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Active NPI 1821047556 Individual Practitioner Male Practitioner

Dr. Michael Ashton Theobald , MD

Specialist • Edmonds, WA

Professional Overview & Biography Verified Profile Summary

Dr. Michael Theobald, MD is a registered healthcare professional specializing in Specialist in Edmonds, WA. Practice services are available at 21601 76TH AVE W under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

21601 76th Ave W

Edmonds, WA 980267507

Telephone 4256404000
Associated Practice Facility / Clinic
🏢 Swedish Edmonds Facility NPI 1033107214

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Edmonds, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 37.5 Yrs
State Avg: 35.4 Yrs
Regional Practice Density
30 Specialists

Practicing in Edmonds, WA (2751 Statewide)

Telehealth Adoption Rate
6.7% 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

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License WA MD00011020

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Barbara Fayette , PA-C

Physician Assistant

NPI 1003854902

Physician Assistant (Certified)

NPI 1013955913

Doctor of Medicine (M.D.)

MCINTERPRETER

NPI 1063655736

Doctor of Osteopathic Medicine (D.O.)

NPI 1073567657

Doctor of Medicine (M.D.)

Dr. Bryce Inman , MD

Emergency Medicine

NPI 1073755484

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 21601 76TH AVE W, EDMONDS, WA 980267507 (Tel: 4256404000)

📍
Updated Business Mailing Address July 08, 2007

Registered at 12042 6TH AVE NW, SEATTLE, WA 981774521 (Tel: 2063618408)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MICHAEL THEOBALD, M.D.

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

Specialist (License #MD00011020 in WA)

🟢
Initial NPI Registration & Enumeration May 09, 2006

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: 1821047556
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 09, 2006
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

12042 6th Ave Nw

Seattle, WA 981774521

Phone: 2063618408

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.