Healthcare Provider Details

I. General information

NPI: 1023089752
Provider Name (Legal Business Name): MICHAEL J BATTAGLIA II MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/31/2006
Last Update Date: 11/07/2025
Certification Date: 11/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 MONSTER RD SW STE 330
RENTON WA
98057-2996
US

IV. Provider business mailing address

1201 MONSTER RD SW STE 330
RENTON WA
98057-2996
US

V. Phone/Fax

Practice location:
  • Phone: 425-429-7573
  • Fax: 206-582-0820
Mailing address:
  • Phone: 425-429-7573
  • Fax: 206-582-0820

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberMD00040962
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License NumberMD00040962
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: