NPIMap

Organization Active NPI

Constantine W. Palaskas MD PC

  • Otology & Neurotology Physician
  • Seattle, WA
National Provider Identifier
1235300500
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otology & Neurotology PhysicianTaxonomy code 207YX0901X
License
MD00022586 Issued in WA
Legal business name
CONSTANTINE W. PALASKAS MD PC
Practice address
1221 Madison St Ste 1410
Seattle, WA 98104-3555
Phone
(206) 486-8088
NPI assigned
Mar 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2020

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

Authorized official

Name
Constantine W Palaskas
Title
Medical Director
Phone
(206) 486-8088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otology & Neurotology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207YX0901X MD00022586 WA Primary

Addresses

Primary practice location

1221 Madison St Ste 1410
Seattle, WA 98104-3555

Mailing address

1570 West Armory Way Ste 101
PMB # 105
Seattle, WA 98119-2678
Phone (206) 486-8088

Other practice location 1

310 6th St NE
Auburn, WA 98002-4342
Phone (253) 833-6241

Other identifiers 2

IdentifierTypeStateIssuer
1064799MedicaidWA
PA0925OtherWAREGENCE RIDER

National Provider Directory

National Provider Directory

Locations

1570 W Armory Way
Ste 101
Seattle, WA 98119
Phone (206) 486-8088

Practitioners & affiliated clinicians

Practitioners 4

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": "1205452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606176000000",
    "number": "1235300500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1570 WEST ARMORY WAY STE 101",
            "address_2": "PMB # 105",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981192678",
            "telephone_number": "206-486-8088",
            "fax_number": "206-971-1656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 MADISON ST STE 1410",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981043555",
            "telephone_number": "206-486-8088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "310 6th St NE",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "WA",
            "postal_code": "980024342",
            "country_code": "US",
            "telephone_number": "253-833-6241",
            "fax_number": "253-833-4113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CONSTANTINE W. PALASKAS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-14",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A",
        "authorized_official_last_name": "PALASKAS",
        "authorized_official_first_name": "CONSTANTINE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "206-486-8088"
    },
    "taxonomies": [
        {
            "code": "207YX0901X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": "WA",
            "license": "MD00022586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1064799",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE RIDER",
            "identifier": "PA0925",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Nov 24, 2020; 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.