Seattle Primary Care, PS

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD00041216 Issued in WA

Legal business name

SEATTLE PRIMARY CARE, PS

Practice address

1530 N 115TH St
Suite 104
Seattle, WA 98133-8411

Phone

(206) 368-1311

NPI assigned

Apr 17, 2007

Organization subpart

No

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

Authorized official

Name

Sam R Taagen, MD

Title

President

Phone

(206) 368-1311

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192579200000",
    "number": "1669698031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 N 115TH ST",
            "address_2": "SUITE 104",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981338411",
            "telephone_number": "206-368-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 N 115TH ST",
            "address_2": "SUITE 104",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981338411",
            "telephone_number": "206-368-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEATTLE PRIMARY CARE, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-10-17",
        "status": "A",
        "authorized_official_last_name": "TAAGEN",
        "authorized_official_first_name": "SAM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-368-1311",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00041216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Seattle, WA
• Providers in Seattle, WA by specialty
• Internal Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.