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THIAGO ANTONIO JABUONSKI MD NPI 1053685107


NPI Information

NPI: 1053685107
Provider Name: THIAGO ANTONIO JABUONSKI, MD
Classification: Internal Medicine - 207RC0200X
Entity Type: Individual

Specialization: Critical Care Medicine

Organization: WESTERN WASHINGTON MEDICAL GROUP INC PS

PECOS Registration: Yes

Address:
12728 19TH AVE SE STE 200
EVERETT, WA
ZIP 98208
Phone: (425) 252-1116
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Thiago Antonio Jabuonski, MD is a critical care medicine internal medicine in Everett, WA with 15 years of experience. The provider is an internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. Thiago Antonio Jabuonski, MD NPI is 1053685107. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

12728 19TH AVE SE STE 200
EVERETT, WA
ZIP 98208-526
Phone: (425) 252-1116
Fax: (425) 252-1118

The NPI 1053685107 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/6/2012 and was last updated on 8/26/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1390200000XStudent in an Organized Health Care Education/Training ProgramNo
2207RC0200XInternal MedicineCritical Care MedicineBC61190205WASHINGTONYes
3207RP1001XInternal MedicinePulmonary DiseaseBC61190205WASHINGTONNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.