Organization Active NPI

Central Seattle Panel of Consultants

  • Legal Medicine
  • Seattle, WA
National Provider Identifier
1457787533
Registry record updated Mar 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
Legal business name
CENTRAL SEATTLE PANEL OF CONSULTANTS
Practice address
411 12TH Ave Ste 300
Seattle, WA 98122-5523
Phone
(206) 622-2305
Fax
(206) 343-9364
NPI assigned
Sep 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2020

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

Authorized official

Name
Ms. Irene Marie Suver
Title
Owner
Phone
(206) 622-2305

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193200000X MULTI-SPECIALTY GROUP 173000000X Primary

Addresses

Primary practice location

411 12TH Ave Ste 300
Seattle, WA 98122-5523

Mailing address

411 12TH Ave Ste 300
Seattle, WA 98122-5523
Phone (206) 622-2305

Other identifiers 1

IdentifierTypeStateIssuer
52670OtherWAWA L&I PROVIDER NUMBER

National Provider Directory

National Provider Directory

Locations

1001 Broadway
Ste 300
Seattle, WA 98122
Phone (206) 622-2305

411 12th Ave
Ste 300
Seattle, WA 98122
Phone (206) 622-2305

1001 Broadway
#300
Seattle, WA 98122

NPI Registry JSON

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

{
    "created_epoch": "1379548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583280000000",
    "number": "1457787533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 12TH AVE STE 300",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981225523",
            "telephone_number": "206-622-2305",
            "fax_number": "206-343-9364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 12TH AVE STE 300",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981225523",
            "telephone_number": "206-622-2305",
            "fax_number": "206-343-9364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL SEATTLE PANEL OF CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-19",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A",
        "authorized_official_last_name": "SUVER",
        "authorized_official_first_name": "IRENE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-622-2305",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Legal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA L&I PROVIDER NUMBER",
            "identifier": "52670",
            "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 Mar 4, 2020; 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.