Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | MD60174702 | WA |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 29370 | CO |
NPI | 1043285893 |
---|---|
Provider Name | Dr. Charles Keith Fujisaki |
First Address | Seattle, WA 98104-1172 |
Second Address | Burien, WA 98166-3049 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/02/2006 |
Last Update Date | 16/11/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0270452 | LABOR & INDUSTRIES (01) | WA |
104267500 | FEDERAL WORKMAN'S COMP (01) | CO |
1043285893 | (05) | WA |
192640139 | US DEPT OF LABOR - OWCP (01) | WA |
20872771 | (05) | CO |
4213838 | AETNA (01) | CO |
900064263002 | ROCKY MOUNTAIN HMO (01) | CO |
90006426301 | PACIFICARE (01) | CO |
E86496 | (02) | CO |
E86496 | (02) | WA |
FUA29319 | BLUE CROSS BLUE SHIELD (01) | CO |
P00049979 | RAIL ROAD MEDICARE (01) | CO |
P00952912 | RAILROAD MEDICARE (01) | WA |