Seattle Nephrology PLLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

SEATTLE NEPHROLOGY PLLC

Practice address

1130 N 185TH St Ste 201
Shoreline, WA 98133-4011

Phone

(206) 542-1000

Fax

(206) 542-5353

NPI assigned

May 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jung H Joh, MDNPI 1891770533

Title

Member

Phone

(206) 542-1000

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jung H Joh, MD

  • Nephrology Physician
  • Shoreline, WA
  • NPI 1891770533
  Medicare reassignment Care Compare group Authorized official
• Bernadette Ambrose Thomas, MD

  • Nephrology Physician
  • Shoreline, WA
  • NPI 1215185749
  Medicare reassignment Care Compare group NPD
• Win Kyaw, M.D

  • Nephrology Physician
  • Shoreline, WA
  • NPI 1700049236
  Medicare reassignment Care Compare group
• Joohee Kim, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Shoreline, WA
  • NPI 1720044647
  NPD (past)
• Suji Lee

  • Nephrology Physician
  • Seattle, WA
  • NPI 1245296094
  NPD (past)
• Samuel R. Pettis, M.D.

  • Nephrology Physician
  • Seattle, WA
  • NPI 1922061191
  NPD (past)
• Michael J Ryan

  • Nephrology Physician
  • Spokane, WA
  • NPI 1760568414
  NPD (past)
• Sarvesh Smiley Thakur, M.D.

  • Nephrology Physician
  • Seattle, WA
  • NPI 1295761328
  NPD (past)
• David Franklin Cawthon, MD

  • Neurology Physician
  • Hillsboro, OR
  • NPI 1063587384
  NPD (past)

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720483200000",
    "number": "1306055926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 N 185TH ST STE 201",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981334011",
            "telephone_number": "206-542-1000",
            "fax_number": "206-542-5353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 N 185TH ST STE 201",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981334011",
            "telephone_number": "206-542-1000",
            "fax_number": "206-542-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEATTLE NEPHROLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A",
        "authorized_official_last_name": "JOH",
        "authorized_official_first_name": "JUNG",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "206-542-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "1202SE",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CJ4503",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7111693",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles Scot Schumacher, ND
• Scott Henricksen DDS
• Mark Wilson Scoville
• Danielle Telan Scroggs, L.M.P.
• Seattle Endocrinology Inc
• Kiersten Sechrist, MA, LMHCA
• Veronica Sedano Torres, LMHCA
• Cordelia See
• Megan Seekins, D.V.M
• Lucy Anna Seitz, LMHCA

• Nephrology Physician in Shoreline, WA
• Providers in Shoreline, WA by specialty
• Nephrology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.