PACIFIC NORTHWEST UROLOGY SPECIALISTS, PLLC


Address: 4545 Cordata Pkwy Ste 1a, Bellingham, WA 98226-7264
Phone: 3607337687

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208800000X Urology 603472537 WA Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1952852873 Pacific Northwest Urology Specialists, Pllc Clinic/Center 3232 Squalicum Pkwy, Bellingham, WA 98225-1932 2016-10-14

Other Data Sources

Entity Type Entity Name Entity Address
Washington State Corporations PACIFIC NORTHWEST UROLOGY SPECIALISTS, PLLC 3232 Squalicum Pkwy, Bellingham, WA 98225-1932

Office Location

Street Address 4545 CORDATA PKWY STE 1A
City BELLINGHAM
State WA
Zip Code 98226-7264

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124509864 Monika Elizabeth Reynolds Nurse Practitioner 4545 Cordata Pkwy Ste 1a, Bellingham, WA 98226 2018-08-21

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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
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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
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Taxonomy Information

Taxonomy Code 208800000X
Grouping Allopathic & Osteopathic Physicians
Classification Urology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City BELLINGHAM
Zip Code 98226

Improve Information

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Dataset Information

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.

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