Active NPI
Steven J Wegley, MD
- Gastroenterology Physician
- Seattle, WA
National Provider Identifier
1750352035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- MD00021892
- Practice address
- 11027 Meridian Ave N
Suite 100
Seattle, WA 98133-1705 - Phone
- (206) 365-4492
- Fax
- (206) 368-3456
- NPI assigned
- Jan 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | MD00021892 | WA | Primary |
Addresses
Primary practice location
11027 Meridian Ave N
Suite 100
Seattle, WA 98133-1705
Mailing address
PO Box 34888
Seattle, WA 98124-1888
Phone (425) 977-4620
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1018067 | Medicaid | WA | |
| 0031332 | Other | WA | LABOR AND INDUSTRIES |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00021892 | WA | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Puget Sound Gastroenterology, PLLC | Current | Accepting new patients | |
| Puget Sound Gastroenterology, PLLC | Gastroenterology | Current | Accepting new patients |
Locations
19000 33rd Ave W
Ste 230
Lynnwood, WA 98036
Phone (425) 686-7138
11027 Meridian Ave N
Ste 100
Seattle, WA 98133
Phone (206) 365-4492
Organizations & group practices 2
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.
-
- Gastroenterology Physician
- Seattle, WA
- NPI 1649212606
-
- Clinical Medical Laboratory
- Lynnwood, WA
- NPI 1689646838
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395705600000",
"number": "1750352035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 34888",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981241888",
"telephone_number": "425-977-4620",
"fax_number": "425-745-9836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11027 MERIDIAN AVE N",
"address_2": "SUITE 100",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981331705",
"telephone_number": "206-365-4492",
"fax_number": "206-368-3456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEGLEY",
"first_name": "STEVEN",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-27",
"last_updated": "2014-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "WA",
"license": "MD00021892",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1018067",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR AND INDUSTRIES",
"identifier": "0031332",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.