Active NPI
James Raisis, MD
- Neurological Surgery Physician
- Seattle, WA
National Provider Identifier
1396701025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- MD00015311
- Practice address
- 801 Broadway
617
Seattle, WA 98122-4319 - Phone
- (206) 623-0922
- Fax
- (206) 623-1588
- NPI assigned
- Apr 21, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | MD00015311 | WA | Primary |
Addresses
Primary practice location
801 Broadway
617
Seattle, WA 98122-4319
Mailing address
801 Broadway
617
Seattle, WA 98122-4319
Phone (206) 623-0922
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1300078 | 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00015311 | WA | MD | Neurological Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201737600000",
"number": "1396701025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 BROADWAY",
"address_2": "617",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981224319",
"telephone_number": "206-623-0922",
"fax_number": "206-623-1588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 BROADWAY",
"address_2": "617",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981224319",
"telephone_number": "206-623-0922",
"fax_number": "206-623-1588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAISIS",
"first_name": "JAMES",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-21",
"last_updated": "2008-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "WA",
"license": "MD00015311",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1300078",
"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 Jan 31, 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.