Provider Demographics
NPI:1598785057
Name:GEGGEL, HARRY S (MD)
Entity Type:Individual
Prefix:
First Name:HARRY
Middle Name:S
Last Name:GEGGEL
Suffix:
Gender:F
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:PO BOX 50095
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98145-5095
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:325 9TH AVE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-2420
Practice Address - Country:US
Practice Address - Phone:206-520-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2021-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00021637207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8620106Medicaid
WA180038111OtherRAILROAD MC#
WAMD0021AOtherALASKA MEDICAID
WAG135OtherBLUE SHIELD
WAUS0861461OtherAETNA/USHC SPECIALIST
WA0039593OtherLABOR & INDUSTRY
WA8893720OtherMEDICARE PTAN
WA8893720Medicare PIN
WAMD0021AOtherALASKA MEDICAID
WA8893720OtherMEDICARE PTAN
WA8809053Medicare PIN
WAUS0861461OtherAETNA/USHC SPECIALIST