ANTHONY LEE BACK (NPI# 1932285731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932285731 |
| Entity Type | Individual |
| Full Name | ANTHONY LEE BACK |
| Credential | MD |
| Practice Address |
Ambulatory Clinic 825 Eastlake Avenue East Seattle WA 98109 |
| Mailing Address |
Po Box 50095 Seattle WA 98145-5095 |
| Practice Telephone | 2062881000 |
| Mailing Telephone | 2065436420 |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2011-10-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | MD00022980 | WA | Allopathic & Osteopathic Physicians |
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
MD00022980 | WA | Allopathic & Osteopathic Physicians |
| N | 207RH0002X |
Internal Medicine Specialization: Hospice and Palliative Medicine |
MD00022980 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1932285731 | 05 | |
| INTERNAL ID-MOTOR VEHICLE ID | 6409 | 01 | |
| WA | L&I | 0230777 | 01 |
| Street Address |
AMBULATORY CLINIC 825 EASTLAKE AVENUE EAST |
| City | SEATTLE |
| State | WA |
| Zip Code | 98109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396825352 | Kevin Lee Coleman | Physician Assistant | Ambulatory Clinic, 825 Eastlake Avenue East, Seattle, WA 98109 | 2006-10-16 |
| 1306989876 | Howard Michael Shulman | Pathology | Ambulatory Clinic, 825 Eastlake Avenue East, Seattle, WA 98109 | 2007-02-15 |
| 1275612939 | George E Sale | Pathology | Ambulatory Clinic, 825 Eastlake Avenue East, Seattle, WA 98109 | 2006-11-03 |
| 1255410916 | Barbara J Silko | Nurse Practitioner | Ambulatory Clinic, 825 Eastlake Avenue East, Seattle, WA 98109 | 2006-11-03 |
| 1215013933 | Karen L Syrjala | Psychologist | Ambulatory Clinic, 825 Eastlake Avenue East, Seattle, WA 98109 | 2006-10-27 |
| 1336225192 | Jason Wen Chien | Internal Medicine | Ambulatory Clinic, 825 Eastlake Avenue East, Seattle, WA 98109 | 2006-10-27 |
| 1558447359 | Tracey Lee Godlewski | Physician Assistant | Ambulatory Clinic, 825 Eastlake Avenue East, Seattle, WA 98109 | 2006-10-27 |
| 1528144276 | Brian J Reid | Internal Medicine | Ambulatory Clinic, 825 Eastlake Avenue East, Seattle, WA 98109 | 2006-10-27 |
| 1396821195 | Renato Goncalves Martins | Internal Medicine | Ambulatory Clinic, 825 Eastlake Avenue East, Seattle, WA 98109 | 2006-10-27 |
| 1023194826 | Sylvie Aubin | Psychologist | Ambulatory Clinic, 825 Eastlake Avenue East, Seattle, WA 98109 | 2006-10-27 |
| Find all providers in the same location | ||||
| 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 | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285286369 | Candice Mccoy | Internal Medicine | 400 Dexter Ave N Ste 1200, Seattle, WA 98109-5094 | 2019-07-10 |
| 1295000552 | Jesse Johnston Salk | Internal Medicine | 1660 S Columbian Way # S-111onc, Seattle, WA 98108-1532 | 2012-03-19 |
| 1962777862 | Charles M Bagley Jr. | Internal Medicine | 1235 8th Ave W, Seattle, WA 98119-3441 | 2012-03-12 |
| 1548556384 | Janghee Woo | Internal Medicine | 825 Eastlake Ave. East, Seattle, WA 98109 | 2011-06-20 |
| 1174849855 | B Chue Consulting, P.s. | Internal Medicine | 2825 Eastlake Ave E Ste 200, Seattle, WA 98102-3085 | 2010-04-20 |
| 1740449602 | Kinsey A Mccormick | Internal Medicine | 1221 Madison St Ste 500, Seattle, WA 98104-1388 | 2008-06-05 |
| 1356562250 | Martin Alexander Cheever | Internal Medicine | 825 Eastlake Ave E # G4-610, Seattle, WA 98109-4405 | 2007-05-01 |
| 1992880991 | Thomas David Brown | Internal Medicine | 1221 Madison St Fl 2, Seattle, WA 98104-3588 | 2006-10-26 |
| 1386637288 | Stephen J Lemon | Internal Medicine | 825 Eastlake Ave E, Seattle, WA 98109-4405 | 2005-08-25 |
| 1942620448 | Kaylyn Kit Man Wong | Internal Medicine | 825 Eastlake Ave E, Seattle, WA 98109-4405 | 2014-04-23 |
| Find all providers in SEATTLE | ||||
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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.