W MARK POTAMPA (NPI# 1922085646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922085646 |
Entity Type | Individual |
Full Name | W MARK POTAMPA |
Other Name | WHITTON M POTAMPA |
Credential | M.D. |
Practice Address |
11919 Ne 128th St Suite A Kirkland WA 98034-7204 |
Mailing Address |
1101 Madison St Suite 600 Seattle WA 98104-1306 |
Practice Telephone | 4258216655 |
Practice Fax Number | 4258218836 |
Mailing Telephone | 2062152004 |
Mailing Fax Number | 2062152055 |
Enumeration Date | 2005-12-22 |
Last Update Date | 2008-08-21 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207W00000X | Ophthalmology | MD00023322 | WA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | LABOR & INDUSTRIES | 0071123 | 01 |
RAILROAD MEDICARE | 180021811 | 01 | |
REGENCE HEALTHCARE | PO3997 | 01 | |
WA | 8307290 | 05 |
Street Address |
11919 NE 128TH ST SUITE A |
City | KIRKLAND |
State | WA |
Zip Code | 98034-7204 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669553251 | Eastside Womens Clinic | Clinic/Center | 11919 Ne 128th St, Suite C, Kirkland, WA 98034-7204 | 2006-10-18 |
1598845018 | Suzan Jeanne Watanabe | Nurse Practitioner | 11919 Ne 128th St, Suite C, Kirkland, WA 98034-7204 | 2006-10-17 |
1154399319 | Eye Associates Northwest, PC | Eyewear Supplier (Equipment, not the service) | 11919 Ne 128th St, Ste A, Kirkland, WA 98034-7204 | 2006-03-14 |
1558349076 | Dennis D. Waltman | Ophthalmology | 11919 Ne 128th St, Suite A, Kirkland, WA 98034-7204 | 2006-01-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578116596 | Rachel Bowers | Behavior Technician | 1335 Northeast 122nd Way, Suite 105, Kirkland, WA 98034 | 2019-07-18 |
1740841048 | Kristina Louise Inghram | Behavior Technician | 11415 Ne 128th St., Suite 40, Kirkland, WA 98034 | 2019-06-26 |
1053978064 | Matthew A. Bagnulo, Dds, Ps | Dentist | 11830 Ne 128th St., #202, Kirkland, WA 98034 | 2019-05-24 |
1629568928 | Stephanie Michalko | Optometrist | 11800 Ne 128th St Ste 110, Kirkland, WA 98034 | 2018-05-14 |
1952800013 | Heath Family Counseling LLC | Marriage & Family Therapist | 12025 115th Ave. Ne, Building D, Ste 200, Kirkland, WA 98034 | 2018-02-05 |
1891202834 | Barbara Josephine Gorham | Counselor | 2025 115th Ave Ne, Bldg D, #200, Kirkland, WA 98034 | 2017-12-29 |
1548782915 | Eleanor Hollis Wall | Counselor | 14340 102nd Ave Ne, Kirkland, WA 98034 | 2017-07-07 |
1457885212 | Peter Schoonmaker | Hospitalist | 12040 Ne 128th Street, Ms105, Kirkland, WA 98034 | 2017-04-18 |
1780124370 | Rebecca Managan | Advanced Practice Midwife | 12303 Ne 130th Ln Ste Coral225, Kirkland, WA 98034 | 2017-03-01 |
1669821104 | Winter Gonzalez | Counselor | 11720 97th Ln Ne Apt A411, Kirkland, WA 98034 | 2016-06-06 |
Find all providers in zip 98034 |
Taxonomy Code | 207W00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Ophthalmology |
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992199970 | Garrison Patrick Wier | Ophthalmology | 625 4th Ave Ste 301, Kirkland, WA 98033 | 2015-03-26 |
1588954119 | Zachary Paul Joos | Ophthalmology | 16 Central Way, Kirkland, WA 98033-6115 | 2011-04-16 |
1023043445 | Aesthetic Eye Associates, Ps | Ophthalmology | 625 4th Ave, Suite 301, Kirkland, WA 98033-9028 | 2006-07-12 |
1437141751 | Allen M. Rossman IIi | Ophthalmology | 13122 120th Ave Ne, Kirkland, WA 98034-3014 | 2005-08-22 |
1093134397 | Sean Batson | Ophthalmology | 134 Central Way, Kirkland, WA 98033 | 2014-04-15 |
1679723001 | Children's Eye Care, LLC. | Ophthalmology | 11800 Ne 128th St, Kirkland, WA 98034-7208 | 2008-09-22 |
1548319791 | Loren J Vesselle | Ophthalmology | 13014 120th Ave Ne, Kirkland, WA 98034-3015 | 2007-01-09 |
1588763494 | Washington Pacific Eye Associates Inc. | Ophthalmology | 134 Central Way, Kirkland, WA 98033-6106 | 2006-09-21 |
1730293119 | Krista Annette Heidar | Ophthalmology | 11800 Ne 128th St, Suite 430, Kirkland, WA 98034-7208 | 2006-08-19 |
1164443719 | Bryan S Sires | Ophthalmology | 625 4th Ave, Ste 301, Kirkland, WA 98033-9028 | 2006-07-21 |
Find all providers in KIRKLAND |
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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.