Ellen Lyman Thom Derrick in Seattle - Vascular Surgery
Ellen Lyman Thom Derrick - NPI 1659480630
Ellen Lyman Thom Derrick is a Vascular Surgery in Seattle, Washington. Ellen Lyman Thom Derrick practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Ellen Lyman Thom Derrick is 1659480630. The last update date is 2022-07-21.
Ellen Lyman Thom Derrick's current location address is 6541 50th Ave Ne, Seattle, Washington. You can contact this provider via phone number 2068186905. The mailing address for Ellen Lyman Thom Derrick is 6541 50th Ave Ne, Seattle, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ellen Lyman Thom Derrick |
|---|---|
| Address | 6541 50th Ave Ne, Seattle, Washington |
| Phone Number | 2068186905 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1659480630 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 6541 50th Ave Ne |
|---|---|
| City | Seattle |
| State | Washington (WA) |
| Post Code | 98115 |
| Phone Number | 2068186905 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
| Licence No | MD00045873 |
|
Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1659480630 | WA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Ellen Lyman Thom Derrick by the Centers for Medicare & Medicaid Services?
The Ellen Lyman Thom Derrick has been assigned the NPI (National Provider Identifier) 1659480630 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Ellen Lyman Thom Derrick is located?
The Ellen Lyman Thom Derrick is situated at the following address: 6541 50Th Ave Ne, Seattle, WA, 98115.
What is Ellen Lyman Thom Derrick's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Ellen Lyman Thom Derrick is Vascular Surgery, and the taxonomy code that categorizes this field of expertise is 2086S0129X.
On what date did the Centers for Medicare & Medicaid Services assign the 1659480630 to Ellen Lyman Thom Derrick?
The Centers for Medicare & Medicaid Services assigned the 1659480630 to Ellen Lyman Thom Derrick on 2006-08-30.
When was the Ellen Lyman Thom Derrick's information last updated?
The Ellen Lyman Thom Derrick's information was last updated on 2022-07-21.
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