Everett Infectious Diseases, PLLC

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

MD00043980 Issued in WA

Legal business name

EVERETT INFECTIOUS DISEASES, PLLC

Practice address

717 NW 190TH LN
Shoreline, WA 98177-3055

Phone

(206) 334-0589

NPI assigned

Jan 6, 2015

Organization subpart

No

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

Authorized official

Name

George A Diaz, MDNPI 1164523130

Title

President

Phone

(206) 334-0589

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• George A. Diaz, MD

  • Infectious Disease Physician
  • Everett, WA
  • NPI 1164523130
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1420502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423699200000",
    "number": "1679961130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 143",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980200143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 NW 190TH LN",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981773055",
            "telephone_number": "206-334-0589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERETT INFECTIOUS DISEASES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-06",
        "last_updated": "2015-02-12",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-334-0589",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "WA",
            "license": "MD00043980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Espinoza
• Daniel Andres Estrada, DDS
• Rebecca Eugenio, MS, CCC-SLP
• Suzanne El-Attar Evans, M.D.
• Nicole Monique Evanson
• Erica Ewell
• Excellent Adult Family Home 2
• Lauren Kate Fabro, ARNP
• Lea Fairbanks, LMHC
• Megan Lee Fantozzi

• Infectious Disease Physician in Shoreline, WA
• Providers in Shoreline, WA by specialty
• Infectious Disease Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.