Active NPI
Lisa Lynn Sowder, M.D.
- Specialist
- Seattle, WA
National Provider Identifier
1851489546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MD00028059
- Practice address
- 901 Boren Ave
Suite 1650
Seattle, WA 98104-3595 - Phone
- (206) 464-0873
- Fax
- (206) 467-7351
- NPI assigned
- Oct 10, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | MD00028059 | WA | Primary |
Addresses
Primary practice location
901 Boren Ave
Suite 1650
Seattle, WA 98104-3595
Mailing address
901 Boren Ave
Suite 1650
Seattle, WA 98104-3595
Phone (206) 464-0873
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 91-1514015 | Other | WA | TAX IDENTIFICATION NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective May 21, 2019 through May 21, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00028059 | WA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Madison Tower Plastic Surgery | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ambulatory Surgical Clinic/Center
- Seattle, WA
- NPI 1326442583
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1851489546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 BOREN AVE",
"address_2": "SUITE 1650",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981043595",
"telephone_number": "206-464-0873",
"fax_number": "206-467-7351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 BOREN AVE",
"address_2": "SUITE 1650",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981043595",
"telephone_number": "206-464-0873",
"fax_number": "206-467-7351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOWDER",
"first_name": "LISA",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "MD00028059",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX IDENTIFICATION NUMBER",
"identifier": "91-1514015",
"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 Jul 8, 2007; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.