Individual provider Active NPI

Jeremiah Lawrence Pamer

  • Family Medicine Physician
  • Redmond, WA
National Provider Identifier
1669826392
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OP61023173 Issued in WA
Practice address
7345 164TH Ave NE Ste I105
Redmond, WA 98052-7857
Phone
(425) 522-8312
NPI assigned
Apr 19, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2023

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 OP61023173 WA Primary

Addresses

Primary practice location

7345 164TH Ave NE Ste I105
Redmond, WA 98052-7857

Mailing address

7345 164TH Ave NE Ste I105
Redmond, WA 98052-7857
Phone (425) 522-8312

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190725000145 CA Practitioner - Family Practice 5597091843 Reassigns benefits to 1 organization
I20200722003205 WA Practitioner - Family Practice 5597091843 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
King County Public Hospital District No 2Group PAC ID 7618880097, 586 clinicians

Practice addresses (Care Compare)

8980 161St Ave NE
Suite 400
Redmond, WA 98052-7554
Phone (425) 899-2273

Hospital & facility affiliations

  • Evergreenhealth Medical Center Hospital, Kirkland, WA, CCN 500124

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OP61023173WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Partners Affiliates Medical Group CurrentSince Jul 29, 2019 Accepting new patients
King County Public Hospital District No. 2 Family Medicine CurrentSince Aug 1, 2020 Accepting new patients
Healthcare Partners Affiliates Medical Group Family Medicine Current Accepting new patients
King County Public Hospital District No. 2 CurrentSince Aug 1, 2020 Accepting new patients
King County Public Hospital District No 2 Family Medicine Current Accepting new patients
King County Public Hospital District No 2 Current Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Jul 29, 2019 Accepting new patients
Memorial Medical Group Inc Past Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

797 S Fair Oaks Ave
Pasadena, CA 91105
Phone (626) 535-2434

502 Torrance Blvd
Redondo Beach, CA 90277
Phone (213) 316-0811

1909 214th St SE
Ste 110
Bothell, WA 98021
Phone (425) 488-4988

14720 Main St NE
Ste 109
Duvall, WA 98019
Phone (425) 788-4889

8980 161st Ave NE
Ste 400
Redmond, WA 98052
Phone (425) 883-3404

7345 164th Ave NE
Ste I105
Redmond, WA 98052
Phone (425) 522-8312

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1461024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1669826392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7345 164TH AVE NE STE I105",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980527857",
            "telephone_number": "425-522-8312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7345 164TH AVE NE STE I105",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980527857",
            "telephone_number": "425-522-8312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAMER",
        "first_name": "JEREMIAH",
        "middle_name": "LAWRENCE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-19",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "OP61023173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, WA

Sources for this page

Verify at the official NPI Registry.