Provider Demographics
NPI:1609813963
Name:NOYES, EDWARD MACARTHUR (MD)
Entity Type:Individual
Prefix:
First Name:EDWARD
Middle Name:MACARTHUR
Last Name:NOYES
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 1:8569 NE SEAVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:INDIANOLA
Mailing Address - State:WA
Mailing Address - Zip Code:98342-9754
Mailing Address - Country:US
Mailing Address - Phone:206-605-5432
Mailing Address - Fax:360-297-0024
Practice Address - Street 1:21601 76TH AVE W
Practice Address - Street 2:
Practice Address - City:EDMONDS
Practice Address - State:WA
Practice Address - Zip Code:98026-7507
Practice Address - Country:US
Practice Address - Phone:425-640-4683
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2009-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA000-17016207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NO3127OtherREGENCE BS
168560OtherWA L & I
WA1009455Medicaid
A008OtherCHAMPUS
910861251OtherPREMERA BC
E20096OtherGROUP HEALTH
010039934Medicare PIN
001246200Medicare PIN
WA1009455Medicaid
CS1938Medicare PIN
168560OtherWA L & I