Individual provider Active NPI

Eric John Strandberg, MD

  • Family Medicine Physician
  • Seattle, WA
National Provider Identifier
1639278575
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20900 Issued in WA
Practice address
1151 Denny Way
Seattle, WA 98109-5326
Phone
(206) 682-7418
NPI assigned
Sep 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20900 WA Primary

Addresses

Primary practice location

1151 Denny Way
Seattle, WA 98109-5326

Mailing address

19521 22ND Ave NW
Shoreline, WA 98177-2319
Phone (206) 542-7408

Other identifiers 2

IdentifierTypeStateIssuer
076229OtherWAL&I PROVIDER #
ST9117OtherWAREGENCE RIDER #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
20900WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
U.S. Healthworks Medical Group of Washington, PS Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639278575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19521 22ND AVE NW",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981772319",
            "telephone_number": "206-542-7408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 DENNY WAY",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981095326",
            "telephone_number": "206-682-7418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRANDBERG",
        "first_name": "ERIC",
        "middle_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "20900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I PROVIDER #",
            "identifier": "076229",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE RIDER #",
            "identifier": "ST9117",
            "state": "WA"
        }
    ],
    "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 Jul 8, 2007; 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.