Organization Active NPI

Sullivan Pulmonary Clinic TR

  • Internal Medicine Physician
  • Seattle, WA
National Provider Identifier
1659609642
Registry record updated Apr 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SULLIVAN PULMONARY CLINIC TR
Practice address
1530 N 115TH St
Suite 107
Seattle, WA 98133-8421
Phone
(206) 368-6160
NPI assigned
Dec 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2011

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

Authorized official

Name
William Charles Schneider
Title
Ceo
Phone
(206) 368-1700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1530 N 115TH St
Suite 107
Seattle, WA 98133-8421

Mailing address

1530 N 115TH St
Suite 107
Seattle, WA 98133-8421
Phone (206) 368-6160

National Provider Directory

National Provider Directory

Locations

5129 Hilltop Rd
Everett, WA 98203
Phone (206) 258-4474

1530 N 115th St
Ste 107
Seattle, WA 98133
Phone (206) 368-1080

17201 15th Ave NE
Shoreline, WA 98155
Phone (206) 364-7131

630 S Pearl St
Tacoma, WA 98465
Phone (253) 564-7111

NPI Registry JSON

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

{
    "created_epoch": "1259712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301875200000",
    "number": "1659609642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 N 115TH ST",
            "address_2": "SUITE 107",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981338421",
            "telephone_number": "206-368-6160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 N 115TH ST",
            "address_2": "SUITE 107",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981338421",
            "telephone_number": "206-368-6160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SULLIVAN PULMONARY CLINIC TR",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-02",
        "last_updated": "2011-04-04",
        "status": "A",
        "authorized_official_last_name": "SCHNEIDER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "206-368-1700"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal 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 Apr 4, 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.