Laura Ellen Myre, MD

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

MD00041878 Issued in WA

Practice address

4515 Martin Luther King Jr Way South
Seattle, WA 98108-2174

Phone

(206) 320-5325

Fax

(206) 320-5326

NPI assigned

Oct 3, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922193317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4515 MARTIN LUTHER KING JR. WAY SOUTH",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981082174",
            "telephone_number": "206-320-5325",
            "fax_number": "206-320-5326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 MARTIN LUTHER KING JR WAY SOUTH",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981082174",
            "telephone_number": "206-320-5325",
            "fax_number": "206-320-5326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYRE",
        "first_name": "LAURA",
        "middle_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "WA",
            "license": "MD00041878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8373037",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Myint, M.D.
• Thida Myint, DO
• Kathleen H Mylan, ARNP
• Brett Myles
• Jeffrey Myre, LMP
• Alex Myrick
• Elizabeth Anne Myrick, ARNP, NP-C
• Alphonse Michael Mysiewicz, R.N.
• N W Acupuncture & Herbal Inc
• Sean Justin Nabar, M.D.

• Geriatric Medicine (Family Medicine) Physician in Seattle, WA
• Providers in Seattle, WA by specialty
• Geriatric Medicine (Family Medicine) Physician in Washington

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.