Kevin Dooms MD PLLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

603-140-833 Issued in WA

Legal business name

KEVIN DOOMS MD PLLC

Practice address

751 NE Blakely Dr
Issaquah, WA 98029-6201

Phone

(206) 223-9322

Fax

(425) 455-8391

NPI assigned

Nov 14, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Kevin Todd Dooms, MD

Title

Physician, Sole Member

Phone

(425) 455-8391

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1321228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321228800000",
    "number": "1174800593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 BOREN AVE",
            "address_2": "SUITE 1730",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981043595",
            "telephone_number": "206-223-9322",
            "fax_number": "425-455-8391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 NE BLAKELY DR",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980296201",
            "telephone_number": "206-223-9322",
            "fax_number": "425-455-8391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN DOOMS MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-14",
        "last_updated": "2011-11-14",
        "status": "A",
        "authorized_official_last_name": "DOOMS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "PHYSICIAN, SOLE MEMBER",
        "authorized_official_telephone_number": "425-455-8391",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "WA",
            "license": "603-140-833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE-1 NPI",
            "identifier": "1548226285",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolyn Kelley, OT
• Jennifer A Kellogg-Smith, MA CCC-SLP
• Ken Akimoto DDS MSD PLLC
• Renee Kendall-Sanchez, RN, IBCLC
• Elizabeth Kern
• Iram Fatima Khan, PHD
• Parisima Kheradmand, RPH
• Alexandria Mae Kiema, LMP, LA
• Young Killey
• Carol A Killingsworth, AU.D

• Medical Specialty Clinic/Center in Issaquah, WA
• Providers in Issaquah, WA by specialty
• Medical Specialty Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.