DR. DEIRDRE KNOBELOCH (NPI# 1982947149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982947149 |
| Entity Type | Individual |
| Full Name | DR. DEIRDRE KNOBELOCH |
| Credential | D.O. |
| Practice Address |
1560 N 115th St Ste 101 Seattle WA 98133 |
| Mailing Address |
9447 Holy Cross Ln Breese IL 62230-3510 |
| Practice Telephone | 2066686806 |
| Practice Fax Number | 2066686808 |
| Mailing Telephone | 2066686806 |
| Mailing Fax Number | 2066686808 |
| Enumeration Date | 2013-04-05 |
| Last Update Date | 2019-09-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
OP60824606 | WA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10143 Perrin Rd, Mascoutah, IL 622583411 | 6189723045 |
| Street Address |
1560 N 115TH ST STE 101 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760692198 | Elise Jensen Simons | Obstetrics & Gynecology | 1560 N 115th St Ste 101, Seattle, WA 98133-8414 | 2007-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891339388 | Marni Lynn Hanig | Occupational Therapist | 1900 N 170th St., Shoreline, WA 98133 | 2019-10-29 |
| 1871074807 | Minju Kim | Counselor | 14332 Burke Ave N, Seattle, WA 98133 | 2018-08-27 |
| 1821582941 | Hana Alema Misgina | Registered Nurse | 927 N 199th St, Shoreline, WA 98133 | 2018-06-21 |
| 1588177729 | Julie Benefiel | Pharmacist | 1536 N 115th St. Suite 100, Seattle, WA 98133 | 2017-11-09 |
| 1730607953 | Aurora Oaks, LLC | Skilled Nursing Facility | 16357 Aurora Avenue North, Shoreline, WA 98133 | 2017-09-08 |
| 1750801072 | Zoe Ana Cavnar-lewandowski | Counselor | 10700 Meridian Avenue N, Suite G-11, Seattle, WA 98133 | 2017-06-27 |
| 1851820211 | Adam Lee Gardner Sr. | Acupuncturist | 925 N 163rd Street, Unit B, Shoreline, WA 98133 | 2017-06-08 |
| 1376085209 | Pamela Ashby | Counselor | 2111 N. Northgateway, 212, Seattle, WA 98133 | 2016-11-09 |
| 1225584956 | General Dentistry | Dentist | 20109 Aurora Ave N, Ste D, Shoreline, WA 98133 | 2016-09-01 |
| 1144672668 | Aaron Neubauer | Behavioral Analyst | 13407 Greenwood Ave N, 216c, Seattle, WA 98133 | 2016-07-08 |
| Find all providers in zip 98133 | ||||
| Taxonomy Code | 207VX0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecologic Oncology |
| An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619992724 | Amy Elizabeth Bondurant | Obstetrics & Gynecology | 1101 Madison St Ste 1500, Seattle, WA 98104-3551 | 2006-07-12 |
| 1508028788 | Kemi Morenikeji Doll | Obstetrics & Gynecology | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2008-06-27 |
| 1093999740 | Renata Rose Urban | Obstetrics & Gynecology | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2007-12-18 |
| 1871773226 | Gynecology Cancer Clinic Tr | Obstetrics & Gynecology | 1560 N 115th St, Suite 101, Seattle, WA 98133-8414 | 2007-11-13 |
| 1730389057 | John B Liao | Obstetrics & Gynecology | 825 Eastlake Ave E, Seattle, WA 98109-4405 | 2007-07-24 |
| 1205916103 | Hisham K Tamimi | Obstetrics & Gynecology | Seattle Cancer Care Alliance, 825 Eastlake Avenue East, Seattle, WA 98109 | 2006-10-16 |
| 1366538084 | Howard G Muntz | Obstetrics & Gynecology | 1560 N 115th St, Suite 101, Seattle, WA 98133-8414 | 2006-10-04 |
| 1417042854 | Kathryn F Mcgonigle | Obstetrics & Gynecology | 1560 N 115th St, Suite 101, Seattle, WA 98133-8414 | 2006-10-03 |
| 1235248360 | Chirag A Shah | Obstetrics & Gynecology | 1101 Madison St, Ste 1500, Seattle, WA 98104-1306 | 2006-08-30 |
| 1104932276 | Nancy Margaret Tipton | Obstetrics & Gynecology | 1100 9th Ave, Seattle, WA 98101-2756 | 2006-08-22 |
| 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.