Individual provider Active NPI

Ian C. Doten, M.D.

  • Emergency Medicine Physician
  • Seattle, WA
National Provider Identifier
1457382806
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD00040849 Issued in WA
Practice address
747 Broadway
Emergency Department
Seattle, WA 98122-4379
Phone
(206) 386-2573
Fax
(425) 641-7640
NPI assigned
Jul 5, 2006
Last updated
Oct 10, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD00040849 WA Primary

Addresses

Primary practice location

747 Broadway
Emergency Department
Seattle, WA 98122-4379

Mailing address

7559 11TH Ave NW
Seattle, WA 98117-4144
Phone (206) 297-7145

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050531000065 WA Practitioner - Emergency Medicine 9436191590 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD00040849WAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Whidbey Island Public Hospital District CurrentSince Feb 1, 2024 Accepting new patients
Peacehealth CurrentSince Jan 7, 2024 Accepting new patients
Whidbey Island Public Hospital District CurrentSince Feb 1, 2024 Accepting new patients
Ballard Emergency Physicians, P.S. Emergency Medicine CurrentSince Oct 16, 2023 Accepting new patients
Sound Physicians Emergency Medicine of Washington PLLC Emergency Medicine CurrentSince Oct 1, 2023 Accepting new patients
Whidbey Island Public Hospital District Emergency Medicine Current Accepting new patients
North Sound Emergency Medicine PC Emergency Medicine PastSince Feb 8, 2023 Accepting new patients
Whidbey Island Public Hospital District Past Accepting new patients

Locations

1211 24th St
Anacortes, WA 98221
Phone (360) 293-3181

101 N Main St
Coupeville, WA 98239
Phone (360) 678-7656

801 E Wheeler Rd
Moses Lake, WA 98837
Phone (509) 765-5606

5300 Tallman Ave NW
Seattle, WA 98107
Phone (206) 781-6209

2000 Hospital Dr
Sedro Woolley, WA 98284
Phone (360) 856-6021

Organizations & group practices 8

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1457382806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7559 11TH AVE NW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981174144",
            "telephone_number": "206-297-7145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 BROADWAY",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981224379",
            "telephone_number": "206-386-2573",
            "fax_number": "425-641-7640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOTEN",
        "first_name": "IAN",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "MD00040849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.