=====================================================
General NPI Number Information
=====================================================
NPI Number | 1174822977
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SENTINEL ANESTHESIA, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/18/2011
-----------------------------------------------------
Last Update Date | 01/09/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4419 31ST AVE W
-----------------------------------------------------
City | SEATTLE
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98199-1435
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 206-920-3990
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4419 31ST AVE W
-----------------------------------------------------
City | SEATTLE
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98199-1435
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 206-920-3990
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CRNA
-----------------------------------------------------
Name | DOROTA WARD
-----------------------------------------------------
Credential | CRNA
-----------------------------------------------------
Telephone | 206-920-3990
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 367500000X
-----------------------------------------------------
Taxonomy Name | Certified Registered Nurse Anesthetist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------