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Active NPI 1336123454 Individual Practitioner Male Practitioner

Dr. Gary Fudem , MD

Surgery - Plastic and Reconstructive Surgery • Seattle, WA

Professional Overview & Biography Verified Profile Summary

Dr. Gary Fudem, MD is a registered healthcare professional specializing in Surgery - Plastic and Reconstructive Surgery in Seattle, WA. Practice services are available at 325 9TH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

325 9th Ave
Department Of Plastic & Reconstructive Surgery

Seattle, WA 981042420

Telephone 2067445735
Associated Practice Facility / Clinic
🏢 Harborview Medical Center Facility NPI 1053359729

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Plastic and Reconstructive Surgery in Seattle, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.7 Yrs
State Avg: 17.9 Yrs
Regional Practice Density
28 Specialists

Practicing in Seattle, WA (74 Statewide)

Telehealth Adoption Rate
10.7% 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

Surgery - Plastic and Reconstructive Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0122X

State License WA MD60484351

A surgeon who specializes in plastic and reconstructive surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1336123454 (WA)

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. Dennis Kao , MD

Surgery - Surgery of the Hand

NPI 1265503619

Doctor of Medicine (M.D.)

Dr. Judith Tsui , MD

Internal Medicine

NPI 1851492938

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 December 17, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location December 17, 2014

Registered at 325 9TH AVE, DEPARTMENT OF PLASTIC & RECONSTRUCTIVE SURGERY, SEATTLE, WA 981042420 (Tel: 2067445735)

📍
Updated Business Mailing Address December 17, 2014

Registered at PO BOX 50095, SEATTLE, WA 981455095 (Tel: 2065436420)

👤
Provider Name / Credentials Updated December 17, 2014

Recorded as GARY FUDEM, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 17, 2014

Surgery (License #MD60484351 in WA)

🟢
Initial NPI Registration & Enumeration December 01, 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: 1336123454
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 01, 2005
Last Update: December 17, 2014
Sole Proprietor: No
Update or Correct Profile

Mailing Address

Po Box 50095

Seattle, WA 981455095

Phone: 2065436420

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.