Provider Demographics
NPI:1265624092
Name:DANIEL NADIG MD PLLC
Entity type:Organization
Organization Name:DANIEL NADIG MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:CAT
Authorized Official - Middle Name:
Authorized Official - Last Name:LEVITSIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-688-1916
Mailing Address - Street 1:1135 116TH AVE NE #550
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-4623
Mailing Address - Country:US
Mailing Address - Phone:425-688-1916
Mailing Address - Fax:425-688-1901
Practice Address - Street 1:1135 116TH AVE NE #550
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-4623
Practice Address - Country:US
Practice Address - Phone:425-688-1916
Practice Address - Fax:425-688-1901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-15
Last Update Date:2008-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00036958208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2271NAOtherREGENCE BLUE SHIELD
WA0224318OtherDEPT OF L&I
WAG8867967Medicare PIN