Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1750001533 Individual Practitioner Female Practitioner

Eliza Black , PA-C

Physician Assistant • Seattle, WA

Professional Overview & Biography Verified Profile Summary

Eliza Black, PA-C is a registered healthcare professional specializing in Physician Assistant in Seattle, WA. Practice services are available at 1550 N 115TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1550 N 115th St

Seattle, WA 981338401

Telephone 2065205000
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Seattle, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.3 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
833 Specialists

Practicing in Seattle, WA (3774 Statewide)

Telehealth Adoption Rate
18.8% 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

CMS Verified: 2025-02-02
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WA PA61355510

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1750001533 (WA)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Sandhya Panch , MD

Internal Medicine - Hematology

NPI 1003043415

Doctor of Medicine (M.D.)

Hilary King , MA, RC

Counselor - Mental Health

NPI 1003068735

Master of Arts, RC

Dr. Afshin Shameli , MD, PhD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1003104357

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Dr. Timothy Menza , MD, PhD

Internal Medicine - Infectious Disease

NPI 1003105891

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Dr. Maria Corcorran , MD

Internal Medicine

NPI 1003159013

Doctor of Medicine (M.D.)

Dr. Justin Miller , PhD

Psychologist - Clinical

NPI 1003162314

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

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

11 Historical Events
👤
Provider Name / Credentials Updated February 02, 2025

Recorded as ELIZA BLACK, PA-C

📍
Updated Practice Location November 15, 2022

Registered at 1550 N 115TH ST, SEATTLE, WA 981338401 (Tel: 2065205000)

📍
Updated Business Mailing Address November 15, 2022

Registered at PO BOX 50095, SEATTLE, WA 981455095 (Tel: 2065205700)

👤
Provider Name / Credentials Updated November 15, 2022

Recorded as ELIZA STACEY, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 15, 2022

Physician Assistant (License #PA61355510 in WA)

NPI Profile Active September 08, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location September 08, 2022

Registered at 370 BASSETT RD, NORTH HAVEN, CT 064734201 (Tel: 2035827766)

📍
Updated Business Mailing Address September 08, 2022

Registered at 370 BASSETT RD, NORTH HAVEN, CT 064734201

👤
Provider Name / Credentials Updated September 08, 2022

Recorded as ELIZA STACEY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 08, 2022

Physician Assistant

🟢
Initial NPI Registration & Enumeration August 31, 2022

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: 1750001533
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 31, 2022
Last Update: February 02, 2025
Sole Proprietor: No

Mailing Address

Po Box 50095

Seattle, WA 981455095

Phone: 2065205700

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.