Michael Lewis Ginsberg, LMP
Individual provider Active NPI Contractor · Sammamish, WA
NPI 1831520196 · NPPES record last updated Dec 11, 2013
Key facts
- NPI
- 1831520196
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- License
- MA60417769 (WA)
- Practice address
- 22647 NE Inglewood Hill Rd
Sammamish, WA 98074-7105 - Phone
- (480) 385-9172
- NPI assigned
- Dec 11, 2013
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA60417769 | WA | MD | Contractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | MA60417769 | WA | Yes |
Addresses
Primary practice location
22647 NE Inglewood Hill Rd
Sammamish, WA 98074-7105
Mailing address
202 29TH Ave
Seattle, WA 98122-6214
Other names
- Michael Lewis Ginsberg
Other providers in Sammamish, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.