Provider Demographics
NPI:1295718260
Name:SESSIONS, EDWARD H (MD)
Entity type:Individual
Prefix:
First Name:EDWARD
Middle Name:H
Last Name:SESSIONS
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:STE 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:STE 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:425-563-1374
Is Sole Proprietor?:No
Enumeration Date:2005-11-23
Last Update Date:2015-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME204082085R0202X
WAMD000471932085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8550212Medicaid
FL038589100Medicaid
FL01234OtherBC BS OF FLORIDA
WAG8885094Medicare PIN
WAP01255320Medicare PIN
FL01234ZMedicare PIN
FL01234OtherBC BS OF FLORIDA
FL038589100Medicaid
FL01234VMedicare PIN
WAG8919462Medicare PIN
WAG8885096Medicare PIN
WAP00764828Medicare PIN
WAG8917017Medicare PIN