Organization Active NPI

Michael D Eulberg MD

  • Specialist
  • Kirkland, WA
National Provider Identifier
1093785495
Registry record updated Feb 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD00021703 Issued in WA
Legal business name
MICHAEL D EULBERG MD
Practice address
12911 120TH Ave NE
Suite G105
Kirkland, WA 98034-3027
Phone
(425) 899-6972
NPI assigned
Jan 26, 2006
Last updated
Feb 20, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2009

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

Authorized official

Name
Michael D Eulberg, MDNPI 1518095587
Title
Owner
Phone
(425) 899-6972

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
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X MD00021703 WA Primary

Addresses

Primary practice location

12911 120TH Ave NE
Suite G105
Kirkland, WA 98034-3027

Mailing address

12911 120TH Ave NE
Suite G105
Kirkland, WA 98034-3027
Phone (425) 899-6972

National Provider Directory

National Provider Directory

Locations

12911 120th Ave NE
Ste G105
Kirkland, WA 98034
Phone (425) 899-6972

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235088000000",
    "number": "1093785495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12911 120TH AVE NE",
            "address_2": "SUITE G105",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980343027",
            "telephone_number": "425-899-6972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12911 120TH AVE NE",
            "address_2": "SUITE G105",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980343027",
            "telephone_number": "425-899-6972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL D EULBERG MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-26",
        "last_updated": "2009-02-20",
        "status": "A",
        "authorized_official_last_name": "EULBERG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-899-6972",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "MD00021703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2009; 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.