CONNIE A INNIS MD NPI 1649487836

NPI Information

NPI: 1649487836
Provider Name: CONNIE A INNIS, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
2700 152ND AVE NE
REDMOND, WA
ZIP 98052
Phone: (425) 883-5151
Get Directions

Connie A Innis, MD is a diagnostic radiology radiology in Redmond, WA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Connie A Innis, MD NPI is 1649487836. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2700 152ND AVE NE
REDMOND, WA
ZIP 98052-543
Phone: (425) 883-5151

The enumeration date for this NPI number is 5/17/2007 and was last updated on 7/30/2009.

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	2085R0202X	Radiology	Diagnostic Radiology	MD00033090	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	GAB23869	MEDICARE PIN	WASHINGTON
2	H09528	MEDICARE UPIN	WASHINGTON
3	8249864	MEDICAID	WASHINGTON
4	GAB13400	MEDICARE PIN	WASHINGTON
5	GAB23868	MEDICARE PIN	WASHINGTON
6	GAB23870	MEDICARE PIN	WASHINGTON
7	GAB23871	MEDICARE PIN	WASHINGTON
8	P00095622	MEDICARE PIN	WASHINGTON
9	G8881512	MEDICARE PIN	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: 5/5/2024

NPI Synchronization or Removal

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