Active NPI
David Ege, MD
- Pediatrics Physician
- Issaquah, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 29579
- Practice address
- 450 NW Gilman Blvd Ste 201
Issaquah, WA 98027-2483 - Phone
- (425) 391-0705
- Fax
- (424) 391-9562
- NPI assigned
- Nov 15, 2007
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 29579 | WA | Primary |
Addresses
Primary practice location
450 NW Gilman Blvd Ste 201
Issaquah, WA 98027-2483
Mailing address
450 NW Gilman Blvd Ste 201
Issaquah, WA 98027-2483
Phone (425) 391-0705
Other practice location 1
751 NE Blakely Dr Ste 5010
Issaquah, WA 98029-6201
Phone (425) 313-7141
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AB32503 | Medicaid | WA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dege1041535@wm.providencedirect.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29579 | WA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Swedish Health Services | Pediatrics | Current | Accepting new patients |
| Swedish Health Services | Current | Accepting new patients | |
| Swedish Health Services | Past | Accepting new patients |
Locations
13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700
751 NE Blakely Dr
Ste 5010
Issaquah, WA 98029
Phone (425) 394-0700
800 5th Ave
Ste 600
Seattle, WA 98104
2450 33rd Ave W
Ste 100
Seattle, WA 98199
Phone (206) 320-3364
747 Broadway
Seattle, WA 98122
Phone (360) 658-2488
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Seattle, WA
- NPI 1619680840
-
dba Swedish/Issaquah
- General Acute Care Hospital
- Issaquah, WA
- NPI 1851686059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602028800000",
"number": "1295916559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 NW GILMAN BLVD STE 201",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "980272483",
"telephone_number": "425-391-0705",
"fax_number": "425-391-9562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 NW GILMAN BLVD STE 201",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "980272483",
"telephone_number": "425-391-0705",
"fax_number": "424-391-9562"
}
],
"practiceLocations": [
{
"address_1": "751 NE Blakely Dr Ste 5010",
"address_purpose": "LOCATION",
"city": "Issaquah",
"state": "WA",
"postal_code": "980296201",
"country_code": "US",
"telephone_number": "425-313-7141",
"fax_number": "425-394-0757",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EGE",
"first_name": "DAVID",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-11-15",
"last_updated": "2020-10-07",
"certification_date": "2020-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WA",
"license": "29579",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AB32503",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dege1041535@wm.providencedirect.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "751 NE Blakely Dr Ste 5010",
"city": "Issaquah",
"state": "WA",
"country_code": "US",
"postal_code": "980296201",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Issaquah, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.