KAISER FOUNDATION HEALTH PLAN OF WASHINGTON (NPI# 1013208099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013208099 |
| Entity Type | Organization |
| Organization Name | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON |
| Other Organization Name | PORT ORCHARD MEDICAL CENTER |
| Practice Address |
1400 Pottery Ave Port Orchard WA 98366-3711 |
| Mailing Address |
Po Box 34584 Seattle WA 98124-1584 |
| Practice Telephone | 3608955000 |
| Practice Fax Number | 3608955034 |
| Mailing Telephone | 5092417349 |
| Mailing Fax Number | 5092417628 |
| Enumeration Date | 2011-04-26 |
| Last Update Date | 2017-02-28 |
| Authorized Official Name | KATHY BEERY (DIRECTOR) |
| Authorized Official Telephone | 2066301818 |
| Is Organization Subpart | Y |
| Parent Organization Name | GROUP HEALTH COOPERATIVE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Port Orchard Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851917074 | Kaiser Foundation Health Plan of Washington | Family Medicine | 5216 Point Fosdick Dr # 102, Gig Harbor, WA 98335-0037 | 2020-06-23 |
| 1811511454 | Kaiser Foundation Health Plan of Washington | Pharmacy | 189 Telegraph Rd, Bellingham, WA 98226-8079 | 2020-05-29 |
| 1174155345 | Kaiser Foundation Health Plan of Washington | Pharmacy | 2335 172nd Street Ne, Marysville, WA 98271 | 2020-02-06 |
| 1548807738 | Kaiser Foundation Health Plan of Washington | Pharmacy | 1200 Cooper Point Road Sw, Suite 100, Olympia, WA 98502 | 2019-12-06 |
| 1447897707 | Kaiser Foundation Health Plan of Washington | Pharmacy | 1401 Nw 46th Street, 5th Floor, Seattle, WA 98107 | 2019-12-05 |
| 1891350377 | Kaiser Foundation Health Plan of Washington | Family Medicine | 210 9th Ave N, Seattle, WA 98109-5120 | 2019-05-09 |
| 1942591532 | Kaiser Foundation Health Plan of Washington | Clinic/Center | 5821 S Sprague Court, Tacoma, WA 98409 | 2011-04-29 |
| 1124264577 | Kaiser Foundation Health Plan of Washington | Family Medicine | 2715 Naches Ave Sw, Gsw-a1n-02, Renton, WA 98057-2627 | 2009-01-06 |
| 1235263245 | Kaiser Foundation Health Plan of Washington | Pharmacy | 1420 5th Ave., Suite 375, Seattle, WA 98101 | 2007-03-15 |
| 1891829644 | Kaiser Foundation Health Plan of Washington | Pharmacy | 700 N Lilly Road, Olympia, WA 98056-5196 | 2007-03-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | 601 Union St #3100, Seattle, WA 98101 |
| Washington State Corporations | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS, INC. | 601 Union St, Ste 3100, Seattle, WA 98101-2341 |
| Street Address |
1400 POTTERY AVE |
| City | PORT ORCHARD |
| State | WA |
| Zip Code | 98366-3711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992780605 | Dee Ann Hackett Taylor | Family Medicine | 1400 Pottery Ave, Port Orchard, WA 98366-3711 | 2005-12-14 |
| 1427684968 | Meghan Aubrey Clark | Nurse Practitioner | 1400 Pottery Ave, Port Orchard, WA 98366-3711 | 2020-03-17 |
| 1992270813 | Jarred Zacher | Physician Assistant | 1400 Pottery Ave, Port Orchard, WA 98366-3711 | 2018-10-07 |
| 1851898548 | Eilidh V.b.b Thylin | Physician Assistant | 1400 Pottery Ave, Port Orchard, WA 98366-3711 | 2018-04-09 |
| 1407364805 | Rebekah Foelker | Physical Therapist | 1400 Pottery Ave, Port Orchard, WA 98366-3711 | 2018-01-19 |
| 1245757087 | Aaron T Croft | Occupational Therapist | 1400 Pottery Ave, Port Orchard, WA 98366-3711 | 2017-08-23 |
| 1053677815 | Barbara T Hepfer | Nurse Practitioner | 1400 Pottery Ave, Oc Med, Port Orchard, WA 98366-3711 | 2012-04-05 |
| 1912207788 | Donald Tracy | Pharmacist | 1400 Pottery Ave, Port Orchard, WA 98366-3711 | 2010-10-27 |
| 1851529952 | Brad R. Mackinnon | Family Medicine | 1400 Pottery Ave, Group Health, Port Orchard, WA 98366-3711 | 2009-06-26 |
| 1568647626 | Barbara Jean Holloway | Physician Assistant | 1400 Pottery Ave, Group Health, Port Orchard, WA 98366-3711 | 2008-01-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003423302 | Teresa M Derouin | Speech-Language Pathologist | Harbor Speech Pathology, 463 Tremont St W Suite 110, Port Orchard, WA 98366 | 2020-09-30 |
| 1316591217 | Martin Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 8079 E Main Street, Suite 101, Port Orchard, WA 98366 | 2019-07-29 |
| 1952822660 | Kristian Thomas Workman Haskins | Hearing Instrument Specialist | 1328 Colchester Drive S.e., Port Orchard, WA 98366 | 2017-07-03 |
| 1013466929 | Jenna Olafson | Counselor | 414 Front St. N, Issaquah, WA 98366 | 2016-10-04 |
| 1063884534 | Laurine Burrer | Licensed Practical Nurse | 2874 Se Lund Ave, Port Orchard, WA 98366 | 2015-10-23 |
| 1346640836 | Karen Diane Thompson | Pharmacy Technician | 1800 Sidney Ave, Apt 1-201, Port Orchard, WA 98366 | 2014-09-03 |
| 1588912042 | Celeste Kyle Interrante | Physical Therapy Assistant | 2051 Pottery Ave., Port Orchard, WA 98366 | 2012-08-15 |
| 1013227339 | Christine Davis | Massage Therapist | 1800 Se Mile Hill Drive, Suite 150, Port Orchard, WA 98366 | 2010-10-20 |
| 1932421724 | Mary Jo Stump | Physical Therapy Assistant | 2051 Pottery Avenue, Port Orchard, WA 98366 | 2010-02-19 |
| 1669707626 | Shannon Mary Baurichter | Speech-Language Pathologist | 1230 Bay St, Port Orchard, WA 98366 | 2009-10-08 |
| Find all providers in zip 98366 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326676818 | Nocd Washington PC | Clinic/Center | 2320 130th Ave Ne Ste 110, Bellevue, WA 98005-1752 | 2020-03-30 |
| 1922635887 | Cascade Nurse Practitioners | Clinic/Center | 5409 100th St Sw Unit 39800, Lakewood, WA 98496-0970 | 2020-03-23 |
| 1942735667 | The Evergreen At Northpoint | Clinic/Center | 2111 N Northgate Way Ste 101, Seattle, WA 98133-9018 | 2017-05-01 |
| 1174061543 | Antares Wellness Pllc | Clinic/Center | 9319 7th Ave S, Seattle, WA 98108-4604 | 2017-02-06 |
| 1962852038 | Northwest Pain Relief Centers, LLC | Clinic/Center | 503 W Fir St, Suite D, Sequim, WA 98382-3210 | 2016-06-20 |
| 1851741698 | Marconi Chiropractic and Wellness | Clinic/Center | 11207 Mccutcheon Rd, Bonney Lake, WA 98391-8103 | 2016-06-13 |
| 1356738694 | Northwest Pain Relief Centers LLC | Clinic/Center | 7424 Bridgeport Way W Ste 305, Lakewood, WA 98499-8135 | 2015-04-24 |
| 1306231170 | Objective Medical Assessments Corp | Clinic/Center | 401 2nd Ave S, #110, Seattle, WA 98104-3858 | 2015-03-30 |
| 1477946754 | Rose Urgent Care and Family Practice | Clinic/Center | 650 N Devine Rd Ste B, Vancouver, WA 98661-6979 | 2015-03-11 |
| 1336549609 | Ranger Group Pllc | Clinic/Center | 16150 Ne 85th St Ste 110, Redmond, WA 98052-3541 | 2014-08-24 |
| Find all providers with the same taxonomy | ||||
| City | PORT ORCHARD |
| Zip Code | 98366 |
Please comment or provide details below to improve the information on KAISER FOUNDATION HEALTH PLAN OF WASHINGTON.
| 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.