Prostate Cancer Center of Seattle, LLC

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

602885512 Issued in WA

Legal business name

PROSTATE CANCER CENTER OF SEATTLE, LLC

Practice address

9730 3Rd Ave NE Ste 208
Seattle, WA 98115-2023

Phone

(206) 453-2992

NPI assigned

Jun 22, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Peter D Grimm, D.O.

Title

Member

Phone

(206) 328-4215

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Berit L Madsen, MD

  • Radiation Oncology Physician
  • Poulsbo, WA
  • NPI 1164518841
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399334400000",
    "number": "1013144617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9730 3RD AVE NE STE 208",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981152023",
            "telephone_number": "206-453-2992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9730 3RD AVE NE STE 208",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981152023",
            "telephone_number": "206-453-2992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSTATE CANCER CENTER OF SEATTLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-22",
        "last_updated": "2014-05-06",
        "status": "A",
        "authorized_official_last_name": "GRIMM",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "206-328-4215",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "WA",
            "license": "602885512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Marie Pronger, MD/PHD
• Propriotherapy LLC
• Alexa Jordan Prose, MS
• Prosper Behavioral Health PLLC
• Vanessa Prosper, PSYD
• Ashley Proto, LICSW
• Gretchen Rose Proulx
• Janet Jeanne Proulx, LMHC, MA
• Michelle A Proulx, PH.D.
• Anne M Prouty, PHD

• Radiation Oncology Physician in Seattle, WA
• Providers in Seattle, WA by specialty
• Radiation Oncology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.