Dr Kaj Johansen, MD | |
600 Broadway Ste 112, Seattle, WA 98122-5381 | |
(206) 420-3119 | |
(206) 453-5912 |
Full Name | Dr Kaj Johansen |
---|---|
Gender | Male |
Speciality | Surgery - Vascular Surgery |
Location | 600 Broadway Ste 112, Seattle, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366491045 | NPI | - | NPPES |
8400103 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0129X | Surgery - Vascular Surgery | MD00016486 (Washington) | Primary |
Entity Name | Mai Pham Md Ps |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457694127 PECOS PAC ID: 2163663352 Enrollment ID: O20130731000377 |
Mailing Address | Practice Location Address |
---|---|
Dr Kaj Johansen, MD Po Box 22152, Seattle, WA 98122-0152 Ph: (206) 420-3119 | Dr Kaj Johansen, MD 600 Broadway Ste 112, Seattle, WA 98122-5381 Ph: (206) 420-3119 |
Dr. Matthew Alexander Johnston, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1221 E Madison St, Ste 1401, Seattle, WA 98122 Phone: 206-386-6702 | |
Dr. Emily Norpell Palmquist, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 825 Eastlake Ave E, Seattle, WA 98109 Phone: 206-520-5000 | |
Robert Dale Mcclure, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1100 9th Ave, Seattle, WA 98101 Phone: 206-223-6600 | |
Abigail K Wiebusch, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1100 9th Ave, Seattle, WA 98101 Phone: 206-341-0060 | |
Dewahar Senthoor, MD Surgery Medicare: Medicare Enrolled Practice Location: 1959 Ne Pacific St, Seattle, WA 98195 Phone: 206-520-5000 | |
Thomas R Biehl, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1100 9th Ave, Seattle, WA 98101 Phone: 206-223-6600 Fax: 206-515-5886 | |
Mr. Vimukta Mahadev, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1959 Ne Pacific St, Box 356410, Seattle, WA 98195 Phone: 714-397-5742 |