DR. MICHELLE M EDEN

Address: 4033 Talbot Rd. S., Ste #530, Renton, WA 98055
Phone: 4252286076

DR. MICHELLE M EDEN (NPI# 1235108960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235108960
Entity Type 1 - Individual
Full Name DR. MICHELLE M EDEN
Credential MD
Practice Address 4033 Talbot Rd. S.
Ste #530
Renton
WA 98055
Practice Telephone 4252286076
Practice Fax Number 4252265224
Enumeration Date 03/15/2006
Last Update Date 10/20/2010
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208600000X Surgery MD00036227 WA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WA 1121557 05

Office Location

Street Address 4033 TALBOT RD. S.
STE #530
City RENTON
State WA
Zip Code 98055

Providers with the same location

NPI Name Address
1245230598 VANTAGE RADIOLOGY & DIAGNOSTIC SERVICES, A PROFESSIONAL SERVICES CORP 400 S 43rd St, Renton, WA 98055
1750350724 DAVID P RUOFF 4361 Talbot Rd S, #102, Renton, WA 98055
1669432845 STUART S SHORR 4033 Talbot Rd S, Ste 200, Renton, WA 98055
1912967191 F PEYTON GAUNT III 4033 Talbot Rd S Suite 200, Renton, WA 98055
1619937836 NICOLE K LAUINGER 4033 Talbot Rd S, Ste 200, Renton, WA 98055
1629038823 DANIEL B FRIEDMAN 4033 Talbot Rd S, Ste 200, Renton, WA 98055
1588624753 LINDA E WISEMAN 4033 Talbot Rd S, Ste 200, Renton, WA 98055
1043271927 STEVEN L SUMMERFIELD 4361 Talbot Rd S, #102, Renton, WA 98055
1720040371 PHILLIP A MEDINA 4361 Talbot Road S, #102, Renton, WA 98055
1598728230 CONNIE C PATULOT 4033 Talbot Rd S Suite 200, Renton, WA 98055

Competitor

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City RENTON
Zip Code 98055

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.