Healthcare Provider Details

I. General information

NPI: 1447442348
Provider Name (Legal Business Name): TIMOTHY P. CAREY M.D. INC. P.S.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2007
Last Update Date: 04/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5116 25TH AVE NE
SEATTLE WA
98105-4121
US

IV. Provider business mailing address

5116 25TH AVE NE
SEATTLE WA
98105-4121
US

V. Phone/Fax

Practice location:
  • Phone: 206-522-2500
  • Fax: 206-267-8307
Mailing address:
  • Phone: 206-522-2500
  • Fax: 206-267-8307

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License NumberMD00024248
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code261QS0132X
TaxonomyOphthalmologic Surgery Clinic/Center
License NumberMD00024248
License Number StateWA

VIII. Authorized Official

Name: DR. TIMOTHY PATRICK CAREY
Title or Position: OCULAR PLASTIC SURGEON
Credential: M.D.
Phone: 206-522-2500