Northwest Professional Medicine

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD00044383 Issued in WA

Legal business name

NORTHWEST PROFESSIONAL MEDICINE

Practice address

93 S Jackson St
21499
Seattle, WA 98104-2818

Phone

(206) 257-2237

NPI assigned

Mar 20, 2012

Organization subpart

No

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

Authorized official

Name

Eldi Han, M.D.

Title

Director

Phone

(206) 257-2237

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1332201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332201600000",
    "number": "1225303423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 S JACKSON ST",
            "address_2": "21499",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981042818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 S JACKSON ST",
            "address_2": "21499",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981042818",
            "telephone_number": "206-257-2237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST PROFESSIONAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-20",
        "last_updated": "2012-03-20",
        "status": "A",
        "authorized_official_last_name": "HAN",
        "authorized_official_first_name": "ELDI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "206-257-2237",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "MD00044383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northwest Pathology Services Inc
• Northwest Pediatric Otolaryngology Group
• Northwest Pediatrics, PLLC
• Northwest Physiatry Associates
• Northwest Primary Care PS
• Northwest Psychological Associates PLLC
• Northwest Pulmonary Associates
• Northwest Rehabilitation Physicians, Inc., P.S.
• Northwest Restorative Counseling
• Northwest Skin Specialists PLLC

• Specialist in Seattle, WA
• Providers in Seattle, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; 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.