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FIFTH AVENUE INTERNAL MEDICINE INC NPI 1740367929


NPI Information

NPI: 1740367929
Provider Name: FIFTH AVENUE INTERNAL MEDICINE, INC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
10564 5TH AVE NE STE 201
SEATTLE, WA
ZIP 98125
Phone: (206) 367-1222
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FIFTH AVENUE INTERNAL MEDICINE, INC is an internal medicine in Seattle, WA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. FIFTH AVENUE INTERNAL MEDICINE, INC NPI is 1740367929. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

10564 5TH AVE NE STE 201
SEATTLE, WA
ZIP 98125-200
Phone: (206) 367-1222
Fax: (206) 364-2664

The provider's authorized official is Joseph Thomas Palermo .
The authorized official title is Owner and has the following contact phone number (206) 367-1222.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 4/16/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamilyAP30005722WASHINGTONNo
2207R00000XInternal MedicineOP0000836WASHINGTONYes

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
17107840MEDICAIDWASHINGTON
2GAB22098MEDICARE PINWASHINGTON
3151558OTHERWASHINGTONL&I GROUP NUMBER
4E20232MEDICARE UPINWASHINGTON
5AB22098MEDICARE ID-TYPE UNSPECIFIEDWASHINGTONMEDICARE GROUP NUMBER

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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