Edmonds Endocrinology

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

MD00021572 Issued in WA

Legal business name

EDMONDS ENDOCRINOLOGY

Practice address

6100 219TH St SW Ste 480
Mountlake Terrace, WA 98043-2222

Phone

(425) 774-5104

Fax

(425) 778-2620

NPI assigned

May 12, 2008

Organization subpart

No

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

Authorized official

Name

Mark Alan Silver, MDNPI 1790869352

Title

Owner

Phone

(425) 774-5104

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Alan Silver, MD

  • Specialist
  • Mountlake Terrace, WA
  • NPI 1790869352
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597708800000",
    "number": "1497922108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 219TH ST SW STE 480",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980432222",
            "telephone_number": "425-774-5104",
            "fax_number": "425-778-2620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 219TH ST SW STE 480",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980432222",
            "telephone_number": "425-774-5104",
            "fax_number": "425-778-2620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDMONDS ENDOCRINOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-12",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A",
        "authorized_official_last_name": "SILVER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-774-5104",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "WA",
            "license": "MD00021572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Britt Dyer, DNP, PMHNP-BC
• Julianne M Dynneson
• Jeromy A Easter
• Erin Rebecca Eaton, OT
• Brianna Ba-Lin Edin
• Edmonds Massage Center
• Edmonds Massage Center
• Elaine Robbin Elgin
• Daniel Mark Elliott Jr., LMHC-A
• Tyler Patrick Ellis

• Endocrinology, Diabetes & Metabolism Physician in Mountlake Terrace, WA
• Providers in Mountlake Terrace, WA by specialty
• Endocrinology, Diabetes & Metabolism Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.