MRS. ANDREA ALYS BURGESS


Address: 600 Broadway Swedish Maxillofacial Surgery, Suite 460, Seattle, WA 98122
Phone: 2063202078

MRS. ANDREA ALYS BURGESS (NPI# 1831557107) 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) 1831557107
Entity Type Individual
Full Name MRS. ANDREA ALYS BURGESS
Other Name MS. ANDREA ALYS KERRIGAN
Credential PA-C
Practice Address 600 Broadway Swedish Maxillofacial Surgery
Suite 460
Seattle
WA 98122
Mailing Address 600 Broadway
Suite 460
Seattle
WA 98122
Practice Telephone 2063202078
Practice Fax Number 2063863296
Mailing Telephone 2063202078
Enumeration Date 2016-02-02
Last Update Date 2018-07-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PA60800587 WA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
WA 1831557107 05

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Office Location

Street Address 600 BROADWAY SWEDISH MAXILLOFACIAL SURGERY
SUITE 460
City SEATTLE
State WA
Zip Code 98122

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 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851875561 Sarah Gene Soloff Physician Assistant 9730 3rd Ave Ne Ste 201, Seattle, WA 98115-2023 2018-09-18
1861987992 Lillian Baldwin Bourret Physician Assistant 6317 Linden Ave N, Seattle, WA 98103-5658 2018-07-01
1043535024 Pamela Baird Physician Assistant 2016 16th Ave East, Seattle, WA 98112-5260 2010-04-01
1548402209 Loverne Greg De Venecia Jimenez Physician Assistant James Tower 550 17th Ave Suite 500, Swedish Neuroscience Institute, Seattle, WA 98122 2009-03-27
1679506737 Gerald M Strode Physician Assistant 521 Wall St, Seattle, WA 98121-1524 2006-07-09
1023049905 Kari A. Schmitz Physician Assistant 3725 Sw Prescott Pl, Seattle, WA 98126-2042 2006-07-06
1528007069 Claudia M Kalotay Physician Assistant 901 Boren Ave #800, Seattle, WA 98104 2006-06-06
1386681815 Paul Richard Halkett Physician Assistant Pbs Building, 401 Broadway, Seattle, WA 98122 2006-06-01
1851361646 Irina E Penev Physician Assistant 550 17th Ave Fl 6, Seattle, WA 98122-5788 2006-01-24
1174123939 Kaitlin C Fitzgerald Physician Assistant 325 9th Ave, Seattle, WA 98104-2420 2020-10-29
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Competitor

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City SEATTLE
Zip Code 98122

Improve Information

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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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