Active NPI
Calvin H Knapp Jr., MD
- Otolaryngology Physician
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- MD00027495
- Practice address
- 515 Minor Ave
Suite 140
Seattle, WA 98104-2133 - Phone
- (206) 838-8345
- Fax
- (206) 838-8346
- NPI assigned
- May 3, 2006
- Last updated
- Mar 31, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | MD00027495 | WA | Primary |
Addresses
Primary practice location
515 Minor Ave
Suite 140
Seattle, WA 98104-2133
Mailing address
805 Madison St
Suite 901
Seattle, WA 98104-1172
Phone (206) 264-8100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0781KN | Other | WA | REGENCE |
| 1057835 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00027495 | WA | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proliance Surgeons Inc P S | Current | Accepting new patients | |
| Proliance Surgeons Inc P S | Current | Accepting new patients | |
| Proliance Surgeons, Inc., P.S. | Otolaryngology | Current | Accepting new patients |
| Seattle Head, Neck & Plastic Surgeons, PLLC | Past | Accepting new patients |
Locations
510 8th Ave NE
Ste 200
Issaquah, WA 98029
Phone (425) 392-3030
3236 78th Ave SE
Ste 200
Mercer Island, WA 98040
Phone (206) 275-5060
515 Minor Ave
Ste 140
Seattle, WA 98104
Phone (206) 682-6103
515 Minor Ave
Ste 230
Seattle, WA 98104
Phone (206) 539-0675
805 Madison St
Ste 901
Seattle, WA 98104
Phone (206) 264-8100
Interoperability endpoints
- cknapp1042162@wm.providencedirect.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Proliance Surgeons Orthopedic Specialists of Seattle
- Orthopaedic Surgery Physician
- Seattle, WA
- NPI 1023170313
-
dba Proliance Orthopedic Associates
- Orthopaedic Surgery Physician
- Renton, WA
- NPI 1235091463
-
dba Proliance Surgeons Minor and James
- Multi-Specialty Clinic/Center
- Seattle, WA
- NPI 1346609575
Otolaryngology
-
dba First Hill Surgery Center
- Ambulatory Surgical Clinic/Center
- Seattle, WA
- NPI 1649455734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459382400000",
"number": "1841258019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 MADISON ST",
"address_2": "SUITE 901",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981041172",
"telephone_number": "206-264-8100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 MINOR AVE",
"address_2": "SUITE 140",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981042133",
"telephone_number": "206-838-8345",
"fax_number": "206-838-8346"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNAPP",
"first_name": "CALVIN",
"middle_name": "H",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-03",
"last_updated": "2016-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "WA",
"license": "MD00027495",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE",
"identifier": "0781KN",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1057835",
"state": "WA"
}
],
"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 Mar 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.