Seattle Spine Group, PLLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

MD60174685 Issued in WA

Legal business name

SEATTLE SPINE GROUP, PLLC

Practice address

1220 116TH Ave NE Ste 102
Bellevue, WA 98004

Phone

(425) 454-0406

Fax

(425) 454-8225

NPI assigned

Jul 17, 2018

Organization subpart

No

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

Authorized official

Name

Lucy Seiple Hostetter, MDNPI 1851435606

Title

Managing Member

Phone

(425) 454-0406

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Seattle Regenerative Medicine Center Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lucy S Hostetter, MD

  • Anesthesiology Physician
  • Seattle, WA
  • NPI 1851435606
  Medicare reassignment Authorized official
• Yanqun Bu

  • Nurse Practitioner
  • Everett, WA
  • NPI 1457697526
  Medicare reassignment
• Marijo L Wienkers, MD

  • Anesthesiology Physician
  • Fountain Hills, AZ
  • NPI 1225298466

  WA

  Medicare reassignment

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

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1356827828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 116TH AVE NE STE 102",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043826",
            "telephone_number": "425-454-0406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 116TH AVE NE STE 102",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "98004",
            "telephone_number": "425-454-0406",
            "fax_number": "425-454-8225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEATTLE SPINE GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-17",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "HOSTETTER",
        "authorized_official_first_name": "LUCY",
        "authorized_official_middle_name": "SEIPLE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "425-454-0406",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "WA",
            "license": "MD60174685",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "WA",
            "license": "MD00040889",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "MD60174685",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seattle Regenerative Medicine Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Seatoril Clinic
• Seatoril Healthcare LLC
• Seattle Emergency Dental Care, USA Inc
• Seattle Heart PLLC
• Seattle Psychiatric Clinic LLC
• Seattle Surgical Assisting, PLLC
• Eric B. Seaver, MD
• Aaron Seavey, D.C.
• Justin Sebagabo Muhoza
• Elaine Patino Secilmis, RD

• Anesthesiology Physician in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Anesthesiology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.