THERESA A BURDICK MD LLC (NPI# 1982870796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982870796 |
| Entity Type | Organization |
| Organization Name | THERESA A BURDICK MD LLC |
| Practice Address |
801 Broadway Suite 707 Seattle WA 98122 |
| Practice Telephone | 2063863605 |
| Practice Fax Number | 2062549220 |
| Mailing Telephone | 2063863605 |
| Mailing Fax Number | 2062549220 |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2008-05-01 |
| Authorized Official Name | THERESA A BURDICK (PRESIDENT PHYSICIAN) |
| Authorized Official Telephone | 2063683605 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
MD00016175 | WA | Allopathic & Osteopathic Physicians |
| Y | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
MD00016175 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1718600 | 05 |
| Street Address |
801 BROADWAY SUITE 707 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98122 |
| 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 |
| Find all providers in zip 98122 | ||||
| Taxonomy Code | 207VX0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Obstetrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174673214 | Theresa Agnes Burdick | Obstetrics & Gynecology | 801 Broadway Ste 707, Seattle, WA 98122-4328 | 2007-01-11 |
| 1093350977 | Roseline Buyeka | Obstetrics & Gynecology | 3815 S Othello St, Seattle, WA 98118-3510 | 2019-11-14 |
| 1003013426 | Jaime Marie Michaelson | Obstetrics & Gynecology | 201 16th Ave E, Seattle, WA 98112-5226 | 2007-06-29 |
| 1861605453 | Suzanne E Peterson | Obstetrics & Gynecology | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2007-05-08 |
| 1083754154 | Thomas J. Yetman | Obstetrics & Gynecology | 1200 12th Ave S, Quarters 6-7, Seattle, WA 98144-2712 | 2007-02-07 |
| 1053348516 | Northwest Hospital | Obstetrics & Gynecology | 1570 N 115th St, # 9, Seattle, WA 98133-8412 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215498779 | Community Pregnancy Center of Camas/washougal | Obstetrics & Gynecology | 2926 E St, Washougal, WA 98671-2021 | 2019-03-27 |
| 1720422512 | Options360 Women's Clinic | Obstetrics & Gynecology | 221 Ne 104th Ave Ste 209, Vancouver, WA 98664-4505 | 2013-04-23 |
| 1801988878 | Daniel E Bahnmiller | Obstetrics & Gynecology | 138 Keene Rd, Richland, WA 99352-8683 | 2006-09-28 |
| 1326154881 | James Vincent Brasch | Obstetrics & Gynecology | 212 E Central Ave Ste 340, Spokane, WA 99208-6289 | 2006-08-21 |
| 1154313674 | Candace C Green | Obstetrics & Gynecology | 2630 N Columbia Center Blvd, Suite B, Richland, WA 99352-4853 | 2005-08-19 |
| 1154863157 | Waterfalls Longevity Center Pllc | Obstetrics & Gynecology | 9144 Burnett Rd Se, Ste B-3, Yelm, WA 98597-8488 | 2016-11-08 |
| 1306295605 | Lorraine Robertsonmd | Obstetrics & Gynecology | 12520 Sunrise Dr Ne, Bainbridge Island, WA 98110-4307 | 2016-06-07 |
| 1710394572 | Caitlin Schuh | Obstetrics & Gynecology | 9040 Jackson Ave, Tacoma, WA 98431-7324 | 2014-07-14 |
| 1790120145 | Malcolm William, George Hardy | Obstetrics & Gynecology | 320 W Willow St, Walla Walla, WA 99362-2922 | 2013-04-29 |
| 1487946489 | Brie Altenau | Obstetrics & Gynecology | 945 Goethals Dr Ste 200, Richland, WA 99352-3552 | 2011-05-09 |
| 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.