Northwest Asthma & Allergy Center
Organization Active NPI Allergy & Immunology Physician · Renton, WA
NPI 1457565459 · NPPES record last updated Apr 23, 2010
Key facts
- NPI
- 1457565459
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Allergy & Immunology Physician 207K00000X
- Legal business name
- NORTHWEST ASTHMA & ALLERGY CENTER
- Practice address
- 1412 SW 43Rd St
Suite 210
Renton, WA 98055-4803 - Phone
- (425) 235-1716
- Fax
- (425) 277-5479
- NPI assigned
- May 9, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- NORTHWEST ASTHMA & ALLERGY CENTER
Authorized official
- Name
- Patricia S. Mathias
- Title
- Credentialing Coordinator
- Phone
- (206) 527-2577
Parent organization (reported in NPPES) 1
Other NPIs on the same Medicare enrollment 8
Corporate family (same tax ID) 3
Practitioners 3
-
William Toan Nguyen, M.D.
-
Michael Weiss, M.D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 50D2011385 | Northwest Asthma and Allergy Center | Provider-performed microscopy | Apr 4, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040209000462 | WA | Part B Supplier - Clinic/Group Practice | 6507759743 |
Receives reassigned benefits from 20 practitioners 8 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Everett, WA; Issaquah, WA; Pasco, WA; Redmond, WA; Renton, WA; Seattle, WA |
National Provider Directory
- Tax ID family
- Northwest Asthma Allergy C
- Part of
- Northwest Asthma Allergy C
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician |
207K00000X | Yes |
Addresses
Primary practice location
1412 SW 43Rd St
Suite 210
Renton, WA 98055-4803
Mailing address
4540 Sand Point Way NE
Suite 200
Seattle, WA 98105-3941
Phone (206) 527-1200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CP7653 | Other | WA | RAILROAD MEDICARE |
Other providers in Renton, WA
- Angie L Norman
- North Pacific Dermatology PS
- North Pacific Dermatology Services, LLC
- Kristina North
- Northland Hearing Center, Inc.
- Northwest Eye Care, P.S.
- Northwest Family Eye Care PLLC
- Northwest Family Eye Center, PLLC
- Northwest Foot & Ankle Center, PS
- Northwest Kidney Centers
All providers in Renton, WA · Allergy & Immunology Physician in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.