SOREN M GANTT MD NPI 1083661631

NPI Information

NPI: 1083661631
Provider Name: SOREN M GANTT, MD
Classification: Pediatrics - 2080P0208X
Entity Type: Individual

Specialization: Pediatric Infectious Diseases

Address:
4800 SAND POINT WAY NE
SEATTLE, WA
ZIP 98105
Phone: (206) 987-1909
Get Directions

Soren M Gantt, MD is a pediatric infectious diseases pediatrics in Seattle, WA. The provider is a pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments. Soren M Gantt, MD NPI is 1083661631. 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:

4800 SAND POINT WAY NE
SEATTLE, WA
ZIP 98105-901
Phone: (206) 987-1909
Fax: (206) 987-3890

The enumeration date for this NPI number is 5/28/2006 and was last updated on 5/14/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		MD00043059	WASHINGTON	No
2	2080P0208X	Pediatrics	Pediatric Infectious Diseases	MD00043059	WASHINGTON	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	8860102	MEDICARE ID-TYPE UNSPECIFIED	WASHINGTON
2	I53007	MEDICARE UPIN	WASHINGTON
3	807507400	MEDICAID	IDAHO
4	8452617	MEDICAID	WASHINGTON

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

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »