Pablo R Proano, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

20243 Issued in WA

Practice address

Nordstrom Medical Tower
1229 Madison St. Ste.#1210
Seattle, WA 98104

Phone

(253) 847-9195

Fax

(253) 847-9292

NPI assigned

Jul 3, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

PsychiatryAlso: Geriatric Psychiatry, Neuropsychiatry

Education

University of Washington School of Medicine, 1981

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Pablo R Proano MD PS

  • Psychiatry Physician
  • Seattle, WA
  • NPI 1447370366
  Medicare reassignment NPD Authorized official
• Dream Enterprises, Inc

  dba DBA: Sharon Olson, ARNP

  • Nurse Practitioner
  • Yelm, WA
  • NPI 1013246974
  NPD (past)

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639109036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "C/O VALLEY WEST BEHAVIORAL HEALTH BILLING SVC",
            "address_2": "17719 PACIFIC AVE S. PMB #431",
            "city": "SPANAWAY",
            "state": "WA",
            "postal_code": "983878334",
            "telephone_number": "253-847-9195",
            "fax_number": "253-847-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NORDSTROM MEDICAL TOWER",
            "address_2": "1229 MADISON ST. STE.#1210",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98104",
            "telephone_number": "253-847-9195",
            "fax_number": "253-847-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROANO",
        "first_name": "PABLO",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "20243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1030220",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evelyn S Prizont, LMFTA
• Pro-Form Chiropractic and Sports Injury, PLLC
• Proactive Home Care, LLC
• Joshua David Proal, MD
• Fernando Diego Proano, M.D.
• Jeffrey Lynn Probstfield, MD
• Nicholas J Procaccini, MD
• Chiara Vittoria Procaccio
• Procare Pharmacy LLC (CVS Pharmacy #02926)
• Lilly Marie Prochoda, ARNP, DNP

• Psychiatry Physician in Seattle, WA
• Providers in Seattle, WA by specialty
• Psychiatry Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.