Marc Dante Coltrera, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

MD00023846 Issued in WA

Practice address

Dept. Oto-HNS, University of Washington
1959 NE Pacific
Seattle, WA 98195

Phone

(206) 543-5230

Fax

(206) 543-5152

NPI assigned

Sep 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487757332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50095",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981455095",
            "telephone_number": "206-520-5307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DEPT. OTO-HNS, UNIVERSITY OF WASHINGTON",
            "address_2": "1959 NE PACIFIC",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98195",
            "telephone_number": "206-543-5230",
            "fax_number": "206-543-5152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLTRERA",
        "first_name": "MARC",
        "middle_name": "DANTE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "WA",
            "license": "MD00023846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8105272",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Ashley Colpo, PA-C
• Letitia L Colston, ND
• Shanee Colston, CPC, DCS, AAC
• Amy Colten
• Robert M. Colton
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• Columbia Chiropractic PLLC
• Columbia City Dental
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• Columbia Physical Therapy Services, Inc,

• Otolaryngology Physician in Seattle, WA
• Providers in Seattle, WA by specialty
• Otolaryngology Physician in Washington

• 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.

Verify at the official NPI Registry.