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NPI Code Detail

MEDICARE: EDMONDS ANESTHESIA ASSOCIATES INC PS

MEDICARE: EDMONDS ANESTHESIA ASSOCIATES INC PS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1578511267
Entity Type Code : Organization
Provider Name (Legal Business Name) : EDMONDS ANESTHESIA ASSOCIATES INC PS
Provider Business Mailing Address
First Line : PO BOX 34960
Second Line :
City : SEATTLE
State : WA
Zip : 98124-1960
Country : US
Telephone Number : 503-372-2740
Fax Number : 503-372-2754
Provider Business Practice Location Address
First Line : 21601 76TH AVE W
Second Line :
City : EDMONDS
State : WA
Zip : 98026-7507
Country : US
Telephone Number : 425-640-4000
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : CAROLYN G. MILLER
Credential : MD
Telephone Number : 503-372-2740
Provider Enumeration Date : 05/04/2006
Last Update Date : 07/12/2007

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