Active NPI
Sean O'Brien Stitham, MD
- Hospitalist Physician
- Bellevue, WA
National Provider Identifier
1790987717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- MD00032414
- Practice address
- 11511 NE 10TH St
Bellevue, WA 98004-8578 - Phone
- (425) 502-3000
- NPI assigned
- Jun 1, 2007
- Last updated
- May 4, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD00032414 | WA | |
| Hospitalist Physician | 208M00000X | MD00032414 | WA | Primary |
Addresses
Primary practice location
11511 NE 10TH St
Bellevue, WA 98004-8578
Mailing address
11511 NE 10TH St
Bellevue, WA 98004-8578
Phone (425) 502-3000
Other practice location 1
112 N 40th St
Seattle, WA 98103-7035
Phone (206) 547-7546
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync | Health Information Exchange (HIE) |
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
Interoperability endpoints
- sstitham2661@ghc.direct-ci.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620086400000",
"number": "1790987717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11511 NE 10TH ST",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980048578",
"telephone_number": "425-502-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11511 NE 10TH ST",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980048578",
"telephone_number": "425-502-3000"
}
],
"practiceLocations": [
{
"address_1": "112 N 40th St",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981037035",
"country_code": "US",
"telephone_number": "206-547-7546",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STITHAM",
"first_name": "SEAN",
"middle_name": "O'BRIEN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-01",
"last_updated": "2021-05-04",
"certification_date": "2021-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "MD00032414",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "WA",
"license": "MD00032414",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "11511 NE 10th St",
"city": "Bellevue",
"state": "WA",
"country_code": "US",
"postal_code": "980048578",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.