PROVIDENCE HEALTH & SERVICE - WASHINGTON (NPI# 1003009259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003009259 |
Entity Type | Organization |
Organization Name | PROVIDENCE HEALTH & SERVICE - WASHINGTON |
Other Organization Name | PROV CENTRLIA INTERNAL MEDICINE |
Practice Address |
2015 Cooks Hill Rd Suite 200 Centralia WA 98531-9074 |
Mailing Address |
Po Box 34439 Seattle WA 98124-1439 |
Practice Telephone | 3603308939 |
Practice Fax Number | 3603308916 |
Mailing Telephone | 4255256778 |
Mailing Fax Number | 4255256700 |
Enumeration Date | 2007-08-21 |
Last Update Date | 2010-12-22 |
Authorized Official Name | NICOLE QUINN (PAYOR CREDENTIALING MANAGER) |
Authorized Official Telephone | 4255256715 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | 7139785 | 05 |
Other Name | Type Code |
---|---|
Prov Centrlia Internal Medicine | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811942758 | Providence Health & Service - Washington | Radiologic Technologist | 908 S Scheuber Rd, Centralia, WA 98531-9027 | 2006-05-22 |
1013100262 | Providence Health & Service - Washington | Internal Medicine | 4525 3rd Ave Se, Suite 200, Lacey, WA 98503-1010 | 2007-08-21 |
1558554709 | Providence Health & Service - Washington | Internal Medicine | 954 Anderson Dr, Suite 102, Aberdeen, WA 98520-1001 | 2007-08-21 |
Street Address |
2015 COOKS HILL RD SUITE 200 |
City | CENTRALIA |
State | WA |
Zip Code | 98531-9074 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306462205 | Jelisa Renae Thomas | Counselor | 3510 Steelhammer Ln, Centralia, WA 98531 | 2020-06-17 |
1205498607 | Jennifer Kristine Mcglynn Paterno | Counselor | 2428 W. Reynods Ave, Centralia, WA 98531 | 2019-07-05 |
1538646328 | Adam Jeffrey Moore | Counselor | 3510 Steelhammer Lane, Centralia, WA 98531 | 2018-07-24 |
1144706698 | Euijeong Kim | Occupational Therapist | Rehabilitation Therapies, 914 S. Scheuber Rd, Centralia, WA 98531 | 2018-07-18 |
1104315266 | Margaret Fowler Floyd | Registered Nurse | Centralia High School, 813 Eshom Road, Centralia, WA 98531 | 2018-05-04 |
1124545777 | Samantha Michelle Moody | Speech-Language Pathologist | Centralia School District, 2320 Borst Ave, Centralia, WA 98531 | 2017-08-24 |
1821520289 | Alexa Franks | Behavior Technician | 2428 West Reynolds Ave., Centralia, WA 98531 | 2017-04-03 |
1023559861 | Brandy Michelle Peterson | Counselor | 135 W. Main Steet, Centralia, WA 98531 | 2017-03-13 |
1841738812 | Graceful Healing Naturopathic | Naturopath | 219 N Tower Ave, Suite 304, Centralia, WA 98531 | 2017-02-09 |
1043681513 | Angela Naillon | Counselor | 2428 West Reynolds, Centralia, WA 98531 | 2015-10-09 |
Find all providers in zip 98531 |
Taxonomy Code | 207RX0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Medical Oncology |
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962698837 | University Hematology Oncology Group Inc. | Internal Medicine | 1052 Martin Luther King Dr, Suite 2, Centralia, IL 62801-3002 | 2007-09-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285286369 | Candice Mccoy | Internal Medicine | 400 Dexter Ave N Ste 1200, Seattle, WA 98109-5094 | 2019-07-10 |
1265860027 | Vista Oncology Inc Ps | Internal Medicine | 420 Mcphee Rd Se, Olympia, WA 98502 | 2013-10-14 |
1326483587 | Providence Health & Services Mt | Internal Medicine | 24001 East Mission Ave. Ste 105, Providence Healtlh and Services, Montana, Liberty Lake, WA 99019-0012 | 2013-05-01 |
1295000552 | Jesse Johnston Salk | Internal Medicine | 1660 S Columbian Way # S-111onc, Seattle, WA 98108-1532 | 2012-03-19 |
1962777862 | Charles M Bagley Jr. | Internal Medicine | 1235 8th Ave W, Seattle, WA 98119-3441 | 2012-03-12 |
1548556384 | Janghee Woo | Internal Medicine | 825 Eastlake Ave. East, Seattle, WA 98109 | 2011-06-20 |
1174849855 | B Chue Consulting, P.s. | Internal Medicine | 2825 Eastlake Ave E Ste 200, Seattle, WA 98102-3085 | 2010-04-20 |
1740449602 | Kinsey A Mccormick | Internal Medicine | 1221 Madison St Ste 500, Seattle, WA 98104-1388 | 2008-06-05 |
1336310028 | Brian Wayne Goodell | Internal Medicine | 24705 142nd Ave Se, Kent, WA 98042-5152 | 2008-03-20 |
1356562250 | Martin Alexander Cheever | Internal Medicine | 825 Eastlake Ave E # G4-610, Seattle, WA 98109-4405 | 2007-05-01 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.