ELIZABETH ANNE PHELAN NPI 1316023070

NPI Information

NPI: 1316023070
Provider Name: ELIZABETH ANNE PHELAN
Classification: Internal Medicine - 207RG0300X
Entity Type: Individual

Specialization: Geriatric Medicine

PECOS Registration: Yes

Address:
325 9TH AVE
SEATTLE, WA
ZIP 98104
Phone: (206) 744-3000
Get Directions

Elizabeth Anne Phelan is a geriatric medicine internal medicine in Seattle, WA with 26 years of experience. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. Elizabeth Anne Phelan NPI is 1316023070. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduation Year:1998

The provider's business location address is:

325 9TH AVE
SEATTLE, WA
ZIP 98104-499
Phone: (206) 744-3000

The NPI 1316023070 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 10/27/2006 and was last updated on 1/5/2012.

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	207R00000X	Internal Medicine		MD00033750	WASHINGTON	No
2	207RG0300X	Internal Medicine	Geriatric Medicine	MD00033750	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	Other Provider Identifier Issuer
1	AB25014	MEDICARE PIN	WASHINGTON
2	AB16197	MEDICARE ID-TYPE UNSPECIFIED
3	930096000	OTHER	WASHINGTON	RAIL ROAD MEDICARE
4	8263964	MEDICAID	WASHINGTON
5	G04476	MEDICARE UPIN
6	4769	OTHER		INTERNAL ID-MOTOR VEHICLE ID

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

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