Individual provider Active NPI

Steven Kussick, M.D., PH.D.

  • Specialist
  • Seattle, WA
National Provider Identifier
1790889210
Registry record updated Feb 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD00034963 Issued in WA
Practice address
551 N 34TH St Ste 100
Seattle, WA 98103-8675
Phone
(206) 374-9000
NPI assigned
Sep 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD00034963 WA Primary

Addresses

Primary practice location

551 N 34TH St Ste 100
Seattle, WA 98103-8675

Mailing address

551 N 34TH St Ste 100
Seattle, WA 98103-8675
Phone (206) 374-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203638400000",
    "number": "1790889210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 N 34TH ST STE 100",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981038675",
            "telephone_number": "206-374-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 N 34TH ST STE 100",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981038675",
            "telephone_number": "206-374-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUSSICK",
        "first_name": "STEVEN",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2008-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MD00034963",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 22, 2008; 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.