Provider Demographics
NPI:1669411674
Name:MAGEE, MICHAEL SCOTT (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:SCOTT
Last Name:MAGEE
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 1:15611 BEL RED RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98008-2311
Mailing Address - Country:US
Mailing Address - Phone:425-452-5600
Mailing Address - Fax:425-452-9400
Practice Address - Street 1:15611 BEL RED RD
Practice Address - Street 2:SUITE 100
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98008-2311
Practice Address - Country:US
Practice Address - Phone:425-452-5600
Practice Address - Fax:425-452-9400
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-05
Last Update Date:2015-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00020166207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2914MAOtherREGENCE RIDER #
WA8324402Medicaid
WA2914MAOtherREGENCE RIDER #
WAAB38748Medicare PIN