Active NPI
Gene S J Liaw MD PS
- General Practice Physician
- Seattle, WA
National Provider Identifier
1174632392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- MD00022484
- Legal business name
- GENE S J LIAW MD PS
- Practice address
- 662A S Jackson St
Seattle, WA 98104 - Phone
- (206) 623-0733
- Fax
- (206) 623-1014
- NPI assigned
- Aug 30, 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
- Dr. Gene S Liaw, MD
- Title
- President
- Phone
- (206) 623-0733
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | MD00022484 | WA | Primary |
Addresses
Primary practice location
662A S Jackson St
Seattle, WA 98104
Mailing address
662A S Jackson St
Seattle, WA 98104
Phone (206) 623-0733
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1026715 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
662 S Jackson St
#A
Seattle, WA 98104
Phone (206) 623-0733
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Physician
- Seattle, WA
- NPI 1427231323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1398124800000",
"number": "1174632392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "662A S JACKSON ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98104",
"telephone_number": "206-623-0733",
"fax_number": "206-623-1014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "662A S JACKSON ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98104",
"telephone_number": "206-623-0733",
"fax_number": "206-623-1014"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENE S J LIAW MD PS",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-30",
"last_updated": "2014-04-22",
"status": "A",
"authorized_official_last_name": "LIAW",
"authorized_official_first_name": "GENE",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "206-623-0733",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": "WA",
"license": "MD00022484",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1026715",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.