Hawthorne Hills Internal Medicine PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD00021170 Issued in WA

Legal business name

HAWTHORNE HILLS INTERNAL MEDICINE PLLC

Practice address

4026 NE 55TH St
Ste F
Seattle, WA 98105-2262

Phone

(206) 523-9195

Fax

(206) 523-5399

NPI assigned

Apr 17, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Barbara J Roberts

Title

Manager

Phone

(206) 523-9195

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305676800000",
    "number": "1386869808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4026 NE 55TH ST",
            "address_2": "STE F",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981052262",
            "telephone_number": "206-523-9195",
            "fax_number": "206-523-5399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4026 NE 55TH ST",
            "address_2": "STE F",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981052262",
            "telephone_number": "206-523-9195",
            "fax_number": "206-523-5399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWTHORNE HILLS INTERNAL MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2011-05-18",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "206-523-9195",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00021170",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00020845",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7096290",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gretchen D Hawley, R.D.
• Jessica Elizabeth Hawley, M.D.
• Marie N. Hawley, ARNP
• Mark Hawley, PH.D.
• Thomas Richard Hawn
• Angela Nichole Hawthorne, LMT
• Haven Alexander Hawthorne
• Heather Hawthorne, LMT
• Mary Ann Hawthorne
• Holly Andrea Hay

• Internal Medicine Physician in Seattle, WA
• Providers in Seattle, WA by specialty
• Internal Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2011; 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.