Fifth Avenue Internal Medicine, Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

OP0000836 Issued in WA

Legal business name

FIFTH AVENUE INTERNAL MEDICINE, INC

Practice address

10564 5TH Ave NE Ste 201
Seattle, WA 98125-7200

Phone

(206) 367-1222

Fax

(206) 364-2664

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Thomas Palermo Jr., DO, MBA, FACOI

Title

Owner

Phone

(206) 367-1222

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

Practitioners 4

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

• Randall S. Fisher, D.P.M.

  • Primary Podiatric Medicine Podiatrist
  • Everett, WA
  • NPI 1922122811
  NPD (past)
• Melinda Kloepfer Rice, ARNP

  • Family Nurse Practitioner
  • Lake Forest Park, WA
  • NPI 1912978495
  NPD (past)
• Jennifer A Palermo, PHD

  • Clinical Psychologist
  • Seattle, WA
  • NPI 1881906444
  NPD (past)
• Susan E Stone, ARNP

  • Adult Health Nurse Practitioner
  • Bellevue, WA
  • NPI 1497733620
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239840000000",
    "number": "1740367929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10564 5TH AVE NE STE 201",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981257200",
            "telephone_number": "206-367-1222",
            "fax_number": "206-364-2664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10564 5TH AVE NE STE 201",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981257200",
            "telephone_number": "206-367-1222",
            "fax_number": "206-364-2664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIFTH AVENUE INTERNAL MEDICINE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2009-04-16",
        "status": "A",
        "authorized_official_last_name": "PALERMO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-367-1222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DO, MBA, FACOI"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "OP0000836",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP30005722",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7107840",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I GROUP NUMBER",
            "identifier": "151558",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Fields
• Ta'Ryta D Fields
• Lisa Fieldson, LMHC
• Lydia Katherine Fiez, PA-C, MPAS
• Laura E Fife, MD
• Justin Figiel
• Edgar Jose Figueredo II, MD
• Cristina Andrea Figueroa Villalba, MD
• Marsha Figueroa
• Karl Cristie F Figuracion, ARNP

• Internal Medicine Physician in Seattle, WA
• Providers in Seattle, WA by specialty
• Internal Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2009; 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.