Manfred Harro Eichner, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD00020653 Issued in WA

Practice address

12911 120TH Avenue NE
Suite F180
Kirkland, WA 98034

Phone

(425) 821-3000

Fax

(425) 823-6755

NPI assigned

Sep 22, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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 2

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": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932209947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12911 120TH AVENUE NE",
            "address_2": "SUITE F180",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "98034",
            "telephone_number": "425-821-3000",
            "fax_number": "425-823-6755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12911 120TH AVENUE NE",
            "address_2": "SUITE F180",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "98034",
            "telephone_number": "425-821-3000",
            "fax_number": "425-823-6755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EICHNER",
        "first_name": "MANFRED",
        "middle_name": "HARRO",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "MD00020653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DSHS",
            "identifier": "1016625",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I",
            "identifier": "627",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyrell Edwards
• Ashley Egger, MS, CCC-SLP
• Shane Robert Egresi, PHYSICIAN ASSISTANT
• Benjamin Ehle
• Sarah Elizabeth Eichenbaum, DPT
• Katherine Grace Kamm Eickhoff, PA-C
• Lydia Eickstaedt
• Boshra Elfalah, RN
• Elisabeth C Walker, MD PS
• Elite Performance and Therapy

• Pediatrics Physician in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Pediatrics 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.