Active NPI
Richard E Stein, M.D.
- Gastroenterology Physician
- Burien, WA
National Provider Identifier
1508854696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- MD00024018
- Practice address
- 16122 8TH Ave SW
Suite E3
Burien, WA 98166-2967 - Phone
- (206) 431-9771
- Fax
- (206) 431-5484
- NPI assigned
- Oct 12, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | MD00024018 | WA | Primary |
Addresses
Primary practice location
16122 8TH Ave SW
Suite E3
Burien, WA 98166-2967
Mailing address
16122 8TH Ave SW
Suite E3
Burien, WA 98166-2967
Phone (206) 431-9771
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7094170 | Medicaid | WA | |
| ST3456 | Other | WA | REGENCE PROV # |
| 1039882 | Medicaid | WA | |
| 0131326 | Other | WA | GRP L&I # |
| 08315 | Other | WA | IND L&I # |
| 2218089 | Other | WA | AETNA |
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 |
|---|---|---|---|
| MD00024018 | WA | MD | Gastroenterology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1508854696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16122 8TH AVE SW",
"address_2": "SUITE E3",
"city": "BURIEN",
"state": "WA",
"postal_code": "981662967",
"telephone_number": "206-431-9771",
"fax_number": "206-431-5484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16122 8TH AVE SW",
"address_2": "SUITE E3",
"city": "BURIEN",
"state": "WA",
"postal_code": "981662967",
"telephone_number": "206-431-9771",
"fax_number": "206-431-5484"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEIN",
"first_name": "RICHARD",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-12",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "WA",
"license": "MD00024018",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7094170",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE PROV #",
"identifier": "ST3456",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1039882",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GRP L&I #",
"identifier": "0131326",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IND L&I #",
"identifier": "08315",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2218089",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Burien, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.