Active NPI
Kirkland Family Medicine PLLC
- Family Medicine Physician
- Kirkland, WA
National Provider Identifier
1134383151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- KIRKLAND FAMILY MEDICINE PLLC
- Practice address
- 11911 NE 132ND St
Kirkland, WA 98034-2900 - Phone
- (425) 899-5252
- Fax
- (425) 899-5255
- NPI assigned
- Jul 18, 2008
- Last updated
- Oct 16, 2008
- 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
- Russel Goldman, MD
- Title
- Owner
- Phone
- (425) 899-5252
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
11911 NE 132ND St
Kirkland, WA 98034-2900
Mailing address
11911 NE 132ND St
Kirkland, WA 98034-2900
Phone (425) 899-5252
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://api.platform.athenahealth.com/4353/brand/1/csg/1/fhir/r4
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.
-
- Internal Medicine Physician
- Kirkland, WA
- NPI 1407867690
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1224115200000",
"number": "1134383151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11911 NE 132ND ST",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980342900",
"telephone_number": "425-899-5252",
"fax_number": "425-899-5255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11911 NE 132ND ST",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980342900",
"telephone_number": "425-899-5252",
"fax_number": "425-899-5255"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIRKLAND FAMILY MEDICINE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-18",
"last_updated": "2008-10-16",
"status": "A",
"authorized_official_last_name": "GOLDMAN",
"authorized_official_first_name": "RUSSEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "425-899-5252",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kirkland, WA
- Kirkland Chiropractic & Massage, P.S.
- Kirkland Chiropractic and Massage
- Kirkland Cornerstone Dental
- Kirkland Dermatology Associates, PLLC
- Kirkland Family Health & Wellness
- Kirkland Kids Dentistry
- Kirkland Life Chiropractic, P.S.
- Kirkland Memory Care, LLC (Jefferson House Memory Care Community)
- Kirkland Natural Health
- Kirkland Physical Therapy, Inc., P.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.