Active NPI
Gordon A Irving, MD
- Anesthesiology Physician
- Seattle, WA
National Provider Identifier
1316001399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MD00036551
- Practice address
- 1101 Madison St
Ste 200
Seattle, WA 98104-1306 - Phone
- (206) 386-2013
- Fax
- (206) 386-2149
- NPI assigned
- Dec 21, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD00036551 | WA | Primary |
Addresses
Primary practice location
1101 Madison St
Ste 200
Seattle, WA 98104-1306
Mailing address
1101 Madison St
Ste 200
Seattle, WA 98104-1306
Phone (206) 386-2013
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8235160 | Medicaid | WA | |
| 0144876 | Other | WA | LABOR AND INDUSTRIES |
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
Interoperability endpoints
- girving1041996@wm.providencedirect.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1316001399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 MADISON ST",
"address_2": "STE 200",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981041306",
"telephone_number": "206-386-2013",
"fax_number": "206-386-2149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 MADISON ST",
"address_2": "STE 200",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981041306",
"telephone_number": "206-386-2013",
"fax_number": "206-386-2149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRVING",
"first_name": "GORDON",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WA",
"license": "MD00036551",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8235160",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR AND INDUSTRIES",
"identifier": "0144876",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
- Christopher Irle, RN
- Iron Bloom Project Physical Therapy & Fitness PLLC (Iron Bloom Project Physical Therapy & Fitness)
- Bethany A Irvine, PHARM.D.
- Stephen Thomas Irvine, ARNP
- Aubree Irving, LMFT
- Deanna E. Irwin-Sires, PT
- Brandith G Irwin, M.D.
- Cynthia Jeanne Irwin, LICSW
- Dean Galen Irwin, DDS
- Emily Marga Irwin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.