Phiroce Ishaque, LLC

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

AP30006491 Issued in WA

Legal business name

PHIROCE ISHAQUE, LLC

Practice address

5414 Barnes Ave NW Ste 1
Seattle, WA 98107-3839

Phone

(206) 795-0521

NPI assigned

Aug 28, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Phiroce Ishaque, ARNPNPI 1528051893

Title

Owner

Phone

(206) 795-0521

Specialties & licenses 1

Addresses

Other names 1

• HouseCall MD Other name

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.

• Phiroce Ishaque, ARNP

  • Nurse Practitioner
  • Lakewood, WA
  • NPI 1528051893
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1409184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409702400000",
    "number": "1619377587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5414 BARNES AVE NW STE 1",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981073839",
            "telephone_number": "206-795-0521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5414 BARNES AVE NW STE 1",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981073839",
            "telephone_number": "206-795-0521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHIROCE ISHAQUE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-28",
        "last_updated": "2014-09-03",
        "status": "A",
        "authorized_official_last_name": "ISHAQUE",
        "authorized_official_first_name": "PHIROCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-795-0521",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "WA",
            "license": "AP30006491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HouseCall MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Madeline Ariana Phipps, ARNP
• Mary Jeanne Phipps, MSW, LICSW
• Stephen Matthew Phipps, ND, PHD
• Warren T Phipps, MD
• William Sherwin Phipps, M.D.
• Kelvin Pho
• Nicole Phoa
• Alexandra Jane Phocas, MD
• Phoumalis Phoun
• Prasit Phowthongkum, M.D.

• Gerontology Nurse Practitioner in Seattle, WA
• Providers in Seattle, WA by specialty
• Gerontology Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2014; 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.