Organization Active NPI

Highline Medical Group Inc

  • Family Medicine Physician
  • Burien, WA
National Provider Identifier
1982652400
Registry record updated May 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HIGHLINE MEDICAL GROUP INC
Practice address
15811 Ambaum Blvd SW
Suite a
Burien, WA 98166-3013
Phone
(206) 439-2988
Fax
(206) 431-3939
NPI assigned
May 5, 2006
Last updated
May 30, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2013

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

Authorized official

Name
Tim Marsh
Title
Administrator
Phone
(206) 444-8405

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X
Nurse Practitioner 363L00000X
Family Nurse Practitioner 363LF0000X
Women's Health Nurse Practitioner 363LW0102X
Advanced Practice Midwife 367A00000X
Family Medicine Physician 207Q00000X Primary
Internal Medicine Physician 207R00000X
Geriatric Medicine (Internal Medicine) Physician 207RG0300X
Hematology & Oncology Physician 207RH0003X
Pulmonary Disease Physician 207RP1001X
Obstetrics & Gynecology Physician 207V00000X
Orthopaedic Surgery Physician 207X00000X
Pediatrics Physician 208000000X
Geriatric Psychiatry Physician 2084P0805X
General Practice Physician 208D00000X

Addresses

Primary practice location

15811 Ambaum Blvd SW
Suite a
Burien, WA 98166-3013

Mailing address

PO Box 749910
Los Angeles, CA 90074-9910
Phone (206) 439-2988

National Provider Directory

National Provider Directory

Locations

16110 8th Ave SW
Ste A1
Burien, WA 98166
Phone (206) 246-1012

16233 Sylvester Rd SW
Ste G40
Burien, WA 98166
Phone (206) 243-2501

457 SW 148th St
Ste 203
Burien, WA 98166
Phone (206) 439-9300

26238 Pacific Hwy S
Kent, WA 98032
Phone (253) 529-1100

26238 Pacific Hwy S
#0
Kent, WA 98032
Phone (253) 941-7171

9537 Gravelly Lake Dr SW
Ste E10
Lakewood, WA 98499
Phone (253) 984-2000

1344 Wintergreen Ln NE
Unit 100
Seattle, WA 98110
Phone (206) 201-0488

4550 Fauntleroy Way SW
Ste 100
Seattle, WA 98126
Phone (206) 403-1601

4744 41st Ave SW
Ste 101
Seattle, WA 98116
Phone (206) 320-5780

4755 Fauntleroy Way SW
Ste 110
Seattle, WA 98116
Phone (206) 201-0551

13030 Military Rd S
Ste 100
Tukwila, WA 98168
Phone (206) 243-9675

2801 S 128th St
#B
Tukwila, WA 98168
Phone (206) 246-3300

Practitioners & affiliated clinicians

Practitioners 124

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.

View all 124

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369872000000",
    "number": "1982652400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749910",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900749910",
            "telephone_number": "206-439-2988",
            "fax_number": "206-431-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15811 AMBAUM BLVD SW",
            "address_2": "SUITE A",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981663013",
            "telephone_number": "206-439-2988",
            "fax_number": "206-431-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLINE MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2013-05-30",
        "status": "A",
        "authorized_official_last_name": "MARSH",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "206-444-8405"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burien, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2013; 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.