Queen Anne Medical Associates, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD00023234 Issued in WA

Legal business name

QUEEN ANNE MEDICAL ASSOCIATES, PLLC

Practice address

200 W Mercer St
Suite #104
Seattle, WA 98119-3995

Phone

(206) 281-7163

Fax

(206) 281-5088

NPI assigned

Apr 2, 2008

Last updated

Apr 2, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Linda J. Gromko, M.D.NPI 1831112929

Title

Owner

Phone

(206) 281-7163

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/5263/brand/1/csg/1/fhir/r4

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Linda J. Gromko, M.D.

  • Family Medicine Physician
  • Seattle, WA
  • NPI 1831112929
  Medicare reassignment Care Compare group Authorized official
• Carol R. Keenholts, A.R.N.P.

  • Family Nurse Practitioner
  • Seattle, WA
  • NPI 1346263472
  Medicare reassignment Care Compare group
• Rachel Arnold, FNP-C

  • Family Nurse Practitioner
  • Anchorage, AK
  • NPI 1689034241

  WA

  Medicare reassignment NPD
• Fiona Lynne Smith, ARNP

  • Family Nurse Practitioner
  • Seattle, WA
  • NPI 1407384100
  NPD
• Leslie Jean Heron, APRN, FNP-BC

  • Family Nurse Practitioner
  • Seattle, WA
  • NPI 1215985510
  NPD (past)
• Michael Rosenfield, D.O.

  • Family Medicine Physician
  • San Francisco, CA
  • NPI 1720087141
  NPD (past)

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207094400000",
    "number": "1952574642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W MERCER ST",
            "address_2": "SUITE #104",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981193995",
            "telephone_number": "206-281-7163",
            "fax_number": "206-281-5088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W MERCER ST",
            "address_2": "SUITE #104",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981193995",
            "telephone_number": "206-281-7163",
            "fax_number": "206-281-5088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEEN ANNE MEDICAL ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-02",
        "last_updated": "2008-04-02",
        "status": "A",
        "authorized_official_last_name": "GROMKO",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-281-7163",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP30000010",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP30003193",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP30001206",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00023234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRY",
            "identifier": "113413",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7092042",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Queen Anne Chiropractic Inc, P.S. (Queen Anne Chiropractic Center)
• Queen Anne Chiropractic PS (Queen Anne Chiropractic Center)
• Queen Anne Eye Clinic
• Queen Anne Family Medicine Inc PS
• Queen Anne Hilltop Dental
• Queen Anne Naturopathic Center LTD
• Queen Anne Obstetrics and Gynecology
• Queen Anne Orthodontics
• Ronald Carl Queen, MHP, DD SPECIALIST
• Queerdoc PLLC (QueerDoc)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.