U. S. Coast Guard Health Services/Isc Seattle

Primary specialty

Military/U.S. Coast Guard Outpatient Clinic/CenterTaxonomy code 261QM1100X

License

PA10004424 Issued in WA

Legal business name

U. S. COAST GUARD HEALTH SERVICES/ISC SEATTLE

Practice address

1519 Alaskan Way S
Seattle, WA 98134-1102

Phone

(206) 217-6436

Fax

(206) 217-6636

NPI assigned

Feb 6, 2006

Organization subpart

No

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

Authorized official

Name

Daniel Ralph Waddingham, PA

Title

Medical Officer

Phone

(206) 217-6436

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1558333203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10019 48TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981258127",
            "telephone_number": "206-306-9561",
            "fax_number": "206-217-6636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 ALASKAN WAY S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981341102",
            "telephone_number": "206-217-6436",
            "fax_number": "206-217-6636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "U. S. COAST GUARD HEALTH SERVICES/ISC SEATTLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WADDINGHAM",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "RALPH",
        "authorized_official_title_or_position": "MEDICAL OFFICER",
        "authorized_official_telephone_number": "206-217-6436",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "261QM1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military/U.S. Coast Guard Outpatient",
            "state": "WA",
            "license": "PA10004424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chun-PO James Tzen, DDS
• Desey Tziortzis, PSYD
• Anna Celsi Tzizik, RN
• Elia Tzoukermann
• U Village Endodontics PLLC
• U.S. Healthworks Medical Group of Arkansas, Inc.
• U.S. Healthworks Medical Group of Utah, Inc.
• U.S. Healthworks Medical Group of Washington, PS
• U.S. Healthworks Medical Group of Washington, PS
• U.S. Healthworks Medical Group of Washington, PS

• Military/U.S. Coast Guard Outpatient Clinic/Center in Seattle, WA
• Providers in Seattle, WA by specialty
• Military/U.S. Coast Guard Outpatient Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.