Active NPI
Joseph Thomas Palermo Jr., DO
- Internal Medicine Physician
- Seattle, WA
National Provider Identifier
1922072396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- OP00000836
- Practice address
- 10564 - 5TH Ave NE
#201
Seattle, WA 98125 - Phone
- (206) 367-1222
- Fax
- (206) 364-2664
- NPI assigned
- Feb 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | OP0836 | WA | |
| Internal Medicine Physician | 207R00000X | OP00000836 | WA | Primary |
Addresses
Primary practice location
10564 - 5TH Ave NE
#201
Seattle, WA 98125
Mailing address
10564 - 5TH Ave NE
#201
Seattle, WA 98125
Phone (206) 367-1222
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0205759 | Other | WA | LIWA |
| 1476001 | Medicaid | WA | |
| 3150PA | Other | WA | BSWA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OP0836 | WA | MD | Geriatric Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Hospital Medicine Physicians LLC | Internal Medicine | 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.
-
- Hospitalist Physician
- Las Cruces, NM
- NPI 1972056752
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291939200000",
"number": "1922072396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10564 - 5TH AVE NE",
"address_2": "#201",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98125",
"telephone_number": "206-367-1222",
"fax_number": "206-364-2664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10564 - 5TH AVE NE",
"address_2": "#201",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98125",
"telephone_number": "206-367-1222",
"fax_number": "206-364-2664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALERMO",
"first_name": "JOSEPH",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-14",
"last_updated": "2010-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "WA",
"license": "OP0836",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "OP00000836",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LIWA",
"identifier": "0205759",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1476001",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BSWA",
"identifier": "3150PA",
"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 Dec 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.