PACIFIC NORTHWEST UROLOGY SPECIALISTS, PLLC (NPI# 1023400041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023400041 |
| Entity Type | Organization |
| Organization Name | PACIFIC NORTHWEST UROLOGY SPECIALISTS, PLLC |
| Practice Address |
4545 Cordata Pkwy Ste 1a Bellingham WA 98226-7264 |
| Practice Telephone | 3607337687 |
| Practice Fax Number | 3607347687 |
| Mailing Telephone | 3607337687 |
| Mailing Fax Number | 3607347687 |
| Enumeration Date | 2015-02-27 |
| Last Update Date | 2015-05-06 |
| Authorized Official Name | KELLY J CASPERSON (OWNER) |
| Authorized Official Telephone | 3607741077 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 603472537 | WA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952852873 | Pacific Northwest Urology Specialists, Pllc | Clinic/Center | 3232 Squalicum Pkwy, Bellingham, WA 98225-1932 | 2016-10-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | PACIFIC NORTHWEST UROLOGY SPECIALISTS, PLLC | 3232 Squalicum Pkwy, Bellingham, WA 98225-1932 |
| Street Address |
4545 CORDATA PKWY STE 1A |
| City | BELLINGHAM |
| State | WA |
| Zip Code | 98226-7264 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124509864 | Monika Elizabeth Reynolds | Nurse Practitioner | 4545 Cordata Pkwy Ste 1a, Bellingham, WA 98226 | 2018-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558901090 | Advancement Northwest, LLC | Community/Behavioral Health | 410 W Bakerview Rd Suite 110, Space 107, Bellingham, WA 98226 | 2020-01-13 |
| 1295374882 | Unity Care Northwest | Community/Behavioral Health | Roosevelt Elementary School Bh Services, 2900 Yew St., Bellingham, WA 98226 | 2019-12-30 |
| 1710454913 | Shane Humason | Pharmacist | 1225 East Sunset Drive, Ste 110, Bellingham, WA 98226 | 2018-10-26 |
| 1508342759 | Lydia Place A Nonprofit Corporation | Counselor | 1430 North Garden Street, Bellingham, WA 98226 | 2018-07-11 |
| 1609384486 | Lindsay Grace Davis | Massage Therapist | 1572 Huntley Rd, Bellingham, WA 98226 | 2018-01-16 |
| 1760900765 | Melissa Peters | Massage Therapist | 823 W Larson Rd, Bellingham, WA 98226 | 2017-08-30 |
| 1245754001 | Amber Michelle Wilson | Physical Therapy Assistant | 4860 Cordata Pkwy, North Cascades Health and Rehab, Bellingham, WA 98226 | 2017-08-02 |
| 1063935310 | Sophie Elizabeth Kangas | Speech-Language Pathologist | 4152 Meridian Street, Suite 105, Pmb 159, Bellingham, WA 98226 | 2017-07-19 |
| 1639607849 | Sharon Lynn Katz-kunde | Physical Therapist | 317 E Mcleod Rd #101, Bellingham, WA 98226 | 2017-06-01 |
| 1376998179 | Hyowon Choi | Podiatrist | 2075 Barkley Blvd Ste 220, Bellingham, WA 98226 | 2016-04-28 |
| Find all providers in zip 98226 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023366283 | William P Griggs | Urology | 2160 Dellesta Dr, Bellingham, WA 98226-7850 | 2012-08-20 |
| 1295883700 | Pacific Rim Urology | Urology | 2980 Squalicum Parkway, Suite 306, Bellingham, WA 98225 | 2007-01-08 |
| 1407937253 | John Mark Pettit | Urology | 340 Birchwood Ave, Bellingham, WA 98225-1782 | 2006-10-18 |
| 1992207278 | Elizabeth Hirshberg | Urology | 3232 Squalicum Pkwy, Bellingham, WA 98225-1932 | 2018-03-02 |
| 1497152631 | Bellingham Urology Group Pllc | Urology | 340 Birchwood Ave, Bellingham, WA 98225 | 2014-12-03 |
| 1134414477 | Daniel Reznicek | Urology | 4545 Cordata Pkwy, Suite 1a, Bellingham, WA 98226-7263 | 2011-06-15 |
| 1992828743 | Kelly June Casperson | Urology | 340 Birchwood Ave, Bellingham, WA 98225-1782 | 2007-04-09 |
| 1417038019 | Bellingham Urology Specialists Pllc | Urology | 340 Birchwood Ave, Bellingham, WA 98225-1782 | 2006-10-18 |
| 1477634046 | Sean Casey Okeefe | Urology | 340 Birchwood Ave, Bellingham, WA 98225-1782 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371532 | Jeffrey Allen Zhan | Urology | Good Samaritan Medical Office Bldg 1450 5th St Se, Suite 2100- Urology Clinic, Puyallup, WA 98372 | 2019-11-21 |
| 1598182818 | Boston Medical Group- Washington, P.C. | Urology | 12301 N.e. 10th Place, Suite 101, Bellevue, WA 98005 | 2014-03-25 |
| 1033552823 | Carol Collins | Urology | 272 Health Sciences, 1959 Ne Pacific St, Seattle, WA 98195-7610 | 2013-04-10 |
| 1740523158 | Kacey Helena Provenzano | Urology | 780 Swift Blvd Ste 201, Richland, WA 99352 | 2013-04-03 |
| 1710242714 | Ralph Vernon Stagner | Urology | 3414 Horsehead Bay Dr. N.w., Gig Harbor, WA 98335 | 2012-07-06 |
| 1043579980 | Richard Kenneth Ohme | Urology | 3108 E Bay Dr Nw, Gig Harbor, WA 98335-7610 | 2012-05-13 |
| 1730447731 | Daniel Christian Sackman | Urology | 3124 South 19th St #c320, Tacoma, WA 98405-3011 | 2012-04-26 |
| 1144595299 | Philip Clark May | Urology | 11911 Ne 132nd St Ste 200, Kirkland, WA 98034 | 2012-03-21 |
| 1073886438 | Peter John Minich | Urology | 3124 S 19th St Ste 240, Tacoma, WA 98405-2433 | 2012-02-15 |
| 1366731887 | Helena Chih-hua Chang | Urology | 1536 N 115th St Ste 300, Seattle, WA 98133-8400 | 2011-04-05 |
| Find all providers with the same taxonomy | ||||
| City | BELLINGHAM |
| Zip Code | 98226 |
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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.