Organization Active NPI

S Iyabo Tinubu Karch MD PLLC

  • Internal Medicine Physician
  • Seattle, WA
National Provider Identifier
1780633750
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD00034253 Issued in WA
Legal business name
S IYABO TINUBU KARCH MD PLLC
Doing business as
Iyabo Wellness
Practice address
1101 Madison Street
Ste 1250
Seattle, WA 98104-1306
Phone
(206) 357-3636
Fax
(206) 357-3655
NPI assigned
May 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Sikirat Iyabo Tinubu Karch, MD
Title
Physician Owner
Phone
(206) 357-3636

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X MD00034253 WA Primary

Addresses

Primary practice location

1101 Madison Street
Ste 1250
Seattle, WA 98104-1306

Mailing address

PO Box 13684
Seattle, WA 98198
Phone (206) 357-3636

Other names 1

  • Iyabo Wellness Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780633750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13684",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98198",
            "telephone_number": "206-357-3636",
            "fax_number": "206-357-3655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 MADISON STREET",
            "address_2": "STE 1250",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981041306",
            "telephone_number": "206-357-3636",
            "fax_number": "206-357-3655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S IYABO TINUBU KARCH MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TINUBU KARCH",
        "authorized_official_first_name": "SIKIRAT",
        "authorized_official_middle_name": "IYABO",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "206-357-3636",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00034253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Iyabo Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; 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.