Active NPI
Seahawk Emergency Physicians
- Emergency Medicine Physician
- Toppenish, WA
National Provider Identifier
1992994560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- SEAHAWK EMERGENCY PHYSICIANS
- Practice address
- 502 W 4TH Ave
Toppenish, WA 98948-1616 - Phone
- (509) 865-3105
- NPI assigned
- Oct 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Charles T Mitchell, MD
- Title
- General Partner
- Phone
- (805) 563-3010
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary | ||
| Physician Assistant | 363A00000X | |||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
502 W 4TH Ave
Toppenish, WA 98948-1616
Mailing address
PO Box 37701
Philadelphia, PA 19101-5001
Phone (805) 563-3010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DO2629 | Other | WA | RAILROAD |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192752000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1248393600000",
"number": "1992994560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 37701",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191015001",
"telephone_number": "805-563-3010",
"fax_number": "805-564-5087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 W 4TH AVE",
"city": "TOPPENISH",
"state": "WA",
"postal_code": "989481616",
"telephone_number": "509-865-3105"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEAHAWK EMERGENCY PHYSICIANS",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-19",
"last_updated": "2009-07-24",
"status": "A",
"authorized_official_last_name": "MITCHELL",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "GENERAL PARTNER",
"authorized_official_telephone_number": "805-563-3010",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "DO2629",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Toppenish, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.