Ave E #msg5-90, Seattle, WA 98109 | 2017-09-06 |
| Find all providers in zip 98109 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477150969 | John Michael Pesando | Internal Medicine | 1066 East Blaine Street, Seattle, WA 98102-4260 | 2020-10-07 |
| 1265944003 | Langdon Leforrest Miller | Internal Medicine | 3057 Perkins Ln W, Seattle, WA 98199-2418 | 2017-11-02 |
| 1306214168 | Alvaro Perona Blazquez | Internal Medicine | 5049 38th Ave Ne, Seattle, WA 98105-3022 | 2015-09-10 |
| 1013318245 | Vivien R V B Santos | Internal Medicine | 5049 38th Avenue Ne, Seattle, WA 98105 | 2014-09-08 |
| 1154663581 | Victor Alexander Chow | Internal Medicine | 1100 Fairview Ave N # D5-390, Seattle, WA 98109-4433 | 2013-03-24 |
| 1508150111 | Robert Eugene Burdick | Internal Medicine | 2201 39th Ave E, Seattle, WA 98112-2401 | 2011-06-01 |
| 1124334792 | Wayne Russell Godfrey | Internal Medicine | 410 W Harrison St, Suite 100, Seattle, WA 98119-4033 | 2010-08-20 |
| 1407173826 | Joshua Robert Veatch | Internal Medicine | 1100 Fairview Ave N # D5-100, Seattle, WA 98109-4433 | 2010-04-24 |
| 1346562816 | Song Zhao | Internal Medicine | 515 Minor Ave Fl 1, Seattle, WA 98104-2120 | 2010-02-24 |
| 1497925051 | Stephen Douglas Smith | Internal Medicine | 825 Eastlake Ave E # G3-200, Seattle, WA 98109-4405 | 2008-03-10 |
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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.