Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1316936164 Individual Practitioner Male Practitioner

Dr. Emmanuel J. Eusebio , MD

Pediatrics • Bellingham, WA

Professional Overview & Biography Verified Profile Summary

Dr. Emmanuel Eusebio, MD is a registered healthcare professional specializing in Pediatrics in Bellingham, WA. Practice services are available at PEACEHEALTH MEDICAL GROUP under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

Peacehealth Medical Group
4545 Cordata Parkway, Suite 1f

Bellingham, WA 98226

Telephone 3607382200
Fax 3607525679
Associated Practice Facility / Clinic
🏢 Madrona Medical Group, P.s. Facility NPI 1659362143

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Bellingham, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.5 Yrs
State Avg: 18.8 Yrs
Regional Practice Density
39 Specialists

Practicing in Bellingham, WA (1802 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License WA MD00030270

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Behavior Analyst

NUCC Taxonomy Code: 103K00000X

State License WA MD00030270

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1083229 (WA)

Secondary Practice Locations

10416 5th Ave Ne

Seattle, WA 98125

Phone: 2065176700

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Melanie Hartley , ARNP

Nurse Practitioner - Pediatrics, Critical Care

NPI 1003193632

Advanced Registered Nurse Practitioner

Dr. Leslie Houck , MD

Obstetrics & Gynecology - Gynecology

NPI 1033108360

Doctor of Medicine (M.D.)

Joan Cervisi , ARNP

Nurse Practitioner - Pediatrics

NPI 1073656708

Advanced Registered Nurse Practitioner

Sukhjit Shergill

Internal Medicine

NPI 1073882395
Dr. Diana Guza-Wells , MD

Internal Medicine

NPI 1083664049

Doctor of Medicine (M.D.)

Radu Ivan , ARNP

Nurse Practitioner - Adult Health

NPI 1093056046

Advanced Registered Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Practice Location July 26, 2019

Registered at PEACEHEALTH MEDICAL GROUP, 4545 CORDATA PARKWAY, SUITE 1F, BELLINGHAM, WA 98226 (Tel: 3607382200)

📍
Updated Business Mailing Address July 26, 2019

Registered at 1115 SE 164TH AVE DEPT 358, VANCOUVER, WA 986838004 (Tel: 3607291462)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 26, 2019

Pediatrics (License #MD00030270 in WA)

📍
Updated Practice Location July 30, 2018

Registered at 10416 5TH AVE NE, SEATTLE, WA 98125 (Tel: 2065176700)

👤
Provider Name / Credentials Updated July 30, 2018

Recorded as EMMANUEL EUSEBIO, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 30, 2018

Behavior Analyst (License #MD00030270 in WA)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 10416 5TH AVE NE, SEATTLE, WA 981257402 (Tel: 2065176700)

📍
Updated Business Mailing Address July 08, 2007

Registered at 10416 5TH AVE NE, SEATTLE, WA 981257402 (Tel: 2065176700)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as EMMANUEL EUSEBIO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pediatrics (License #MD00030270 in WA)

🟢
Initial NPI Registration & Enumeration October 14, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1316936164
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 14, 2005
Last Update: July 26, 2019
Sole Proprietor: No

Mailing Address

1115 Se 164th Ave Dept 358

Vancouver, WA 986838004

Phone: 3607291462

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.