Individual provider Active NPI

Paul Richard Algeo, PA-C

  • Physician Assistant
  • Seattle, WA
National Provider Identifier
1891039418
Registry record updated Jul 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA60323363 Issued in WA
Practice address
901 Boren Ave Ste 850
Seattle, WA 98104-3301
Phone
(206) 624-0688
Fax
(206) 624-2432
NPI assigned
Nov 20, 2012
Last updated
Jul 21, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA60323363 WA Primary

Addresses

Primary practice location

901 Boren Ave Ste 850
Seattle, WA 98104-3301

Mailing address

901 Boren Ave Ste 850
Seattle, WA 98104-3301
Phone (206) 624-0688

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130205000305 WA Practitioner - Physician Assistant 5395999098

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA60323363WAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Peter Shalit, M.D. Past Accepting new patients
Jeffrey F Olliffe, M.D. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1353369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469059200000",
    "number": "1891039418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 BOREN AVE STE 850",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981043301",
            "telephone_number": "206-624-0688",
            "fax_number": "206-624-2432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 BOREN AVE STE 850",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981043301",
            "telephone_number": "206-624-0688",
            "fax_number": "206-624-2432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALGEO",
        "first_name": "PAUL",
        "middle_name": "RICHARD",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-20",
        "last_updated": "2016-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA60323363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.