Provider Type Icon

QUEEN ANNE MEDICAL ASSOCIATES PLLC NPI 1952574642


NPI Information

NPI: 1952574642
Provider Name: QUEEN ANNE MEDICAL ASSOCIATES, PLLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
200 W MERCER ST
SUITE #104
SEATTLE, WA
ZIP 98119
Phone: (206) 281-7163
Get Directions

QUEEN ANNE MEDICAL ASSOCIATES, PLLC is a family medicine in Seattle, WA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. QUEEN ANNE MEDICAL ASSOCIATES, PLLC NPI is 1952574642. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

200 W MERCER ST
SUITE #104
SEATTLE, WA
ZIP 98119-995
Phone: (206) 281-7163
Fax: (206) 281-5088

The provider's authorized official is Linda J. Gromko .
The authorized official title is Owner and has the following contact phone number (206) 281-7163.

The enumeration date for this NPI number is 4/2/2008 and was last updated on 4/2/2008.


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
1363LF0000XNurse PractitionerFamilyAP30000010WASHINGTONNo
2363LF0000XNurse PractitionerFamilyAP30003193WASHINGTONNo
3363LF0000XNurse PractitionerFamilyAP30001206WASHINGTONNo
4207Q00000XFamily MedicineMD00023234WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1113413OTHERWASHINGTONLABOR & INDUSTRY
27092042MEDICAIDWASHINGTON
3AB07490MEDICARE PINWASHINGTON

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: 4/28/2024

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.