Active NPI
Stephen James Waszak, M.D.
- Obstetrics & Gynecology Physician
- Seattle, WA
National Provider Identifier
1295842979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD00015444
- Practice address
- 3216 NE 45TH PL Ste 212
Seattle, WA 98105-4028 - Phone
- (206) 386-3600
- Fax
- (206) 526-9159
- NPI assigned
- Aug 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD00015444 | WA | Primary |
Addresses
Primary practice location
3216 NE 45TH PL Ste 212
Seattle, WA 98105-4028
Mailing address
3216 NE 45TH PL Ste 212
Seattle, WA 98105-4028
Phone (206) 386-3600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8462020 | Medicaid | WA | |
| 1490903 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00015444 | WA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Public Hospital Dist No 1 Skagit | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Rural Health Clinic/Center
- Darrington, WA
- NPI 1013064575
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195603200000",
"number": "1295842979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3216 NE 45TH PL STE 212",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981054028",
"telephone_number": "206-386-3600",
"fax_number": "206-526-9159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3216 NE 45TH PL STE 212",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981054028",
"telephone_number": "206-386-3600",
"fax_number": "206-526-9159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASZAK",
"first_name": "STEPHEN",
"middle_name": "JAMES",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-25",
"last_updated": "2007-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "WA",
"license": "MD00015444",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8462020",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1490903",
"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 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.