Active NPI
Wasea Medical LLC
- Geriatric Medicine (Family Medicine) Physician
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- License
- MD00046227
- Legal business name
- WASEA MEDICAL LLC
- Practice address
- 1400 S Jackson St Ste 24
Seattle, WA 98144 - Phone
- (206) 568-8577
- NPI assigned
- Jul 14, 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
- Jiegang Yang Zhou, M.D.
- Title
- President
- Phone
- (206) 331-4005
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 |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | MD00046227 | WA | Primary |
Addresses
Primary practice location
1400 S Jackson St Ste 24
Seattle, WA 98144
Mailing address
11707 Exeter Ave NE
Seattle, WA 98125-5913
Phone (206) 568-8577
Other practice location 1
3521 NE 93rd St
Seattle, WA 98115-3663
Phone (206) 331-4005
Other practice location 2
3521 NE 93rd St
Seattle, WA 98115-3663
Phone (206) 331-4005
Other practice location 3
11707 Exeter Ave NE
Seattle, WA 98125
Phone (206) 568-8577
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1400 S Jackson St
Ste 24
Seattle, WA 98144
Phone (206) 568-8577
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adult Medicine Physician
- Seattle, WA
- NPI 1538109525
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215993600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1541980800000",
"number": "1174787667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11707 EXETER AVE NE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981255913",
"telephone_number": "206-568-8577",
"fax_number": "206-568-3385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 S JACKSON ST STE 24",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98144",
"telephone_number": "206-568-8577"
}
],
"practiceLocations": [
{
"address_1": "3521 NE 93rd St",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981153663",
"country_code": "US",
"telephone_number": "206-331-4005",
"fax_number": "206-568-3385",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3521 NE 93rd St",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981153663",
"country_code": "US",
"telephone_number": "206-331-4005",
"fax_number": "206-568-3385",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11707 Exeter Ave NE",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "98125",
"country_code": "US",
"telephone_number": "206-568-8577",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "WASEA MEDICAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-14",
"last_updated": "2018-11-12",
"status": "A",
"authorized_official_last_name": "ZHOU",
"authorized_official_first_name": "JIEGANG",
"authorized_official_middle_name": "YANG",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "206-331-4005",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine, Geriatric Medicine",
"state": "WA",
"license": "MD00046227",
"primary": true
}
],
"identifiers": [],
"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 Nov 12, 2018; 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.