Active NPI
Jeffrey M. Hellman, PA-C
- Medical Physician Assistant
- Everett, WA
National Provider Identifier
1972553683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA10005015
- Practice address
- 1321 Colby Ave
Everett, WA 98201-1665 - Phone
- (425) 261-4100
- NPI assigned
- May 11, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA10005015 | WA | Primary |
| Surgical Physician Assistant | 363AS0400X | PA10005015 | WA |
Addresses
Primary practice location
1321 Colby Ave
Everett, WA 98201-1665
Mailing address
728 134TH St SW
Suite 120
Everett, WA 98204-5322
Phone (425) 297-6200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8450835 | Medicaid | WA | |
| 209370 | Other | WA | L&I |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001547 | CT | MD | Physical Therapy Assistant |
| PA10005015 | WA | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288915200000",
"number": "1972553683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "728 134TH ST SW",
"address_2": "SUITE 120",
"city": "EVERETT",
"state": "WA",
"postal_code": "982045322",
"telephone_number": "425-297-6200",
"fax_number": "425-297-6250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1321 COLBY AVE",
"city": "EVERETT",
"state": "WA",
"postal_code": "982011665",
"telephone_number": "425-261-4100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HELLMAN",
"first_name": "JEFFREY",
"middle_name": "M.",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-11",
"last_updated": "2010-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "WA",
"license": "PA10005015",
"primary": true
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "WA",
"license": "PA10005015",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8450835",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I",
"identifier": "209370",
"state": "WA"
}
],
"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 Nov 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.