Ian M Kodish (NPI# 1649372616, PAC ID# 0042387631) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1649372616 |
| PAC ID by PECOS | 0042387631 |
| Professional Enrollment ID | I20080924000091 |
| Full Name | Ian M Kodish |
| Organization Legal Name | THE ASSOCIATION OF CHRMC AND UNIVERSITY PHYSICIANS |
| Address |
4800 Sand Point Way Ne Seattle WA 98105-3901 |
| Phone Number | 2065262000 |
| Gender | M |
| Medical School | UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER |
| Graduation Year | 2004 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 9133032964 |
| Number of Group Practice Members | 239 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2065262000 | THE ASSOCIATION OF CHRMC AND UNIVERSITY PHYSICIANS |
| Organization Legal Name | THE ASSOCIATION OF CHRMC AND UNIVERSITY PHYSICIANS |
| Physicians | 222 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leslie A Dervan | Pediatric Medicine | The Association of Chrmc and University Physicians | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 |
| Paul A Merguerian | Pediatric Medicine | The Association of Chrmc and University Physicians | 4540 Sand Point Way Ne, Bldg 1 Suite 200, Seattle, WA 98105-3941 |
| Terrence U Chun | Pediatric Medicine | The Association of Chrmc and University Physicians | 1500 116th Ave Ne, Bellevue, WA 98004-3829 |
| Anne Marie E Amies Oelschlager | Obstetrics/gynecology | The Association of Chrmc and University Physicians | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 |
| Stephanie C Randle | Neurology | The Association of Chrmc and University Physicians | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 |
| Kristina Tarczy Hornoch | Ophthalmology | The Association of Chrmc and University Physicians | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 |
| Mark R Ferguson | Interventional Radiology | The Association of Chrmc and University Physicians | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 |
| John H Waldhausen | Pediatric Medicine | The Association of Chrmc and University Physicians | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 |
| David L Horn | Otolaryngology | The Association of Chrmc and University Physicians | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 |
| Michael P Davis | Pediatric Medicine | The Association of Chrmc and University Physicians | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 |
| Street Address |
4800 SAND POINT WAY NE |
| City | SEATTLE |
| State | WA |
| Zip | 98105-3901 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leslie A Dervan | Pediatric Medicine | The Association of Chrmc and University Physicians | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 |
| Samantha Goldklang | Nurse Practitioner | Seattle Children's Hospital | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 |
| Anne Marie E Amies Oelschlager | Obstetrics/gynecology | The Association of Chrmc and University Physicians | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 |
| Stephanie C Randle | Neurology | The Association of Chrmc and University Physicians | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 |
| Kristina Tarczy Hornoch | Ophthalmology | The Association of Chrmc and University Physicians | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 |
| Mark R Ferguson | Interventional Radiology | The Association of Chrmc and University Physicians | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 |
| John H Waldhausen | Pediatric Medicine | The Association of Chrmc and University Physicians | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 |
| David L Horn | Otolaryngology | The Association of Chrmc and University Physicians | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 |
| Michael P Davis | Pediatric Medicine | The Association of Chrmc and University Physicians | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 |
| Emily A Hartford | Pediatric Medicine | The Association of Chrmc and University Physicians | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kenneth A Hapke | Psychologist, Clinical | 4026 Ne 55th St, Suite D, Seattle, WA 98105-2254 | |
| Karen Lee Nussbaum | Psychologist, Clinical | 4026 Ne 55th St A, Seattle, WA 98105-2254 | |
| Carol B Sheckter | Internal Medicine | Hawthorne Hills Internal Medicine Pllc | 4026 Ne 55th St, Suite F, Seattle, WA 98105-2254 |
| Jaime B Friedman | Internal Medicine | Hawthorne Hills Internal Medicine Pllc | 4026 Ne 55th St, Suite F, Seattle, WA 98105-2254 |
| Anne O Glasser | Psychologist, Clinical | 4026 Ne 55th St A, Seattle, WA 98105-2254 | |
| Susan R Holliday | Clinical Psychologist | 4026 Ne 55th St, Suite B, Seattle, WA 98105-2254 | |
| Peter N Moore | Psychologist, Clinical | 4026 Ne 55th St, Suite E200, Seattle, WA 98105-2263 | |
| Philip D Bohn | Clinical Social Worker | 4026 Ne 55th St, Suite E, Seattle, WA 98105-2264 | |
| Lara M Long | Chiropractic | 5901 Roosevelt Way Ne, Suite 101a, Seattle, WA 98105-2763 | |
| Rebecca A Long | Chiropractic | 5901 Roosevelt Way Ne, Suite 101a, Seattle, WA 98105-2763 | |
| Find all physicians in zip 98105 | |||
| City | SEATTLE |
| Zip Code | 98105 |
| Specialty | PSYCHIATRY |
| City + Specialty | SEATTLE + PSYCHIATRY |
Please comment or provide details below to improve the information on Ian M Kodish.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.