Organization Active NPI

Henri Paul Gaboriau, M.D., PC

  • Specialist
  • Sammamish, WA
National Provider Identifier
1205019213
Registry record updated Jan 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD00037350 Issued in WA
Legal business name
HENRI PAUL GABORIAU, M.D., PC
Doing business as
Sammamish Center for Facial Plastic & Reconstructive Surgery
Practice address
22840 NE 8TH St
Suite #103
Sammamish, WA 98074-7262
Phone
(425) 898-1228
Fax
(425) 898-0279
NPI assigned
Dec 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2008

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

Authorized official

Name
Dr. Henri Paul Gaboriau, M.D.
Title
President
Phone
(425) 898-1228

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MD00037350 WA Primary

Addresses

Primary practice location

22840 NE 8TH St
Suite #103
Sammamish, WA 98074-7262

Mailing address

22840 NE 8TH St
Suite #103
Sammamish, WA 98074-7262
Phone (425) 898-1228

Other names 1

  • Sammamish Center for Facial Plastic & Reconstructive Surgery Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201132800000",
    "number": "1205019213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22840 NE 8TH ST",
            "address_2": "SUITE #103",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980747262",
            "telephone_number": "425-898-1228",
            "fax_number": "425-898-0279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22840 NE 8TH ST",
            "address_2": "SUITE #103",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980747262",
            "telephone_number": "425-898-1228",
            "fax_number": "425-898-0279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRI PAUL GABORIAU, M.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-12",
        "last_updated": "2008-01-24",
        "status": "A",
        "authorized_official_last_name": "GABORIAU",
        "authorized_official_first_name": "HENRI",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-898-1228",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "MD00037350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sammamish Center for Facial Plastic & Reconstructive Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sammamish, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2008; 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.