Active NPI
Peggy Jo Eaton, M.D.
- Internal Medicine Physician
- Seattle, WA
National Provider Identifier
1326001918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD00021038
- Practice address
- 2101 E Yesler Way
Suite 150
Seattle, WA 98122-5959 - Phone
- (206) 299-1914
- NPI assigned
- Apr 6, 2006
- Last updated
- Oct 6, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD00021038 | WA | Primary |
Addresses
Primary practice location
2101 E Yesler Way
Suite 150
Seattle, WA 98122-5959
Mailing address
2101 E Yesler Way
Suite 150
Seattle, WA 98122-5959
Phone (206) 299-1914
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306656 | 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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286323200000",
"number": "1326001918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 E YESLER WAY",
"address_2": "SUITE 150",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981225959",
"telephone_number": "206-299-1914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 E YESLER WAY",
"address_2": "SUITE 150",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981225959",
"telephone_number": "206-299-1914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EATON",
"first_name": "PEGGY",
"middle_name": "JO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-06",
"last_updated": "2010-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "MD00021038",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1306656",
"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 Oct 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.