Organization Active NPI

Timothy P. Carey M.D. Inc P.S

  • Clinic/Center
  • Seattle, WA
National Provider Identifier
1033374699
Registry record updated Jul 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
MD00024248 Issued in WA
Legal business name
TIMOTHY P. CAREY M.D. INC P.S
Practice address
5116 25TH Ave NE
Seattle, WA 98105-4121
Phone
(206) 522-2500
Fax
(206) 267-8307
NPI assigned
Jul 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2008

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

Authorized official

Name
Timothy Patrick Carey, M.D.NPI 1003988387
Title
President/Owner
Phone
(206) 522-2500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X MD00024248 WA Primary

Addresses

Primary practice location

5116 25TH Ave NE
Seattle, WA 98105-4121

Mailing address

5116 25TH Ave NE
Seattle, WA 98105-4121
Phone (206) 522-2500

Other identifiers 1

IdentifierTypeStateIssuer
E80288OtherWAUPIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080813000821 WA Part B Supplier - Clinic/Group Practice 0749380905 Receives reassigned benefits from 1 practitioner
Practice locations: Seattle, WA

National Provider Directory

National Provider Directory

Locations

5116 25th Ave NE
Seattle, WA 98105
Phone (206) 324-8300

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216771200000",
    "number": "1033374699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5116 25TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981054121",
            "telephone_number": "206-522-2500",
            "fax_number": "206-267-8307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5116 25TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981054121",
            "telephone_number": "206-522-2500",
            "fax_number": "206-267-8307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY P. CAREY M.D. INC P.S",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-23",
        "last_updated": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "CAREY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "206-522-2500",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WA",
            "license": "MD00024248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "E80288",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.