Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jamie R Antoine, MD

Individual provider Sports Medicine (Orthopaedic Surgery) Physician · NPI 1114022969

Dr. Jamie R Antoine, MD is an Orthopedic Surgery in Kirkland, Washington. Graduated from Albany Medical College of Union University in 2002, 24 years ago. Practices with Proliance Surgeons Inc P S, a 394-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
24
Trained at
Albany Medical College of Union University
Licensed in
WA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

12911 120th Ave NE Ste H210
Kirkland, WA 98034
Phone: (425) 823-4000
Fax: (425) 821-3550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence MD60007110 (WA)
Sports Medicine (Orthopaedic Surgery) Physician Taxonomy 207XX0005X · Licence MD60007110 (WA)

Record details

NPI number1114022969
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 14, 2006
Last updated in NPPESMarch 23, 2022
Certification dateMarch 23, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Also practisesSPORTS MEDICINE
Medical schoolALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduated 2002 (24 years in practice)
Group practice Proliance Surgeons Inc P S — 394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Kirkland