Active NPI
Ross McMahon, M.D.
- Surgery Physician
- Seattle, WA
National Provider Identifier
1679622690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 2000-00543
- Practice address
- 801 Broadway
Suite 800
Seattle, WA 98122-4396 - Phone
- (206) 215-2090
- Fax
- (206) 215-3099
- NPI assigned
- Jan 9, 2007
- Last updated
- Nov 18, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 2000-00543 | NC | Primary |
Addresses
Primary practice location
801 Broadway
Suite 800
Seattle, WA 98122-4396
Mailing address
801 Broadway
Suite 800
Seattle, WA 98122-4396
Phone (206) 215-2090
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective May 5, 2016 through May 5, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2000-00543 | NC | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Swedish Health Services | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321574400000",
"number": "1679622690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 BROADWAY",
"address_2": "SUITE 800",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981224396",
"telephone_number": "206-215-2090",
"fax_number": "206-215-3099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 BROADWAY",
"address_2": "SUITE 800",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981224396",
"telephone_number": "206-215-2090",
"fax_number": "206-215-3099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMAHON",
"first_name": "ROSS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-09",
"last_updated": "2011-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NC",
"license": "2000-00543",
"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 Nov 18, 2011; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.