NPIMap

Organization Active NPI

Edmc PLLC

  • Family Medicine Physician
  • Seattle, WA
National Provider Identifier
1629738166
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
EDMC PLLC
Practice address
6800 E Green Lake Way N Ste 200
Seattle, WA 98115-5491
Phone
(206) 914-6116
Fax
(206) 480-0033
NPI assigned
Dec 24, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Authorized official

Name
Dr. Naomi Busch, MDNPI 1437191889
Title
Owner
Phone
(206) 914-6116

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

6800 E Green Lake Way N Ste 200
Seattle, WA 98115-5491

Mailing address

6800 E Green Lake Way N Ste 200
Seattle, WA 98115-5491
Phone (206) 914-6116

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1640304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1629738166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 E GREEN LAKE WAY N STE 200",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981155491",
            "telephone_number": "206-914-6116",
            "fax_number": "206-524-2841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 E GREEN LAKE WAY N STE 200",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981155491",
            "telephone_number": "206-914-6116",
            "fax_number": "206-480-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDMC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-24",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "BUSCH",
        "authorized_official_first_name": "NAOMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-914-6116",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.