Active NPI
Thomas J. Yetman, M.D.
- Obstetrics Physician
- Seattle, WA
National Provider Identifier
1083754154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- License
- MD00022196
- Practice address
- 1200 12TH Ave S
Quarters 6-7
Seattle, WA 98144-2712 - Phone
- (206) 621-4316
- NPI assigned
- Feb 7, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics Physician | 207VX0000X | MD00022196 | WA | Primary |
Addresses
Primary practice location
1200 12TH Ave S
Quarters 6-7
Seattle, WA 98144-2712
Mailing address
1200 12TH Ave S
Quarters 6-7
Seattle, WA 98144-2712
Phone (206) 621-4316
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00022196 | WA | MD | Obstetrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083754154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 12TH AVE S",
"address_2": "QUARTERS 6-7",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981442712",
"telephone_number": "206-621-4316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 12TH AVE S",
"address_2": "QUARTERS 6-7",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981442712",
"telephone_number": "206-621-4316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YETMAN",
"first_name": "THOMAS",
"middle_name": "J.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "WA",
"license": "MD00022196",
"primary": true
}
],
"identifiers": [],
"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 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.