MEDICARE: DR. JOEL ALFRED HIGHNESS M.D.

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
1	207L00000X	Anesthesiology Physician	MD00015221	WA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P00002031	OTHER	WA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	H549	OTHER	WA	REGENCE BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	0165313	OTHER	WA	DEPT OF LABOR & INDUSTRIE

General Provider Information

NPI Number	:	1265422307
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOEL ALFRED HIGHNESS M.D.

Provider Business Mailing Address
First Line	:	PO BOX 5908
Second Line	:
City	:	BELLEVUE
State	:	WA
Zip	:	98006-0408
Country	:	US
Telephone Number	:	206-244-1212
Fax Number	:	206-244-1223

Provider Business Practice Location Address
First Line	:	747 BROADWAY
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98122-4379
Country	:	US
Telephone Number	:	206-386-6000
Fax Number	:	206-244-1223

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/27/2005
Last Update Date	:	07/08/2007

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