Pacific Head & Neck Surgery, PLLC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

MD00014942 Issued in WA

Legal business name

PACIFIC HEAD & NECK SURGERY, PLLC

Practice address

600 Broadway
Suite 260
Seattle, WA 98122-5395

Phone

(206) 467-2747

Fax

(206) 467-1591

NPI assigned

Feb 11, 2008

Organization subpart

No

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

Authorized official

Name

Stephen Kent Clark, M.D.

Title

Physician/ LLC Member

Phone

(206) 467-2747

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202688000000",
    "number": "1366610529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 BROADWAY",
            "address_2": "SUITE 260",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981225395",
            "telephone_number": "206-467-2747",
            "fax_number": "206-467-1591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 BROADWAY",
            "address_2": "SUITE 260",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981225395",
            "telephone_number": "206-467-2747",
            "fax_number": "206-467-1591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC HEAD & NECK SURGERY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-11",
        "last_updated": "2008-02-11",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "KENT",
        "authorized_official_title_or_position": "PHYSICIAN/ LLC MEMBER",
        "authorized_official_telephone_number": "206-467-2747",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "WA",
            "license": "MD00014942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pacific Natural Birth, LLC
• Pacific Neuropsychiatric Institute

• Otolaryngology Physician in Seattle, WA
• Providers in Seattle, WA by specialty
• Otolaryngology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.