Provider Demographics
NPI:1710164918
Name:MINOR & JAMES MEDICAL PLLC
Entity Type:Organization
Organization Name:MINOR & JAMES MEDICAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:C
Authorized Official - Last Name:STEART
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:206-386-9500
Mailing Address - Street 1:515 MINOR AVE
Mailing Address - Street 2:SUITE 220
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-2120
Mailing Address - Country:US
Mailing Address - Phone:206-386-9500
Mailing Address - Fax:206-576-3802
Practice Address - Street 1:515 MINOR AVE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-2120
Practice Address - Country:US
Practice Address - Phone:206-386-9500
Practice Address - Fax:206-576-3802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-30
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA5891740001OtherDME FH
WA78900OtherLABOR & INDUSTRY
WA7136872OtherMEDICAID / AUDIOLOGY
CE1300OtherPALMETTO / RR MEDICARE
0008864538OtherMEDICARE / FHSC
WA9060666OtherMEDICAID / HEARING AIDS
WA7139439OtherMEDICAID / FHSC
1548250012OtherNPI
WA7022544Medicaid
WA7027352OtherMEDICAID / ASC ENDO UNIT
WA9060666OtherMEDICAID / HEARING AIDS
WA7136872OtherMEDICAID / AUDIOLOGY