Individual provider Active NPI

Sarah Anne Waller, M.D.

  • Maternal & Fetal Medicine Physician
  • Seattle, WA
National Provider Identifier
1740464379
Registry record updated Sep 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
60001463 Issued in WA
Practice address
1229 Madison St
Suite 710
Seattle, WA 98104-3586
Phone
(206) 386-2101
NPI assigned
Dec 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X 60001463 WA Primary

Addresses

Primary practice location

1229 Madison St
Suite 710
Seattle, WA 98104-3586

Mailing address

2849 Eastlake Ave E
Unit 104
Seattle, WA 98102-7518
Phone (206) 434-8675

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
I20100105000811 WA Practitioner - Obstetrics/Gynecology 3274674742 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Tulane University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Obstetrix Medical Group of Washington Inc PSGroup PAC ID 3577451947, 32 clinicians

Practice addresses (Care Compare)

1229 Madison St
Suite 1150
Seattle, WA 98104-3587
Phone (206) 386-6300

1229 Madison St
Suite 750
Seattle, WA 98104-3540
Phone (206) 386-2101

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60001463WAMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Swedish Health Services CurrentSince Aug 1, 2021 Accepting new patients
Obstetrix Medical Group of Washington Inc PS Maternal & Fetal Medicine CurrentSince Sep 20, 2011 Accepting new patients
Seattle Nuclear Medicine-Ultrasound Associates Past Accepting new patients
Swedish Health Services Past Accepting new patients

Locations

File 50978
Los Angeles, CA 90074

770 The City Dr S
Ste 4000
Orange, CA 92868
Phone (800) 463-6628

1110 112th Ave NE
Ste 100
Bellevue, WA 98004
Phone (425) 688-8111

7320 216th St SW
Ste 310
Edmonds, WA 98026
Phone (425) 673-3800

900 Pacific Ave
Everett, WA 98201
Phone (425) 258-7900

916 Pacific Ave
Everett, WA 98201
Phone (425) 258-7123

751 NE Blakely Dr
Ste 2030
Issaquah, WA 98029
Phone (425) 313-4141

751 NE Blakely Dr
#3
Issaquah, WA 98029
Phone (425) 313-4000

747 Broadway
Seattle, WA 98122
Phone (360) 658-2488

1229 Madison St
Ste 710
Seattle, WA 98104
Phone (206) 386-2101

1101 Madison St
Ste 580
Seattle, WA 98104
Phone (206) 400-7625

1229 Madison St
Ste 1150
Seattle, WA 98104
Phone (206) 386-2101

1229 Madison St
Ste 750
Seattle, WA 98104
Phone (206) 386-2101

910 W 5th Ave
Ste 380
Spokane, WA 99204
Phone (509) 456-8173

800 W 5th Ave
Spokane, WA 99204
Phone (509) 458-5800

Organizations & group practices 4

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": "1197936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316044800000",
    "number": "1740464379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2849 EASTLAKE AVE E",
            "address_2": "UNIT 104",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981027518",
            "telephone_number": "206-434-8675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 MADISON ST",
            "address_2": "SUITE 710",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981043586",
            "telephone_number": "206-386-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLER",
        "first_name": "SARAH",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-18",
        "last_updated": "2011-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "WA",
            "license": "60001463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.