Seattle Infectious Disease Clinic PLLC

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

Legal business name

SEATTLE INFECTIOUS DISEASE CLINIC PLLC

Practice address

509 Olive Way
Suite 752
Seattle, WA 98101-1720

Phone

(206) 329-0338

NPI assigned

Jul 23, 2014

Last updated

Jul 24, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Phillip Jason Skuda, JD

Title

Manager

Phone

(206) 329-0338

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

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.

• Benjamin Dines

  • Physician Assistant
  • Seattle, WA
  • NPI 1740910595
  Medicare reassignment Care Compare group
• Warren Lewis Dinges, MD, PHD

  • Infectious Disease Physician
  • Seattle, WA
  • NPI 1194832667
  Medicare reassignment Care Compare group
• Taylor Donovan, ARNP

  • Nurse Practitioner
  • Seattle, WA
  • NPI 1356860886
  NPD (past)

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

{
    "created_epoch": "1406073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406160000000",
    "number": "1164830030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24303",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981240303",
            "telephone_number": "203-329-0338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 OLIVE WAY",
            "address_2": "SUITE 752",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011720",
            "telephone_number": "206-329-0338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEATTLE INFECTIOUS DISEASE CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-23",
        "last_updated": "2014-07-24",
        "status": "A",
        "authorized_official_last_name": "SKUDA",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "JASON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "206-329-0338",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seattle Indian Health Board
• Seattle Indian Health Board
• Seattle Indian Health Board
• Seattle Indian Health Board
• Seattle Indian Health Board
• Seattle Infectious Disease Clinic PLLC
• Seattle Institute for Family Therapy
• Seattle Institute of Oriental Medicine
• Seattle Internal Medicine, PLLC
• Seattle Internist Group PLLC

• Infectious Disease Physician in Seattle, WA
• Providers in Seattle, WA by specialty
• Infectious Disease Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.