DR. LAURA ELLEN MYRE (NPI# 1922193317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922193317 |
| Entity Type | Individual |
| Full Name | DR. LAURA ELLEN MYRE |
| Credential | MD |
| Practice Address |
4515 Martin Luther King Jr Way South Seattle WA 98108-2174 |
| Mailing Address |
4515 Martin Luther King Jr. Way South Seattle WA 98108-2174 |
| Practice Telephone | 2063205325 |
| Practice Fax Number | 2063205326 |
| Mailing Telephone | 2063205325 |
| Mailing Fax Number | 2063205326 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
MD00041878 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8373037 | 05 |
| Street Address |
4515 MARTIN LUTHER KING JR WAY SOUTH |
| City | SEATTLE |
| State | WA |
| Zip Code | 98108-2174 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205468899 | Connie Heath | Counselor | 13044 14th Ave S, Seattle, WA 98108 | 2020-02-11 |
| 1316501216 | Hawa Ramazani Hamadi | Massage Therapist | 8811 2nd Ave S, Seattle, WA 98108 | 2019-04-25 |
| 1306312111 | Noor Ahmad Daftani | Counselor | 4008 Mlk Jr. Way, Seattle, WA 98108 | 2018-10-18 |
| 1346726015 | Erica M Meurk | Counselor | 3016 S Dakota St, Seattle, WA 98108 | 2018-07-16 |
| 1023527892 | Holly Lynn Wickizer | Social Worker | 6160 S. Columbian Way, Seattle, WA 98108 | 2017-09-25 |
| 1053708628 | Flora Feifei Li | Student in an Organized Health Care Education/Training Program | 6200 13th Avenue South, Seattle, WA 98108 | 2015-04-22 |
| 1174869481 | Cheryll J Frazier | Counselor | 1600 S. Columbia Way S-116-wtrc, Seattle, WA 98108 | 2012-12-14 |
| 1831440973 | Blissa Tanaka | Pharmacist | 1660 S. Columbian Way (s-119), Seattle, WA 98108 | 2012-09-28 |
| 1023367968 | Victoria Bozzacco | Registered Nurse | 4515 Martin Luther King Way S, Seattle, WA 98108 | 2012-09-06 |
| 1992053847 | Russell Larder | Registered Nurse | 4515 Martin Luther King Jr Way, Seattle, WA 98108 | 2012-08-27 |
| Find all providers in zip 98108 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699010314 | Association of University Physicians | Family Medicine | 325 9th Ave E, Hmc Senior Care Clinic, Seattle, WA 98104-2420 | 2012-12-06 |
| 1245380468 | Assadullah Kazemi | Family Medicine | 4515 Mlk Way, Providence Elderplace, Seattle, WA 98108 | 2007-01-11 |
| 1063577039 | Troyer Eric J H Md | Family Medicine | 7728 12th Ave Nw, Seattle, WA 98117-4135 | 2006-12-27 |
| 1972509933 | Eric Jon Headings Troyer | Family Medicine | 720 8th Ave S, Seattle, WA 98104 | 2005-06-23 |
| 1174787667 | Wasea Medical LLC | Family Medicine | 1400 S Jackson St Ste 24, Seattle, WA 98144 | 2008-07-14 |
| 1235316712 | James S Lin | Family Medicine | 747 Broadway, Seattle, WA 98122-4379 | 2008-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750921193 | Bastion Health PC | Family Medicine | 4515 Logan Dr Ne, Lacey, WA 98516-1350 | 2020-01-14 |
| 1023654548 | Jared Edward Bruder | Family Medicine | 5015 S Regal St Apt B2014, Spokane, WA 99223-7906 | 2019-11-19 |
| 1346570728 | Scott Andrew Balson | Family Medicine | 1901 S Union Ave # 244, Tacoma, WA 98405-1702 | 2010-01-06 |
| 1992953277 | Gary Eugene Gaffield | Family Medicine | 44416 Dalles Rd, Concrete, WA 98237-9431 | 2008-08-28 |
| 1598982324 | The Clinic At Panorama City,ps | Family Medicine | 4044 15th Ln Se, Suite A, Lacey, WA 98503 | 2007-04-20 |
| 1205907789 | Marcus E Kuypers Md PC | Family Medicine | 104 S First, Suite B, La Conner, WA 98257-0840 | 2006-11-13 |
| 1760553028 | Laurie J Mercier Md Ps | Family Medicine | 13553 Ne 54th Pl, Bellevue, WA 98005-1037 | 2006-11-10 |
| 1861572737 | Suzanne Heidi Sample Staudinger | Family Medicine | 10803 S Freya Rd, Spokane, WA 99223-9417 | 2006-10-16 |
| 1124116611 | Bruce Howard Dentler | Family Medicine | 1010 W Rosewood Ave, Spokane, WA 99208-4257 | 2006-10-10 |
| 1174549505 | Laurie Jean Mercier | Family Medicine | 3518 255th Ln Se Apt 4, Sammamish, WA 98029-5828 | 2006-07-15 |
| Find all providers with the same taxonomy | ||||
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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.