Active NPI
Gisele E Ishak
- Pediatric Radiology Physician
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Radiology Physician
- License
- TR00045517
- Practice address
- 1959 NE Pacific St
C212, Box 356340
Seattle, WA 98195-6340 - Phone
- (206) 543-0065
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Radiology Physician | 2085P0229X | TR00045517 | WA | Primary |
Addresses
Primary practice location
1959 NE Pacific St
C212, Box 356340
Seattle, WA 98195-6340
Mailing address
1959 NE Pacific St
C212, Box 356340
Seattle, WA 98195-6340
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
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4800 Sand Point Way NE
Seattle, WA 98105-3901
Phone (206) 526-2000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TR00045517 | WA | MD | Pediatric Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Association of University Physicians | Current | Accepting new patients | |
| Seattle Children'S Hospital | Current | Accepting new patients | |
| Association of CHMC and University Physicians | Current | Accepting new patients | |
| Seattle Childrens Hospital | Current | Accepting new patients | |
| The Association of Chrmc and University Physicians | Pediatric Radiology | Current | Accepting new patients |
Locations
1035 116th Ave NE
Bellevue, WA 98004
Phone (425) 451-4141
900 Pacific Ave
Ste 100
Everett, WA 98201
Phone (425) 304-6080
8232 W Grandridge Blvd
Kennewick, WA 99336
Phone (509) 582-1700
4800 Sand Point Way NE
Seattle, WA 98105
Phone (206) 526-2000
4800 Sand Point Way NE
#7220
Seattle, WA 98105
Phone (206) 987-2134
1959 NE Pacific St
#C212
Seattle, WA 98195
Phone (206) 543-0065
1959 NE Pacific St
Seattle, WA 98195
Phone (206) 598-4333
1780 NW Myhre Rd
Ste 2120
Silverdale, WA 98383
Phone (360) 782-3100
Interoperability endpoints
- gishak13040@direct.seattlechildrens.org
Organizations & group practices 5
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.
-
- Pediatrics Physician
- Seattle, WA
- NPI 1255449963
Pediatric Radiology
-
- Specialist
- Seattle, WA
- NPI 1003319500
-
- Anesthesiology Physician
- Seattle, WA
- NPI 1023041159
-
- Pediatrics Physician
- Richland, WA
- NPI 1851680664
-
- Clinic Pharmacy
- Seattle, WA
- NPI 1245342153
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1912018367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1959 NE PACIFIC ST",
"address_2": "C212, BOX 356340",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981956340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1959 NE PACIFIC ST",
"address_2": "C212, BOX 356340",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981956340",
"telephone_number": "206-543-0065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISHAK",
"first_name": "GISELE",
"middle_name": "E",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085P0229X",
"taxonomy_group": "",
"desc": "Radiology, Pediatric Radiology",
"state": "WA",
"license": "TR00045517",
"primary": true
}
],
"identifiers": [],
"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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.