Active NPI
Michael D Eulberg MD
- Specialist
- Kirkland, WA
National Provider Identifier
1093785495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MD00021703
- 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
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael D Eulberg, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7112931 | Medicaid | WA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pulmonary Disease Physician
- Kirkland, WA
- NPI 1518095587
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": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7112931",
"state": "WA"
}
],
"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.