Organization Active NPI

Northwest Ear, Nose & Throat, PLLC

  • Otolaryngology Physician
  • Seattle, WA
National Provider Identifier
1982659959
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
NORTHWEST EAR, NOSE & THROAT, PLLC
Practice address
10330 Meridian Ave N
Suite 190
Seattle, WA 98133-9451
Phone
(206) 389-7100
Fax
(206) 389-7101
NPI assigned
May 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Glynis L. Thakur
Title
Consultant
Phone
(206) 352-5705

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X WA Primary

Addresses

Primary practice location

10330 Meridian Ave N
Suite 190
Seattle, WA 98133-9451

Mailing address

10330 Meridian Ave N
Suite 190
Seattle, WA 98133-9451
Phone (206) 389-7100

National Provider Directory

National Provider Directory

Locations

600 Stewart St
Ste 620
Seattle, WA 98101

5300 Tallman Ave NW
Seattle, WA 98107
Phone (206) 781-6209

1510 N 115th St
Seattle, WA 98133
Phone (206) 364-0500

10330 Meridian Ave N
Ste 190
Seattle, WA 98133
Phone (206) 368-6360

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982659959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10330 MERIDIAN AVE N",
            "address_2": "SUITE 190",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981339451",
            "telephone_number": "206-389-7100",
            "fax_number": "206-389-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10330 MERIDIAN AVE N",
            "address_2": "SUITE 190",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981339451",
            "telephone_number": "206-389-7100",
            "fax_number": "206-389-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST EAR, NOSE & THROAT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THAKUR",
        "authorized_official_first_name": "GLYNIS",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "206-352-5705"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.