Corrie L Takahashi, MD | |
33501 1st Way S, Ms: A-so, Federal Way, WA 98003-6208 | |
(253) 838-2400 | |
(253) 874-1637 |
Full Name | Corrie L Takahashi |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 33501 1st Way S, Federal Way, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134227903 | NPI | - | NPPES |
0039577 | Other | WA | LABOR AND INDUSTRIES# |
3867TA | Other | WA | BLUE SHIELD# |
8470445 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD00046210 (Washington) | Primary |
Entity Name | Virginia Mason Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801851258 PECOS PAC ID: 9830002617 Enrollment ID: O20031107000383 |
Mailing Address | Practice Location Address |
---|---|
Corrie L Takahashi, MD 1100 9th Ave, Ms:m4-pfs, Seattle, WA 98101-2756 Ph: (206) 515-5811 | Corrie L Takahashi, MD 33501 1st Way S, Ms: A-so, Federal Way, WA 98003-6208 Ph: (253) 838-2400 |
Catherine Delostrinos, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 301 S 320th St, Federal Way, WA 98003 Phone: 253-874-7000 | |
Pamela L. Mouser, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 301 S 320th St, Federal Way, WA 98003 Phone: 253-874-7000 | |
John Apostol, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 34503 9th Ave South, #220, Federal Way, WA 98003 Phone: 253-927-3243 Fax: 253-627-0855 | |
Deborah Ann Rodriguez, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 34503 9th Ave South, #220, Federal Way, WA 98003 Phone: 253-927-3243 Fax: 253-627-0855 | |
Jonathan R Fox, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 33501 1st Way S, Federal Way, WA 98003 Phone: 253-838-2400 | |
Minh-y Ngoc Canh, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 33431 13th Pl S, Federal Way, WA 98003 Phone: 253-815-8040 |