Fader Primary Care, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FADER PRIMARY CARE, PLLC

Practice address

2513 152ND Ave NE
Redmond, WA 98052-5574

Phone

(425) 301-8190

NPI assigned

Jan 5, 2021

Last updated

Jan 5, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Seth Fader, DONPI 1225190978

Title

Member/Owner

Phone

(425) 301-8190

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Seth P Fader, DO

  • Family Medicine Physician
  • Redmond, WA
  • NPI 1225190978
  Authorized official Same address or phone
• Allison Nicole Hyman, DC

  • Chiropractor
  • Bellevue, WA
  • NPI 1568043750
  NPD

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

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609804800000",
    "number": "1700474749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1281",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980091281",
            "telephone_number": "425-301-8190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2513 152ND AVE NE",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980525574",
            "telephone_number": "425-301-8190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FADER PRIMARY CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-05",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A",
        "authorized_official_last_name": "FADER",
        "authorized_official_first_name": "SETH",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "425-301-8190",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE UBI",
            "identifier": "604544384",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lori Eykholt, R.PH.
• Eylan Health Inc., P.S.
• Marcie Eynon, MS, LMHCA, NCC
• F. John Sayyah, MD, DDS, PLLC (Redmond Town Dental)
• Westin Scott Takeshi Fabro, DDS
• Seth P Fader, DO
• Sam Rae Faherty
• Teresa Fair-Field, OT
• Sarah Elizabeth Fairchild Fradette, M.D.
• Family Concierge Medicine LLC

• Family Medicine Physician in Redmond, WA
• Providers in Redmond, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; 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.