NPIMap

Organization Active NPI

Goodmedizen PS Inc

  • Acupuncturist
  • Seattle, WA
National Provider Identifier
1184090748
Registry record updated Aug 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC00003083 Issued in WA
Legal business name
GOODMEDIZEN PS INC
Practice address
509 Olive Way
Ste 1401
Seattle, WA 98101-1720
Phone
(206) 402-3813
Fax
(206) 629-2267
NPI assigned
Aug 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2015

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

Authorized official

Name
Eric Lee Martin, EAMPNPI 1033395918
Title
President
Phone
(206) 402-3813

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
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC00003083 WA Primary

Addresses

Primary practice location

509 Olive Way
Ste 1401
Seattle, WA 98101-1720

Mailing address

509 Olive Way
Ste 1401
Seattle, WA 98101-1720
Phone (206) 402-3813

Other names 1

  • GoodMedizen Acupuncture & Herbs Doing business as

National Provider Directory

National Provider Directory

Locations

509 Olive Way
Ste 1401
Seattle, WA 98101
Phone (206) 402-3813

Practitioners & affiliated clinicians

Practitioners 3

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": "1439856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439856000000",
    "number": "1184090748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 OLIVE WAY",
            "address_2": "STE 1401",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011720",
            "telephone_number": "206-402-3813",
            "fax_number": "206-629-2267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 OLIVE WAY",
            "address_2": "STE 1401",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011720",
            "telephone_number": "206-402-3813",
            "fax_number": "206-629-2267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODMEDIZEN PS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-18",
        "last_updated": "2015-08-18",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-402-3813",
        "authorized_official_credential": "EAMP"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC00003083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GoodMedizen Acupuncture & Herbs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 18, 2015; 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.