Edward Courtright La Cava, MD

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

MD00021741 Issued in WA

Practice address

13118 121St Way NE
Suite 103
Kirkland, WA 98034-3004

Phone

(425) 899-6414

Fax

(425) 899-4066

NPI assigned

Jun 30, 2006

Last updated

Nov 16, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Evergreen Diabetes & Endocrinology Medical Group, PLLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Kirkland, WA
  • NPI 1497766190
  NPD (past) Authorized official

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195171200000",
    "number": "1942239413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13118 - 121ST WAY NE",
            "address_2": "SUITE 103",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980343004",
            "telephone_number": "425-899-6414",
            "fax_number": "425-899-4066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13118 121ST WAY NE",
            "address_2": "SUITE 103",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980343004",
            "telephone_number": "425-899-6414",
            "fax_number": "425-899-4066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LA CAVA",
        "first_name": "EDWARD",
        "middle_name": "COURTRIGHT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2007-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "WA",
            "license": "MD00021741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Mark Kuo
• Elizabeth Kvochak, PA-C
• Susie Suhyun Kwon
• Audrey Kyle, LMP
• Bryan David Kynnap, PA-C
• Laboratory Corporation of America
• Jennifer K Labrec
• Mark W Lacotta, RPH
• Matthew Ransley Lacourse, MD
• Mary English Lacy, M.D.

• Endocrinology, Diabetes & Metabolism Physician in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Endocrinology, Diabetes & Metabolism Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.