Gregory Clark Dorow, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

60989159 Issued in WA

Practice address

4400 Interlake Ave N
Seattle, WA 98103-7519

Phone

(763) 237-4228

NPI assigned

Sep 9, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1631145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1497424782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4455 INTERLAKE AVE N UNIT 133",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981037570",
            "telephone_number": "763-237-4228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 INTERLAKE AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981037519",
            "telephone_number": "763-237-4228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4800 Sand Point Way NE",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981053901",
            "country_code": "US",
            "telephone_number": "206-987-2376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOROW",
        "first_name": "GREGORY",
        "middle_name": "CLARK",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-09",
        "last_updated": "2021-09-09",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WA",
            "license": "60989159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN ATC LICENSE",
            "identifier": "3059",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA ATHLETIC TRAINER LICENSE",
            "identifier": "60989159",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gregory.dorow@seattlechildrens.org",
            "affiliation": "N",
            "endpointDescription": "Encrypted Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4800 Sand Point Way NE",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981053901",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "greg.dorow@seattlechildrens.org",
            "affiliation": "Y",
            "endpointDescription": "Encrypted Email",
            "affiliationName": "SEATTLE CHILDRENS HOSPITAL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4800 Sand Point Way NE",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981053901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hannah S Dornbusch Jr.
• Lindsey Elizabeth Dornbusch, CBT
• Eric Michael Dornoff, MD
• Carol A Doroshow, M.D.
• Dorothy N Yang MD Inc PS
• Hollie Dorr
• Sebastian Jeremy Daniel Dorrance
• Tiffany Dorrell Dahl, M.A., L.M.H.C
• Susan Dorsch
• Michael Owen Dorschner, PH.D.

• Athletic Trainer in Seattle, WA
• Providers in Seattle, WA by specialty
• Athletic Trainer in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; 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.