Active NPI
Fernette Fang Eide, M.D.
- Neurology Physician
- Edmonds, WA
National Provider Identifier
1477628766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 39816
- Practice address
- 6701 139TH PL SW
Edmonds, WA 98026-3223 - Phone
- (425) 742-2218
- NPI assigned
- Nov 21, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 39816 | WA | Primary |
Addresses
Primary practice location
6701 139TH PL SW
Edmonds, WA 98026-3223
Mailing address
6701 139TH PL SW
Edmonds, WA 98026-3223
Phone (425) 742-2218
Other names 1
- Dr. Fernette Ginling Fang
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39816 | WA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eide Neurolearning Clinic, Inc P.S. | Neurology | 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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Edmonds, WA
- NPI 1184745796
Neurology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477628766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6701 139TH PL SW",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980263223",
"telephone_number": "425-742-2218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6701 139TH PL SW",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980263223",
"telephone_number": "425-742-2218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EIDE",
"first_name": "FERNETTE",
"middle_name": "FANG",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "WA",
"license": "39816",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "FERNETTE",
"last_name": "FANG",
"middle_name": "GINLING",
"prefix": "DR.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Edmonds, WA
- Bria J Effertz, M.S.W., MHP
- Anne W Egleston Gerich, FNP BC
- William Frederick Ehni, M.D.
- Eide Neurolearning Clinic, Inc P.S.
- Brock Leonard Eide, M.D. M.A.
- Mara Louise Eidsvoog, HIS
- Bailey Elizabeth Eley, NP
- Francxs P Elkins-Placide, PA-C
- Ellie'S Caring Hand Adult Family Home LLC
- Riley Winter Ellinwood
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.