Provider Demographics
NPI:1831146703
Name:MAGEE: ENDOCRINOLOGY, PLLC
Entity type:Organization
Organization Name:MAGEE: ENDOCRINOLOGY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:M
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:MAGEE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:425-452-5600
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-27
Last Update Date:2015-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA601919393207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA7131774Medicaid
WAAB38749Medicare PIN