PACIFIC MEDICAL, INC. (NPI# 1003057019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003057019 |
| Entity Type | Organization |
| Organization Name | PACIFIC MEDICAL, INC. |
| Other Organization Name | PACIFIC MEDICAL PROSTHETICS & ORTHOTICS |
| Practice Address |
601 Broadway Room #140 Seattle WA 98122-5330 |
| Mailing Address |
File 1616 1801 W Olympic Blvd Pasadena CA 91199-1616 |
| Practice Telephone | 2063862040 |
| Practice Fax Number | 2062159038 |
| Mailing Telephone | 8007269180 |
| Mailing Fax Number | 8008615950 |
| Enumeration Date | 2009-03-20 |
| Last Update Date | 2015-02-04 |
| Authorized Official Name | MARK L. WEAVER (GENERAL COUNSEL) |
| Authorized Official Telephone | 8007269180 |
| Authorized Official Credential | JD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE PROVIDER NUMBER | 0695470001 | 01 |
| Other Name | Type Code |
|---|---|
| Pacific Medical Prosthetics & Orthotics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346735933 | Pacific Medical, Inc. | Prosthetic/Orthotic Supplier | 1024 W Robinhood Dr Ste 2, Stockton, CA 95207-5644 | 2018-06-26 |
| 1548784036 | Pacific Medical, Inc. | Durable Medical Equipment & Medical Supplies | 901 N Curtis Rd Ste 101, Boise, ID 83706-1339 | 2017-07-27 |
| 1336678879 | Pacific Medical, Inc. | Prosthetic/Orthotic Supplier | 309 W Main St Ste 104, Visalia, CA 93291-6257 | 2017-06-08 |
| 1952718280 | Pacific Medical, Inc. | Durable Medical Equipment & Medical Supplies | 2529 152nd Ave Ne, Redmond, WA 98052-5550 | 2014-07-18 |
| 1275940553 | Pacific Medical, Inc. | Durable Medical Equipment & Medical Supplies | 87 Centennial Loop, Eugene, OR 97401-7907 | 2014-07-17 |
| 1730596016 | Pacific Medical, Inc. | Durable Medical Equipment & Medical Supplies | 123 W Nye Ln Ste 131, Carson City, NV 89706-0838 | 2014-07-17 |
| 1740697242 | Pacific Medical, Inc. | Durable Medical Equipment & Medical Supplies | 9 Soledad Dr, Ste D, Monterey, CA 93940-6036 | 2014-07-16 |
| 1558778068 | Pacific Medical, Inc. | Durable Medical Equipment & Medical Supplies | 4554 Broad St, Ste 110, San Luis Obispo, CA 93401-8712 | 2014-07-16 |
| 1275940785 | Pacific Medical, Inc. | Durable Medical Equipment & Medical Supplies | 2030 Alameda Padre Serra, Ste 123, Santa Barbara, CA 93103-1704 | 2014-07-16 |
| 1649687138 | Pacific Medical, Inc. | Durable Medical Equipment & Medical Supplies | 3300 Providence Dr Ste B112, Anchorage, AK 99508-4690 | 2014-07-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PACIFIC MEDICAL, INC | 1700 N Chrisman Rd, Tracy, CA 95304-9314 |
| Oregon Corporations, Companies and Business Names | PACIFIC MEDICAL, INC. | 1700 N Chrisman Rd, Tracy, CA 95304 |
| Washington State Corporations | PACIFIC MEDICAL, INC. | 1700 N Chrisman Rd, Tracy, CA 95304 |
| Street Address |
601 BROADWAY ROOM #140 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98122-5330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023566346 | Megan Schmidt-warnecke | Pharmacist | 601 Broadway, Seattle, WA 98122-5330 | 2016-09-15 |
| 1518326529 | John Cameron Macdonald IIi | Physician Assistant | 601 Broadway, 6th Floor, Seattle, WA 98122-5330 | 2016-02-18 |
| 1417331265 | Rhianna Ainsley Stepler-camp | Specialist/Technologist | 601 Broadway, Ste 600, Seattle, WA 98122-5330 | 2015-07-10 |
| 1174929467 | Daniel Choi | Pharmacist | 601 Broadway, Seattle, WA 98122-5330 | 2014-11-13 |
| 1235531393 | Daven Marcel Pantohan | Physician Assistant | 601 Broadway, 6th Floor, Seattle, WA 98122-5330 | 2014-09-20 |
| 1275961914 | Melisa Lea | Pharmacist | 601 Broadway, Seattle, WA 98122-5330 | 2013-10-16 |
| 1225375736 | William Bradley Henderson | Physician Assistant | 601 Broadway, 6th Floor, Seattle, WA 98122-5330 | 2013-01-04 |
| 1699095588 | Devan Baker | Specialist/Technologist | 601 Broadway, 700, Seattle, WA 98122-5330 | 2010-06-02 |
| 1700100955 | Julie Bohm | Pharmacist | 601 Broadway, Seattle, WA 98122-5330 | 2010-03-17 |
| 1508026113 | Laura Jane Megan Matsen Ko | Orthopaedic Surgery | 601 Broadway, 6th Floor, Seattle, WA 98122-5330 | 2008-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053938506 | Quality Counseling and Consultation Service LLC | Counselor | 1525 Harvard Ave #509, Seattle, WA 98122 | 2020-07-01 |
| 1912535626 | Cesar Andrade | Student in an Organized Health Care Education/Training Program | 550 16th Avenue #400, Seattle, WA 98122 | 2020-03-29 |
| 1366089666 | Peter Nguyen | Pharmacy Technician | 914 East Jefferson Street, Campion Hall, Seattle, WA 98122 | 2019-12-05 |
| 1356903140 | Jason Dandino | Specialist/Technologist | 550 14th Avenue, Seattle, WA 98122 | 2019-07-02 |
| 1962066415 | Seattle Colleges | Local Education Agency (LEA) | Mainstay At Seattle Central College, 1701 Broadway Ms Be3210, Seattle, WA 98122 | 2019-04-30 |
| 1538621412 | Mitchell R Ornelas | Student in an Organized Health Care Education/Training Program | Swedish Family Medicine Residency Cherry Hill; 550 16th, Avenue #400, Seattle, WA 98122 | 2019-04-01 |
| 1003374265 | Michael Russell | Surgery | 747 Broadway Heath Building 10th Floor, Seattle, WA 98122 | 2019-03-06 |
| 1639646821 | Maritza E Cajiao | Doula | 747 Broadway, Seattle, Seattle, WA 98122 | 2018-10-25 |
| 1336616762 | Suzanna M Lovin | Social Worker | 401 Broadway, 1st Floor, Seattle, WA 98122 | 2018-10-24 |
| 1184137770 | Walter Franklin Krengel Jr. | Orthopaedic Surgery | 2000 1st Ave Suite 2201, Seattle, WA 98122 | 2017-11-06 |
| Find all providers in zip 98122 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063906295 | Wmc Inc | Prosthetic/Orthotic Supplier | 2600 3rd Ave Ste B, Seattle, WA 98121-1293 | 2018-06-20 |
| 1205100013 | Cadence Biomedical, Inc. | Prosthetic/Orthotic Supplier | 146 N Canal St Ste 100, Seattle, WA 98103-8652 | 2012-02-27 |
| 1922396159 | Hair Options | Prosthetic/Orthotic Supplier | 7106 Greenwood Ave N, Seattle, WA 98103-5038 | 2011-07-21 |
| 1083902746 | Seattle Cancer Care Alliance | Prosthetic/Orthotic Supplier | 207 Pontius Ave N, Suite 101, Seattle, WA 98109-5650 | 2011-07-15 |
| 1417255019 | Beauty N Kurves LLC | Prosthetic/Orthotic Supplier | 513 1st Ave W, Seattle, WA 98119-3925 | 2011-03-05 |
| 1699959155 | Terrapin Technologies, Inc | Prosthetic/Orthotic Supplier | 129 N 85th St, Seattle, WA 98103-3601 | 2007-12-19 |
| 1972521136 | Nordstrom Inc & Subsidiaries | Prosthetic/Orthotic Supplier | 715 Northgate, Seattle, WA 98125 | 2006-07-17 |
| 1740205996 | Nordstrom Inc & Subsidiaries | Prosthetic/Orthotic Supplier | 11143 W 95th St, Seattle, WA 66214 | 2006-07-12 |
| 1992743090 | Douglass Cert Pros & Orthotics, Inc | Prosthetic/Orthotic Supplier | 10740 Meridian Ave N Ste G2, Seattle, WA 98133-9010 | 2006-06-02 |
| 1942255278 | Nordstrom Inc & Subsidiaries | Prosthetic/Orthotic Supplier | 500 Pine St, Seattle, WA 98101-1744 | 2006-05-24 |
| Find all providers in SEATTLE | ||||
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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.