Healing Edge Medical Group Wa Inc PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

HEALING EDGE MEDICAL GROUP WA INC PC

Practice address

1455 NW Leary Way Ste 400
Seattle, WA 98107-5138

Phone

(213) 300-1116

NPI assigned

May 29, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Lev Grinman, MD

Title

President

Phone

(213) 300-1116

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1716940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720396800000",
    "number": "1497595359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 LEGENDS CIR",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117475302",
            "telephone_number": "213-300-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 NW LEARY WAY STE 400",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981075138",
            "telephone_number": "213-300-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING EDGE MEDICAL GROUP WA INC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-29",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A",
        "authorized_official_last_name": "GRINMAN",
        "authorized_official_first_name": "LEV",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-300-1116",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Healey, RPH
• Patrick J Healey, MD
• Sheri Ann Healey, CAAR
• William Vincent Healey III, MD
• Healing Acupuncture and Herbal Medicine
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• Healing Ponds Northwest LLC
• Healing Rose Bodywork PLLC
• Healing Tortoise

• Internal Medicine Physician in Seattle, WA
• Providers in Seattle, WA by specialty
• Internal Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; 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.