Edward M McMahon Jr., MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD00013538 Issued in WA

Practice address

7554 15TH Ave NW
Seattle, WA 98117-5409

Phone

(206) 783-9300

Fax

(206) 783-3196

NPI assigned

Jul 12, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ballard Pediatric Clinic Inc PS

  • Primary Care Clinic/Center
  • Seattle, WA
  • NPI 1487876918
  NPD (past)

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211414400000",
    "number": "1215935481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7554 15TH AVE NW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981175409",
            "telephone_number": "206-783-9300",
            "fax_number": "206-783-3196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7554 15TH AVE NW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981175409",
            "telephone_number": "206-783-9300",
            "fax_number": "206-783-3196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMAHON",
        "first_name": "EDWARD",
        "middle_name": "M",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2008-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "MD00013538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1018639",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennfer Lynn McLuen, DPT
• Amy J McMahan, MS, LMFTA
• Houston McMahan
• Ann McMahon, OTR/L
• Bridget McMahon
• Jen McMahon, LMP
• Ross McMahon, M.D.
• Nicole L McMannis, ARNP
• Alaina McManus
• Alison McManus

• Pediatrics Physician in Seattle, WA
• Providers in Seattle, WA by specialty
• Pediatrics Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.