ARBORETUM DERMATOLOGY SEATTLE, PLLC (NPI# 1982129490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982129490 |
| Entity Type | Organization |
| Organization Name | ARBORETUM DERMATOLOGY SEATTLE, PLLC |
| Practice Address |
3131 E Madison St Ste 205 Seattle WA 98112-4266 |
| Mailing Address |
1861 Mcgilvra Blvd E Seattle WA 98112-3123 |
| Practice Telephone | 2064625850 |
| Practice Fax Number | 2064875150 |
| Mailing Telephone | 2069190198 |
| Enumeration Date | 2017-08-04 |
| Last Update Date | 2017-11-29 |
| Authorized Official Name | NICKI PETHES (CREDENTIALING ANALYST) |
| Authorized Official Telephone | 7155232485 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | ARBORETUM DERMATOLOGY SEATTLE, PLLC | 3131 East Madison St #205, Seattle, WA 98112 |
| Street Address |
3131 E MADISON ST STE 205 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98112-4266 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144289828 | Rebecca Patton | Physician Assistant | 3131 E Madison St Ste 205, Seattle, WA 98112-4266 | 2006-03-21 |
| 1588749691 | Carmen M Berger | Dermatology | 3131 E Madison St Ste 205, Seattle, WA 98112-4266 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891254991 | Justin Jeng-young Fu | Student in an Organized Health Care Education/Training Program | 125 16 Th Ave E, Csb 545, Seattle, WA 98112 | 2019-03-18 |
| 1275015604 | Eyewear Gallery LLC | Optometrist | 3121 E. Madison St Ste 102, Seattle, WA 98112 | 2018-09-01 |
| 1336637081 | Oh Plastic and Reconstructive Surgery LLC | Plastic Surgery | 602 27th Ave E, Seattle, WA 98112 | 2018-04-27 |
| 1992228191 | John Joseph Folta | Chiropractor | 3121 E Madison St Ste 103a, Seattle, WA 98112 | 2017-07-19 |
| 1083161061 | Sheick Toure | Counselor | 122 16 Ave E, Seattle, WA 98112 | 2016-09-07 |
| 1457721805 | Jessica Donovan | Audiologist | 201 16th Ave E # Cmb, Seattle, WA 98112 | 2015-09-29 |
| 1952777427 | Ronald Berenson | Physiological Laboratory | 2032 41st Avenue, Seattle, WA 98112 | 2015-08-19 |
| 1225419005 | Adrienne Foley | Counselor | 1833 40th Ave. E., Seattle, WA 98112 | 2015-06-17 |
| 1952721771 | Ling Guo | Internal Medicine | Kaiser Permanente Central Hospital Building, 126 16th Ave E, Seattle, WA 98112 | 2014-04-19 |
| 1134548068 | Anne Gayman | Family Medicine | 125 16th Avenue East, Csb-540, Group Health Family Medicine Residency, Seattle, WA 98112 | 2014-04-08 |
| Find all providers in zip 98112 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699376152 | Seattle Vision Therapy and Rehabilitation Center, Pllc | Clinic/Center | 13344 1st Ave Ne Ste 101, Seattle, WA 98125-3059 | 2020-11-02 |
| 1942811211 | Little Fin Therapies, LLC | Clinic/Center | 5942 31st Ave Sw, Seattle, WA 98126-2910 | 2020-08-11 |
| 1720617533 | Nova Mind-body LLC | Clinic/Center | 116 13th Ave E Apt 1e, Seattle, WA 98102-6142 | 2020-04-03 |
| 1417582255 | Personalized Health, LLC | Clinic/Center | 7136 Mlk Jr Way S Ste 204, Seattle, WA 98118-3526 | 2020-03-11 |
| 1952965915 | Dr. Jessica Wendling, LLC | Clinic/Center | 5401 Leary Ave Nw Ste 206, Seattle, WA 98107-4070 | 2019-04-25 |
| 1376003095 | Express Care Ak LLC | Clinic/Center | 800 Fifth Ave Ste 900, Seattle, WA 98104-3176 | 2019-03-20 |
| 1003373150 | Every Body Moves, LLC | Clinic/Center | 5238 57th Ave S, Seattle, WA 98118-2517 | 2019-02-25 |
| 1598243784 | Women's Accessible Medical Service, Ps | Clinic/Center | 4528 8th Ave Ne Ste 1a, Seattle, WA 98105-1738 | 2018-07-31 |
| 1295257384 | Gary R Feldman Dds Md Ps | Clinic/Center | 1221 Madison St Ste 1116, Seattle, WA 98104-3536 | 2017-07-11 |
| 1639607310 | Trust Women Foundation | Clinic/Center | 1325 4th Ave Ste 1240, Seattle, WA 98101-2516 | 2017-05-25 |
| 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.