Provider Demographics
NPI:1134329956
Name:CRAIG S. BIRKBY, M.D.
Entity Type:Organization
Organization Name:CRAIG S. BIRKBY, M.D.
Other - Org Name:SEATTLE SKIN CANCER CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:S
Authorized Official - Last Name:BIRKBY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:206-215-3300
Mailing Address - Street 1:1229 MADISON ST
Mailing Address - Street 2:SUITE 1090
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-3586
Mailing Address - Country:US
Mailing Address - Phone:206-215-3300
Mailing Address - Fax:206-215-3301
Practice Address - Street 1:1229 MADISON ST
Practice Address - Street 2:SUITE 1090
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-3586
Practice Address - Country:US
Practice Address - Phone:206-215-3300
Practice Address - Fax:206-215-3301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-19
Last Update Date:2011-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAG8859871Medicare UPIN