Glenn Thomas Goleeke, LMP

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

MA00011325 Issued in WA

Practice address

3161 Elliott Ave Ste 102
Seattle, WA 98121-1016

Phone

(206) 282-6700

NPI assigned

Nov 3, 2008

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Theology

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kriss Chiropractic PS

  • Chiropractor
  • Maple Valley, WA
  • NPI 1689815045
  NPD (past)
• Pearson Chiropractic PLLC

  • Rehabilitation Chiropractor
  • Covington, WA
  • NPI 1235337940
  NPD (past)

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

{
    "created_epoch": "1225670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225670400000",
    "number": "1548413594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3161 ELLIOTT AVE STE 102",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981211016",
            "telephone_number": "206-282-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3161 ELLIOTT AVE STE 102",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981211016",
            "telephone_number": "206-282-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLEEKE",
        "first_name": "GLENN",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-03",
        "last_updated": "2008-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "WA",
            "license": "MA00011325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah Goldstein, RD, CD
• Lynn Goldstein, M.D.
• Lynn Shigemura Goldstein, OTR/L
• Jennifer Goldsworthy, PT
• Heather Kathleen Duncan Goldy, LICSW
• Karl A. Goler, M.D.
• Patrick John Goleski, M.D.
• Lauren Goli, MD, MPH
• Eric Scott Golike, M.D.
• Divya Gollapudi, M.D.

• Health Maintenance Organization in Seattle, WA
• Providers in Seattle, WA by specialty
• Health Maintenance Organization in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2008; 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.