Individual provider Active NPI

Alice Domschke Karrasch

  • Surgery Physician
  • Bellevue, WA
National Provider Identifier
1376261115
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
PA61479365 Issued in WA
Practice address
3650 131St Ave SE
Bellevue, WA 98006-1395
Phone
(877) 275-5269
NPI assigned
Aug 18, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X PA61479365 WA Primary

Addresses

Primary practice location

3650 131St Ave SE
Bellevue, WA 98006-1395

Mailing address

1515 Dock St Unit 301
Tacoma, WA 98402-3255

Other practice location 1

MEDEX Northwest
4311 11th Ave NE, Suite 200
Seattle, WA 98105
Phone (206) 616-4001

Other names 1

  • Miss Alice Domschke De Almeida Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PA61479365WAMDSurgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1660780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1376261115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 DOCK ST UNIT 301",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984023255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 131ST AVE SE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980061395",
            "telephone_number": "877-275-5269"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "MEDEX Northwest",
            "address_2": "4311 11th Ave NE, Suite 200",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "98105",
            "country_code": "US",
            "telephone_number": "206-616-4001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KARRASCH",
        "first_name": "ALICE",
        "middle_name": "DOMSCHKE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-18",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "PA61479365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICE",
            "last_name": "DE ALMEIDA",
            "middle_name": "DOMSCHKE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; 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.