Active NPI
Joseph Badolato, DO
- Family Medicine Physician
- Seattle, WA
National Provider Identifier
1407873227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OP00001524
- Practice address
- 605 5TH Ave S Ste 150
Seattle, WA 98104-3887 - Phone
- (206) 462-4859
- Fax
- (206) 223-7926
- NPI assigned
- Jul 16, 2006
- Last updated
- Jul 30, 2013
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OP00001524 | WA | Primary |
Addresses
Primary practice location
605 5TH Ave S Ste 150
Seattle, WA 98104-3887
Mailing address
605 5TH Ave S Ste 150
Seattle, WA 98104-3887
Phone (206) 462-4859
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8198293 | 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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OP00001524 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLoughlin Family Practice Group | Family Medicine | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375142400000",
"number": "1407873227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "605 5TH AVE S STE 150",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981043887",
"telephone_number": "206-462-4859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 5TH AVE S STE 150",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981043887",
"telephone_number": "206-462-4859",
"fax_number": "206-223-7926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BADOLATO",
"first_name": "JOSEPH",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-16",
"last_updated": "2013-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "OP00001524",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8198293",
"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 Jul 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.