Bill Ray Ekemo, PH.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PY2206 Issued in WA

Practice address

2300 130TH Ave NE
Suite 211
Bellevue, WA 98005-1755

Phone

(425) 869-1110

Fax

(425) 869-9578

NPI assigned

Oct 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1159660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992898282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 130TH AVE NE",
            "address_2": "SUITE 211",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980051755",
            "telephone_number": "425-869-1110",
            "fax_number": "425-869-9578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 130TH AVE NE",
            "address_2": "SUITE 211",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980051755",
            "telephone_number": "425-869-1110",
            "fax_number": "425-869-9578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EKEMO",
        "first_name": "BILL",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "WA",
            "license": "PY2206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Eiler, LMFT
• Larry William Einspahr, MD
• Eric Andrew Eisen, M.D.
• Andrea Eisner, M.D.
• Victoria Jordana Eisner, LCSW
• Barbara Diane El Naby, AAC
• El Roi Ensy Psychiatry PLLC
• Adel G El-Ghazzawy, MD
• Neveen Elabbasy
• Zinnia Madon Elavia, CCC-SLP

• Clinical Neuropsychologist in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Clinical Neuropsychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.