Beverly Mielke Kocarnik
Beverly Ann Mielke · Internal Medicine (Endocrinology, Diabetes & Metabolism)

Address: 904 7th Ave, Seattle, WA 98104-1132
Phone: 2068602385

Beverly Mielke Kocarnik (NPI# 1962666438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1962666438
Entity Type Individual
Full Name Beverly Mielke Kocarnik
Other Name Beverly Ann Mielke
Credential MD, MPH
Gender Female
Practice Address 904 7th Ave
Seattle
WA 98104-1132
Practice Telephone 2068602385
Practice Fax Number 2063575050
Mailing Address 904 7th Ave
Seattle
WA 98104-1132
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2008-07-15
Last Update Date 2015-12-01

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
No 207R00000X Internal Medicine Allopathic & Osteopathic Physicians MD60234086 WA
Yes 207RE0101X Internal Medicine · Endocrinology, Diabetes & Metabolism Allopathic & Osteopathic Physicians MD 60234086 WA

Physician Overview

NPI 1962666438
PAC ID by PECOS 1355597519
Professional Enrollment ID I20120803000771
Full Name Beverly M Kocarnik
Organization Legal Name THE POLYCLINIC
Phone Number 2063091760
Gender F
Graduation Year 2008
Primary Specialty ENDOCRINOLOGY
Secondary Specialties INTERNAL MEDICINE
Group Practice PAC ID 2163328196
Number of Group Practice Members 363
Accepts Medicare Assignment Y
Report Quality Measures Y
Use Electronic Health Records Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
500027 SWEDISH MEDICAL CENTER - FIRST HILL/BALLARD

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
PQRS_EP_110_1 Preventive Care and Screening: Influenza Immunization 35%
PQRS_EP_111_1 Pneumonia Vaccination Status for Older Adults 70%
PQRS_EP_226_1 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100%

Office Location

Street Address 904 7TH AVE
City SEATTLE
State WA
Zip Code 98104-1132

Providers in the same location

NPI Name Taxonomy Address Enumeration
1407827850 Vesna Jamborcic Internal Medicine 904 7th Ave, Seattle, WA 98104-1132 2006-02-01
1396210704 Sheree Reed Physical Therapist 904 7th Ave, Seattle, WA 98104-1132 2018-10-11
1346733250 Emily C Howieson Nurse Practitioner 904 7th Ave, Seattle, WA 98104 2018-06-14
1881118172 Aleks Boldyrev Physician Assistant 904 7th Ave, Seattle, WA 98104-1132 2017-07-28
1154843530 Katherine Parikh Nurse Practitioner 904 7th Ave, Seattle, WA 98104-1132 2017-07-07
1477080547 Carl James Brodie Iv Audiologist 904 7th Ave, Seattle, WA 98104-1132 2017-05-18
1114453263 Sejin Maddaloni Nurse Practitioner 904 7th Ave, Seattle, WA 98104 2017-05-11
1942733860 Theresa Butler Pharmacist 904 7th Ave, Seattle, WA 98104-1132 2017-04-07
1871036152 Jasmine Miller Nutritionist 904 7th Ave, 9th Floor, Suite C, Seattle, WA 98104-1132 2016-11-18
1083169114 Meghan Hennessey Nurse Practitioner 904 7th Ave, Seattle, WA 98104-2859 2016-08-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548739576 Lee Hanses Physical Therapist 1124 Columbia Street, Level P1, Suite P100, Seattle, WA 98104 2018-11-20
1821579095 Karissa Lin Lee Pharmacist 401 Broadway #2075, Seattle, WA 98104 2018-08-27
1477042091 Maham Jehangir Student in an Organized Health Care Education/Training Program 325 9th Ave Department of Radiology, Seattle, WA 98104 2018-05-09
1740786581 Philip Daniel Tolley Student in an Organized Health Care Education/Training Program 325 9th Ave. Mail Stop#359796, 7th Floor Center Tower Rm #73.1, Seattle, WA 98104 2018-04-02
1528564242 Vanessa Dawn Leonhard Student in an Organized Health Care Education/Training Program 325 9th Ave, 7th Floor Center Tower Room 73.1, Mail Stop #359796, Seattle, WA 98104 2018-04-02
1225540545 Mary Elizabeth Micikas Registered Nurse 515 Minor Ave Ste 170, Seattle, WA 98104 2017-10-26
1033629506 Ashley Negron Registered Nurse Harborview Center for Sexual Assault and Tramautic Stre, 401 Broadway Suite 2075, Seattle, WA 98104 2017-10-10
1770018889 Alison S Bae Student in an Organized Health Care Education/Training Program 325 9th Ave, Mail Stop #359796, 7th Floor Center Tower Room 73.1, Seattle, WA 98104 2017-04-26
1083155329 Seatle Medical Supplies Durable Medical Equipment & Medical Supplies 800 Fifth Avenue, Seafirst Fifth Avenue Plaza, Suite 4100, Seattle, WA 98104 2017-03-20
1174980163 Kellan Pontarolo Behavior Analyst 888 Western Avenue Apt. 815, Seattle, WA 98104 2016-01-21
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Taxonomy Information

Taxonomy Code 207RE0101X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Endocrinology, Diabetes & Metabolism

Taxonomy Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497283287 Shannon Casey Internal Medicine 2320 W Commodore Way Unit 100, Seattle, WA 98199-1287 2017-05-24
1679800932 Arthi Thirumalai Internal Medicine 1959 Ne Pacific St Box 356426, Univ of Washington, Division of Endocrinology, Seattle, WA 98195-6426 2009-11-06
1831266816 Shelby Brammer Internal Medicine 100 1st Ave S, Unit 12, Seattle, WA 98104-2594 2006-11-29
1518042316 William John Bremner Internal Medicine Medical Specialties-endocrine Clin, 1959 Ne Pacific Street, Seattle, WA 98195-6166 2006-10-27
1750464848 William Henry Ludlam Internal Medicine 550 17th Ave Ste 500, Seattle, WA 98122-5789 2006-10-23
1932219805 Kristina Marie Utzschneider Internal Medicine 1660 S Columbian Way # 151, Va Puget Sound Health Care System, Seattle, WA 98108-1532 2006-08-30
1164452553 James W Benson Jr. Internal Medicine 1100 9th Avenue, Seattle, WA 98101-2756 2006-07-03
1750381661 Gholam Ali Mozaffarian Internal Medicine 801 Broadway, Suite 707, Seattle, WA 98122-4396 2005-07-21
1457791683 Vandana Jain Internal Medicine 11011 Meridian Ave N Ste 201, Seattle, WA 98133 2013-07-02
1104263987 Jennifer L Rosenbaum Internal Medicine 1959 Ne Pacific St, Seattle, WA 98195 2013-06-03
Find all providers in SEATTLE

Competitor

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City SEATTLE
Zip Code 98104

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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.

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