Individual provider Active NPI

Zhendong Jeff Ma, M.D., PHD

  • Psychiatry Physician
  • Bellevue, WA
National Provider Identifier
1104144021
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD 60458863 Issued in WA
Practice address
1808 Richards Rd Ste 120
Bellevue, WA 98005-3982
Phone
(425) 679-6417
NPI assigned
May 17, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD 60458863 WA Primary

Addresses

Primary practice location

1808 Richards Rd Ste 120
Bellevue, WA 98005-3982

Mailing address

1808 Richards Rd Ste 120
Bellevue, WA 98005-3982
Phone (425) 679-6417

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)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MD 60458863WAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seatoril Healthcare LLC Psychiatry Current Accepting new patients
Seatoril Clinic Psychiatry Current Accepting new patients

Locations

1808 Richards Rd
Ste 120
Bellevue, WA 98005
Phone (425) 502-8341

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1274054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1104144021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1808 RICHARDS RD STE 120",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980053982",
            "telephone_number": "425-679-6417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 RICHARDS RD STE 120",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980053982",
            "telephone_number": "425-679-6417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MA",
        "first_name": "ZHENDONG",
        "middle_name": "JEFF",
        "credential": "M.D., PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-17",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "MD 60458863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; 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.