Seattle Internal Medicine, PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD00037102 Issued in WA

Legal business name

SEATTLE INTERNAL MEDICINE, PLLC

Practice address

1530 N 115TH St
Suite 104
Seattle, WA 98133-8421

Phone

(206) 368-1311

Fax

(206) 366-0907

NPI assigned

Feb 10, 2010

Last updated

Jun 16, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Daniel C Stambor, MDNPI 1093760316

Title

Managing Director

Phone

(206) 368-1311

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daniel C Stambor, M.D.

  • Internal Medicine Physician
  • Seattle, WA
  • NPI 1093760316
  NPD Authorized official

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

{
    "created_epoch": "1265760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308182400000",
    "number": "1609108042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 N 115TH ST",
            "address_2": "SUITE 104",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981338421",
            "telephone_number": "206-368-1311",
            "fax_number": "206-366-0907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 N 115TH ST",
            "address_2": "SUITE 104",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981338421",
            "telephone_number": "206-368-1311",
            "fax_number": "206-366-0907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEATTLE INTERNAL MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-10",
        "last_updated": "2011-06-16",
        "status": "A",
        "authorized_official_last_name": "STAMBOR",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "206-368-1311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00037102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seattle Indian Health Board
• Seattle Infectious Disease Clinic PLLC
• Seattle Infectious Disease Clinic PLLC
• Seattle Institute for Family Therapy
• Seattle Institute of Oriental Medicine
• Seattle Internist Group PLLC
• Seattle King Co Dept of Public Health
• Seattle King County Dept of Public Health
• Seattle Life Chiropractic
• Seattle Lithotripsy, LLC

• 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 Jun 16, 2011; 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.