Active NPI
Benjamin J Staudinger, MD
- Internal Medicine Physician
- Everett, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD00047736
- Practice address
- 1321 Colby Ave
Medical Staff Office
Everett, WA 98201-1665 - Phone
- (425) 261-2000
- NPI assigned
- Sep 25, 2006
- Last updated
- Feb 13, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD00047736 | WA | Primary |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | MD00047736 | WA | |
| Pulmonary Disease Physician | 207RP1001X | MD00047736 | WA |
Addresses
Primary practice location
1321 Colby Ave
Medical Staff Office
Everett, WA 98201-1665
Mailing address
PO Box 3360
Portland, OR 97208-3360
Phone (866) 366-2983
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
- Critical Care (Intensivists)
- Education
- University of Washington School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
500 17TH Ave
Seattle, WA 98122-5711
Phone (206) 320-2000
747 Broadway
Seattle, WA 98122-4379
Phone (206) 386-6000
751 NE Blakely Dr
Issaquah, WA 98029-6201
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services-Wa | Current | Accepting new patients | |
| Swedish Health Services | Internal Medicine | Current | Accepting new patients |
Locations
7320 216th St SW
Ste 310
Edmonds, WA 98026
Phone (425) 673-3800
1321 Colby Ave
Everett, WA 98201
Phone (425) 259-4413
1321 Colby Ave
Ofc
Everett, WA 98201
Phone (425) 261-4076
900 Pacific Ave
Fl 5
Everett, WA 98201
Phone (425) 258-7311
747 Broadway
Seattle, WA 98122
Phone (360) 658-2488
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Seattle, WA
- NPI 1689612954
-
- Mammography Clinic/Center
- Everett, WA
- NPI 1336390442
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1306992151
-
dba Swedish Medical Center, Cherry Hill
- General Acute Care Hospital
- Seattle, WA
- NPI 1356496582
-
dba Swedish/Issaquah
- General Acute Care Hospital
- Issaquah, WA
- NPI 1851686059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423785600000",
"number": "1942300405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3360",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972083360",
"telephone_number": "866-366-2983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1321 COLBY AVE",
"address_2": "MEDICAL STAFF OFFICE",
"city": "EVERETT",
"state": "WA",
"postal_code": "982011665",
"telephone_number": "425-261-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAUDINGER",
"first_name": "BENJAMIN",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-25",
"last_updated": "2015-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "MD00047736",
"primary": true
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "WA",
"license": "MD00047736",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "WA",
"license": "MD00047736",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2015; 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.