Northwest Hospital Providers Trust

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

AP30005312 Issued in WA

Legal business name

NORTHWEST HOSPITAL PROVIDERS TRUST

Doing business as

Deep Brain Stimulation Program

Practice address

1530 N 115TH St
Suite 101
Seattle, WA 98133-8411

Phone

(206) 368-5935

Fax

(206) 368-5934

NPI assigned

May 16, 2006

Last updated

Nov 28, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. William Charles Schneider

Title

President/Ceo

Phone

(206) 364-0500

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• DEEP BRAIN STIMULATION PROGRAM Doing business as

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196208000000",
    "number": "1780636290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33230",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981330230",
            "telephone_number": "206-368-5935",
            "fax_number": "206-368-5934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 N 115TH ST",
            "address_2": "SUITE 101",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981338411",
            "telephone_number": "206-368-5935",
            "fax_number": "206-368-5934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST HOSPITAL PROVIDERS TRUST",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2007-11-28",
        "status": "A",
        "authorized_official_last_name": "SCHNEIDER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "206-364-0500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "AP30006736",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "AP30005312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH HERRING",
            "identifier": "11543704",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH SCHUMAN",
            "identifier": "11509436",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DEEP BRAIN STIMULATION PROGRAM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Northwest Hospital Dba Chau Su Ou MD (Chau Su Ou MD)
• Northwest Hospital Inpatient Services TR (Northwest Hospital Inpatient Services)
• Northwest Hospital Provider Trust (Kent Sullivan, MD)
• Northwest Hospital Providers TR (Sandpoint Internists)
• Northwest Hospital Providers Trust (Northwest Hospital Provider Trust)
• Northwest Hospital Providers Trust (Dba Michael K Brawer MD)
• Northwest Inpatient Services
• Northwest Integrative Psychotherapy, Inc. P.S.
• Northwest Internal Medicine TR
• Northwest Kidney Centers (NKC Yesler Terrace Kidney Center)

• Registered Nurse in Seattle, WA
• Providers in Seattle, WA by specialty
• Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; 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.