Provider Demographics
NPI:1063486991
Name:SPERLING, STEVEN D (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:D
Last Name:SPERLING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19020 33RD AVE W
Mailing Address - Street 2:SUITE 210
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98036-4746
Mailing Address - Country:US
Mailing Address - Phone:425-563-1500
Mailing Address - Fax:425-563-1374
Practice Address - Street 1:19020 33RD AVE W
Practice Address - Street 2:SUITE 210
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98036-4746
Practice Address - Country:US
Practice Address - Phone:425-563-1500
Practice Address - Fax:425-563-1501
Is Sole Proprietor?:No
Enumeration Date:2006-02-15
Last Update Date:2017-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00035776174400000X, 2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
2240452OtherAETNA
WA352416OtherL&I-RADIA KING COUNTY
WA1001549Medicaid
WA8219917Medicaid
WASP2789OtherREGENCE
WA119566OtherL&I
300089148OtherRAILROAD MEDICARE
WA351995OtherL&I-RADIA REST OF WA
WA351996OtherL&I-SWEDISH RADIA
WA8921068OtherCRIME VICTIMS
WA351997OtherL&I-EVERGREEN RADIA
WAP01623669Medicare PIN
WA351996OtherL&I-SWEDISH RADIA
WA351995OtherL&I-RADIA REST OF WA
300089148OtherRAILROAD MEDICARE
WA8219917Medicaid
WAP01623689Medicare PIN
WA8921068OtherCRIME VICTIMS
WASP2789OtherREGENCE
WAE73413Medicare UPIN