NPIMap

Organization Active NPI

Ronald L. Furedy, MD, PS

  • Psychiatry Physician
  • Issaquah, WA
National Provider Identifier
1164705489
Registry record updated Sep 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD00011858 Issued in WA
Legal business name
RONALD L. FUREDY, MD, PS
Practice address
2375 Squak Mountain Loop SW
Issaquah, WA 98027-4418
Phone
(425) 657-0023
Fax
(425) 449-5938
NPI assigned
Sep 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2011

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

Authorized official

Name
Dr. Ronald Lincoln Furedy, MDNPI 1295882652
Title
Chairman of the Board
Phone
(425) 657-0023

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
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X MD00011858 WA Primary

Addresses

Primary practice location

2375 Squak Mountain Loop SW
Issaquah, WA 98027-4418

Mailing address

2375 Squak Mountain Loop SW
Issaquah, WA 98027-4418
Phone (425) 657-0023

Other identifiers 3

IdentifierTypeStateIssuer
F968OtherWAREGENCE BLUE SHIELD
020977OtherWAVALUE OPTIONS
200687100000OtherWAPREMERA BLUE SHIELD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1316649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316649600000",
    "number": "1164705489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2375 SQUAK MOUNTAIN LOOP SW",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980274418",
            "telephone_number": "425-657-0023",
            "fax_number": "425-449-5938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2375 SQUAK MOUNTAIN LOOP SW",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980274418",
            "telephone_number": "425-657-0023",
            "fax_number": "425-449-5938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD L. FUREDY, MD, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-22",
        "last_updated": "2011-09-22",
        "status": "A",
        "authorized_official_last_name": "FUREDY",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "LINCOLN",
        "authorized_official_title_or_position": "CHAIRMAN OF THE BOARD",
        "authorized_official_telephone_number": "425-657-0023",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "MD00011858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "F968",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "020977",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREMERA BLUE SHIELD",
            "identifier": "200687100000",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Issaquah, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; 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.