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THERESA A BURDICK MD LLC NPI 1982870796


NPI Information

NPI: 1982870796
Provider Name: THERESA A BURDICK MD LLC
Classification: Obstetrics & Gynecology - 207VX0000X
Entity Type: Organization

Specialization: Obstetrics

Address:
801 BROADWAY SUITE 707
SEATTLE, WA
ZIP 98122
Phone: (206) 386-3605
Get Directions

THERESA A BURDICK MD LLC is an obstetrics obstetrics gynecology in Seattle, WA. The provider is a physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee THERESA A BURDICK MD LLC NPI is 1982870796. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

801 BROADWAY SUITE 707
SEATTLE, WA
ZIP 98122
Phone: (206) 386-3605
Fax: (206) 254-9220

The provider's authorized official is Theresa A Burdick .
The authorized official title is President Physician and has the following contact phone number (206) 368-3605.

The enumeration date for this NPI number is 5/1/2008 and was last updated on 5/1/2008.


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
1207VG0400XObstetrics & GynecologyGynecologyMD00016175WASHINGTONNo
2207VX0000XObstetrics & GynecologyObstetricsMD00016175WASHINGTONYes

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
11718600MEDICAIDWASHINGTON
2G8808479MEDICARE PINWASHINGTON
3A04176MEDICARE UPINWASHINGTON

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

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