WESTERN WASHINGTON MEDICAL GROUP, INC PS (NPI# 1023236528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023236528 |
| Entity Type | Organization |
| Organization Name | WESTERN WASHINGTON MEDICAL GROUP, INC PS |
| Other Organization Name | WESTERN WA MEDICAL GROUP, INC. DEPT OF GASTROENTEROLOGY |
| Practice Address |
4225 Hoyt Ave Ste A Everett WA 98203-2351 |
| Practice Telephone | 4252593122 |
| Practice Fax Number | 4252529860 |
| Mailing Telephone | 4252593122 |
| Mailing Fax Number | 4252529860 |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2016-02-23 |
| Authorized Official Name | MS. VICKI MCGINNIS (HIPAA PRIVACY OFFICER) |
| Authorized Official Telephone | 4252594041 |
| Is Organization Subpart | Y |
| Parent Organization Name | WESTERN WASHINGTON MEDICAL GROUP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
601474013 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 7056971 | 05 | |
| WA | LABOR & INDUSTRIE | 0050070 | 01 |
| WA | RAILROAD MEDICARE | CB4745 | 01 |
| Other Name | Type Code |
|---|---|
| Western Wa Medical Group, Inc. Dept of Gastroenterology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1568916682 | Western Washington Medical Group, Inc Ps | Psychiatry & Neurology | 12728 19th Ave Se, Suite 300, Everett, WA 98208-6526 | 2016-08-05 |
| Street Address |
4225 HOYT AVE STE A |
| City | EVERETT |
| State | WA |
| Zip Code | 98203-2351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083226039 | Lisa Mcgregor | Counselor | Sea Mar Community Health Centers, 5007 Claremont Way, Everett, WA 98203 | 2020-08-20 |
| 1417572009 | Megan Ostermick-durkee | Student in an Organized Health Care Education/Training Program | Sunrise Services Inc., 811 Madison Street, Everett, WA 98203 | 2020-06-10 |
| 1134741424 | Tara Lin Garcia | Peer Specialist | 4256 Federal Avenue, Everett, WA 98203 | 2020-05-11 |
| 1225505241 | Reverie Aurora Shunny | Counselor | Sunrise Service Inc., 811 Madison Street, Everett, WA 98203 | 2018-10-29 |
| 1205313483 | Kristina Renee Bylenga | Counselor | Compass Health 4526 Federal Avenue M/s # 11, Everett, WA 98203 | 2018-07-20 |
| 1306384300 | Shantijoy Inc | Naturopath | 5208 S 2nd Ave, Everett, WA 98203 | 2017-02-09 |
| 1922545276 | Ekaterina Malinovska Dds Pllc | Dentist | 5920 Evergreen Way Suite E, Everett, WA 98203 | 2017-01-25 |
| 1326404104 | Job Oichoe | Counselor | 4625 Federal Ave, Everett, WA 98203 | 2016-01-08 |
| 1427423292 | Ross Lee Voorhees | Counselor | 4423 S 3rd Ave, Everett, WA 98203 | 2015-12-04 |
| 1447642376 | Adam Schneider | Counselor | 4526 Federal Ave # 40, Everett, WA 98203 | 2015-03-02 |
| Find all providers in zip 98203 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1942241104 | W Michael Mcdonnell | Internal Medicine | 4225 Hoyt Ave, Suite A, Everett, WA 98203-2351 | 2006-06-09 |
| Find all providers in EVERETT | ||||
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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.