Active NPI
Edward Ransford Conklin, M.D.
- Family Medicine Physician
- Seattle, WA
National Provider Identifier
1467537365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 32003
- Practice address
- 1601 5TH Ave Ste 830
Seattle, WA 98101-3621 - Phone
- (206) 624-6051
- Fax
- (206) 623-7674
- NPI assigned
- Oct 26, 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 32003 | WA | Primary |
Addresses
Primary practice location
1601 5TH Ave Ste 830
Seattle, WA 98101-3621
Mailing address
1601 5TH Ave Ste 830
Seattle, WA 98101-3621
Phone (206) 624-6051
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32003 | Other | WA | STATE LICENSE NUMBER |
Other names 1
- Dr. Ted Ransford Conklin
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 |
|---|---|---|---|
| 32003 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carena Medical Providers PS | Family Medicine | Past | Accepting new patients |
| Caresimple Providers PS | Family Medicine | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Seattle, WA
- NPI 1902935711
-
- Family Medicine Physician
- Seattle, WA
- NPI 1811376833
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217376000000",
"number": "1467537365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 5TH AVE STE 830",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981013621",
"telephone_number": "206-624-6051",
"fax_number": "206-623-7674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 5TH AVE STE 830",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981013621",
"telephone_number": "206-624-6051",
"fax_number": "206-623-7674"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONKLIN",
"first_name": "EDWARD",
"middle_name": "RANSFORD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-26",
"last_updated": "2008-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "32003",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "32003",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TED",
"last_name": "CONKLIN",
"middle_name": "RANSFORD",
"prefix": "DR.",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}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, 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.