Individual provider Active NPI

Sarah Loughran Stanos, D.O.

  • Pediatrics Physician
  • Issaquah, WA
National Provider Identifier
1700992591
Registry record updated Nov 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
60518777 Issued in WA
Practice address
751 NE Blakely Dr
Suite 5010
Issaquah, WA 98029-6201
Phone
(425) 394-0700
Fax
(425) 394-0701
NPI assigned
Aug 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 60518777 WA Primary

Addresses

Primary practice location

751 NE Blakely Dr
Suite 5010
Issaquah, WA 98029-6201

Mailing address

751 NE Blakely Dr
Suite 5010
Issaquah, WA 98029-6201
Phone (425) 394-0700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20150218001471 WA Practitioner - Pediatric Medicine 4880613447 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60518777WAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Swedish Health Services CurrentSince Feb 1, 2015 Accepting new patients
Swedish Health Services Pediatrics CurrentSince Feb 1, 2015 Accepting new patients
Childrens Physician Group PC Pediatrics Past Accepting new patients

Locations

751 NE Blakely Dr
Ste 5010
Issaquah, WA 98029
Phone (425) 394-0700

2450 33rd Ave W
Ste 100
Seattle, WA 98199
Phone (206) 320-3364

Interoperability endpoints

  • Direct secure messaging: sstanos1043318@wm.providencedirect.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448323200000",
    "number": "1700992591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 NE BLAKELY DR",
            "address_2": "SUITE 5010",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980296201",
            "telephone_number": "425-394-0700",
            "fax_number": "425-394-0701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 NE BLAKELY DR",
            "address_2": "SUITE 5010",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980296201",
            "telephone_number": "425-394-0700",
            "fax_number": "425-394-0701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANOS",
        "first_name": "SARAH",
        "middle_name": "LOUGHRAN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2015-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "60518777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Issaquah, WA

Sources for this page

Verify at the official NPI Registry.