Healthcare Provider Details

I. General information

NPI: 1548345283
Provider Name (Legal Business Name): BENJAMIN STARNES MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/25/2006
Last Update Date: 10/09/2020
Certification Date: 10/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2211 QUEEN ANNE AVE N SWEDISH PHYSICIANS
SEATTLE WA
98109-2313
US

IV. Provider business mailing address

1416 18TH AVE UNIT C
SEATTLE WA
98122-3094
US

V. Phone/Fax

Practice location:
  • Phone: 206-861-8500
  • Fax: 206-861-8501
Mailing address:
  • Phone: 206-323-1099
  • Fax: 206-299-3088

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2080P0204X
TaxonomyPediatric Emergency Medicine (Pediatrics) Physician
License Number39447
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD00048997
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: