WESTERN WASHINGTON MEDICAL GROUP, INC PS (NPI# 1023065919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023065919 |
| Entity Type | Organization |
| Organization Name | WESTERN WASHINGTON MEDICAL GROUP, INC PS |
| Practice Address |
1728 W Marine View Dr Suite 110 Everett WA 98201-2094 |
| Practice Telephone | 4252594041 |
| Practice Fax Number | 4252526642 |
| Mailing Telephone | 4252594041 |
| Mailing Fax Number | 4252526642 |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2016-03-02 |
| Authorized Official Name | VICKI M MCGINNIS (PRIVACY OFFICER) |
| Authorized Official Telephone | 4252594041 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
WA | Allopathic & Osteopathic Physicians | |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
WA | Allopathic & Osteopathic Physicians | |
| N | 207RN0300X |
Internal Medicine Specialization: Nephrology |
WA | Allopathic & Osteopathic Physicians | |
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
WA | Allopathic & Osteopathic Physicians | |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
WA | Allopathic & Osteopathic Physicians | |
| N | 208600000X | Surgery | WA | Allopathic & Osteopathic Physicians | |
| N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
WA | Allopathic & Osteopathic Physicians | |
| N | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
WA | Allopathic & Osteopathic Physicians | |
| N | 207X00000X | Orthopaedic Surgery | WA | Allopathic & Osteopathic Physicians | |
| N | 208800000X | Urology | WA | Allopathic & Osteopathic Physicians | |
| N | 207Y00000X | Otolaryngology | WA | Allopathic & Osteopathic Physicians | |
| N | 207Q00000X | Family Medicine | WA | Allopathic & Osteopathic Physicians | |
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
WA | Allopathic & Osteopathic Physicians | |
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023236528 | Western Washington Medical Group, Inc Ps | Internal Medicine | 4225 Hoyt Ave Ste A, Everett, WA 98203-2351 | 2007-04-23 |
| 1649498049 | Western Washington Medical Group, Inc Ps | Family Medicine | 4225 Hoyt Ave Ste B, Everett, WA 98203-2351 | 2007-04-23 |
| 1932327335 | Western Washington Medical Group, Inc Ps | Podiatrist | 3202 Colby Ave Ste E, Everett, WA 98201-4324 | 2007-04-23 |
| 1326266727 | Western Washington Medical Group, Inc Ps | Psychologist | 3525 Colby Ave Ste 200, Everett, WA 98201-4782 | 2007-04-23 |
| 1538387931 | Western Washington Medical Group, Inc Ps | Urology | 4310 Colby Ave Ste 203, Everett, WA 98203-2338 | 2007-04-23 |
| 1093933491 | Western Washington Medical Group, Inc Ps | Internal Medicine | 1330 Rockefeller Ave Ste 330, Everett, WA 98201 | 2007-04-23 |
| 1417175811 | Western Washington Medical Group, Inc Ps | Internal Medicine | 1330 Rockefeller Ave Ste 450, Everett, WA 98201-1677 | 2007-04-23 |
| 1831238443 | Western Washington Medical Group, Inc Ps | Spec/Tech, Pathology | 6825 216th St Sw Ste E, Lynnwood, WA 98036-7379 | 2007-02-06 |
| 1003809229 | Western Washington Medical Group, Inc Ps | Clinic/Center | 3501 Shelby Rd, Suite B, Lynnwood, WA 98087-3599 | 2005-08-23 |
| 1538606413 | Western Washington Medical Group, Inc Ps | Internal Medicine | 1909 214th St Se, Suite 211, Bothell, WA 98021-4412 | 2017-01-30 |
| Street Address |
1728 W MARINE VIEW DR SUITE 110 |
| City | EVERETT |
| State | WA |
| Zip Code | 98201-2094 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780672030 | Kathryn M Johnson | Psychologist | 1728 W Marine View Dr, Suite 106, Everett, WA 98201-2094 | 2005-10-11 |
| 1538728233 | Eric Scott Rosmith | Psychologist | 1728 W Marine View Dr, Everett, WA 98201-2094 | 2019-06-07 |
| 1164947438 | Emma Oswald | Nurse Practitioner | 1728 W Marine View Dr, Everett, WA 98201-2094 | 2017-08-08 |
| 1255780219 | Megan Irving | Counselor | 1728 W Marine View Dr, Everett, WA 98201 | 2016-06-09 |
| 1538574439 | Rimple Manan | Psychiatry & Neurology | 1728 W Marine View Dr, Everett, WA 98201 | 2014-06-30 |
| 1255743910 | Katherine D Mitchell | Psychiatry & Neurology | 1728 W Marine View Dr, Everett, WA 98201-2094 | 2014-05-28 |
| 1023309135 | Laura Ann Perez | Nurse Practitioner | 1728 W Marine View Dr, Suite 106, Everett, WA 98201-2094 | 2011-04-22 |
| 1851699573 | Hyesoon Choi | Nurse Practitioner | 1728 W Marine View Dr, Suite 109, Everett, WA 98201-2094 | 2011-03-03 |
| 1417265505 | Deanna Lynn Seather-brady | Social Worker | 1728 W Marine View Dr, Everett, WA 98201-2094 | 2010-09-22 |
| 1760714653 | Jeremy J Senske | Psychologist | 1728 W Marine View Dr, Everett, WA 98201-2094 | 2010-02-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306471867 | Shannon Michelle Dewald | Registered Nurse | D8s 1700 13th St, Everett, WA 98201 | 2020-03-05 |
| 1578123113 | Precious Medicial Spa, LLC | Registered Nurse | 1728 W. Marine View Dr Suite 212, Everett, WA 98201 | 2019-06-17 |
| 1508429796 | Alix Deschain | Counselor | 2801 Broadway, Everett, WA 98201 | 2019-04-15 |
| 1811457534 | Khushboo Patel | Pharmacist | 1330 Rockefeller Ave Ste 150, Everett, WA 98201 | 2019-03-20 |
| 1164991188 | Grace Talbot Davis | Registered Nurse | 2601 Summit Avenue, Bldg. C, Everett, WA 98201 | 2018-11-20 |
| 1063924603 | Tracy Sisk | Counselor | 3120 Colby Ave, 502, Everett, WA 98201 | 2017-11-03 |
| 1710403126 | Michelle Durham | Counselor | 3322 Boadway Fl 2, Everett, WA 98201 | 2017-08-17 |
| 1861927949 | Melanie Schmidt | Counselor | 2610 Westmore Ave, Everett, WA 98201 | 2017-04-26 |
| 1518413327 | Joseph Madson Dmd Pllc | Clinic/Center | 3802 Colby Ave, 4th Floor, Everett, WA 98201 | 2016-08-31 |
| 1043683162 | Jennifer Adams | Counselor | 1511 26th St, Everett, WA 98201 | 2015-11-11 |
| Find all providers in zip 98201 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023236528 | Western Washington Medical Group, Inc Ps | Internal Medicine | 4225 Hoyt Ave Ste A, Everett, WA 98203-2351 | 2007-04-23 |
| 1699743427 | Madan Lal Zutshi | Internal Medicine | 92 Garland St, Everett, MA 02149 | 2006-03-09 |
| 1336376441 | Dhavan A Parikh | Internal Medicine | 3927 Rucker Ave, Everett, WA 98201-4833 | 2009-06-16 |
| 1649419698 | Jianfeng Cheng | Internal Medicine | 3927 Rucker Ave, Everett, WA 98201-4833 | 2009-02-16 |
| 1376707232 | Madan Zutshi, P.C. | Internal Medicine | 92 Garland St, Everett, MA 02149-5067 | 2008-07-10 |
| 1760694186 | Eduardo Alvarez Chua | Internal Medicine | 4225 Hoyt Ave, Ste A, Everett, WA 98203-2351 | 2007-05-06 |
| 1760584452 | Janet C King | Internal Medicine | 3927 Rucker Ave, Everett, WA 98201-4833 | 2006-09-02 |
| 1295842037 | Darby E Robinson O'neill | Internal Medicine | 3927 Rucker Ave, Everett, WA 98201-4833 | 2006-08-25 |
| 1386680445 | Sujoy K Ghorai | Internal Medicine | 4225 Hoyt Ave, Suite A, Everett, WA 98203-2351 | 2006-06-20 |
| 1689610602 | Jerome R Waldbaum | Internal Medicine | 4225 Hoyt Ave, Suite A, Everett, WA 98203-2351 | 2006-06-20 |
| Find all providers in EVERETT | ||||
Please comment or provide details below to improve the information on WESTERN WASHINGTON MEDICAL GROUP, INC PS.
| 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.