Maya Altemeier
Individual provider Active NPI Pediatrics Physician · Seattle, WA
NPI 1245099332 · NPPES record last updated Jun 26, 2024
Key facts
- NPI
- 1245099332
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- ML61557067 (WA)
- Practice address
- 4800 Sand Point Way NE # Oc.7830
Seattle, WA 98105-3901 - Phone
- (206) 987-2525
- NPI assigned
- Mar 19, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240604004499 | WA | Order and Referring Only - Pediatric Medicine |
9234671355 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ML61557067 | WA | MD | Pediatrics Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ML61557067 | WA | Yes |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
4800 Sand Point Way NE # Oc.7830
Seattle, WA 98105-3901
Mailing address
4800 Sand Point Way NE # Oc.7830
Seattle, WA 98105-3901
Phone (206) 987-2525
Other providers in Seattle, WA
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- Allison Altamura
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- Leah Elysse Altemeier
- Susan M Altemeier
- William Arthur Altemeier IV
- Dianna K Altena
- Stephen Gerard Duclayan Alterado
- Alternatives Inc
All providers in Seattle, WA · Pediatrics Physician in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 26, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.