Unknown Individual – Internal Medicine Physician, NPI 1215907027
Internal Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
355, Northwest Richmond Beach Road, 4-Corners, Shoreline, King County, Washington, 98177, United States
SHORELINE, WA 981773101
Phone: (206) 546-5181
Fax: (206) 546-6575
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 98177)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | WA | 11042 | Removal of skin and tissue first 20 sq cm or less | 94 | 48 |
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