Provider Demographics
NPI:1316505159
Name:DENIS, NIGEL K (MD)
Entity type:Individual
Prefix:
First Name:NIGEL
Middle Name:K
Last Name:DENIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:500 BAKER BLVD APT 404
Mailing Address - Street 2:
Mailing Address - City:TUKWILA
Mailing Address - State:WA
Mailing Address - Zip Code:98188-3016
Mailing Address - Country:US
Mailing Address - Phone:305-501-0681
Mailing Address - Fax:
Practice Address - Street 1:16233 SYLVESTER RD SW STE G60
Practice Address - Street 2:
Practice Address - City:BURIEN
Practice Address - State:WA
Practice Address - Zip Code:98166-3047
Practice Address - Country:US
Practice Address - Phone:206-988-5724
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-05
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAMD.MD.61654613207YS0123X, 207YX0905X, 208600000X, 207YX0007X
IAMD-53176207YX0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207YX0007XAllopathic & Osteopathic PhysiciansOtolaryngologyPlastic Surgery within the Head & Neck
No207YS0123XAllopathic & Osteopathic PhysiciansOtolaryngologyFacial Plastic SurgeryGroup - Single Specialty
No207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN70927OtherMINNESOTA BOARD OF MEDICAL PRACTICE
WAMD61654613OtherWASHINGTON MEDICAL COMMISSION
IA53176OtherIOWA BOARD OF MEDICINE
FLTRN29059OtherFLORIDA BOARD OF MEDICINE LICENSE REGISTRATION