PUBLIC HOSPITAL DISTRICT NO 1 SKAGIT (NPI# 1043241540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043241540 |
| Entity Type | Organization |
| Organization Name | PUBLIC HOSPITAL DISTRICT NO 1 SKAGIT |
| Other Organization Name | SKAGIT REGIONAL HEALTH - ARLINGTON PEDIATRICS |
| Practice Address |
875 Wesley St Ste 130 Arlington WA 98223-1613 |
| Mailing Address |
1400 E. Kincaid Street Attn: Credentialing Mount Vernon WA 98274-4127 |
| Practice Telephone | 3604356525 |
| Practice Fax Number | 3604352634 |
| Mailing Telephone | 3604282500 |
| Mailing Fax Number | 3604286485 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2018-12-10 |
| Authorized Official Name | PAUL ISHIZUKA (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 3608145838 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
HAC.FS.0000106 | WA | Allopathic & Osteopathic Physicians |
| Y | 208000000X | Pediatrics | HAC.FS.00000106 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2058822 | 05 |
| Other Name | Type Code |
|---|---|
| Cascade Valley Pediatrics Clinic | Doing Business As Name - Organization |
| Skagit Regional Health | Other Name - Individual/Organization |
| Skagit Regional Health - Arlington Pediatrics | Doing Business As Name - Organization |
| Street Address |
875 WESLEY ST STE 130 |
| City | ARLINGTON |
| State | WA |
| Zip Code | 98223-1613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740288265 | Cascade Surgeons | Specialist | 875 Wesley St, Suite 230, Arlington, WA 98223-1613 | 2005-07-08 |
| 1134460959 | Western Washington Medical Group, Inc Ps | Family Medicine | 875 Wesley St, Suite 250, Arlington, WA 98223-1613 | 2013-03-04 |
| 1326355488 | Laboratory Corporation of America | Clinical Medical Laboratory | 875 Wesley St, Ste 140, Arlington, WA 98223-1613 | 2010-09-09 |
| 1013231984 | Ruth Elizabeth Wolff | Nurse Practitioner | 875 Wesley St, Suite 210, Arlington, WA 98223-1613 | 2010-03-22 |
| 1508092784 | Karen Sue Myren | Family Medicine | 875 Wesley St, Suite 250, Arlington, WA 98223-1613 | 2009-06-02 |
| 1295928323 | Kenneth D Sawyer Md Corp | Surgery | 875 Wesley St, Suite 210, Arlington, WA 98223-1613 | 2007-08-22 |
| 1396775698 | James Roger Henderson | Neuromusculoskeletal Medicine, Sports Medicine | 875 Wesley St, Suite 130, Arlington, WA 98223-1613 | 2006-07-03 |
| 1417983651 | Doina A Stefan | Pediatrics | 875 Wesley St, Suite 130, Arlington, WA 98223-1613 | 2006-06-22 |
| 1861428005 | Rosana Lim Go | Pediatrics | 875 Wesley St, Suite 130, Arlington, WA 98223-1613 | 2006-06-22 |
| 1346248861 | Monroe Calvin Whitman IIi | Specialist | 875 Wesley St, Suite 230, Arlington, WA 98223-1613 | 2005-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225667462 | Clark Nursing LLC | Registered Nurse | 30818 412th Dr. N.e., Arlington, WA 98223 | 2020-04-08 |
| 1952952442 | Tina Willett | Technician | 18404 19th Avenue Ne, Arlington, WA 98223 | 2019-09-25 |
| 1841841764 | Carolyn Marie Lantz | Technician | 6002 Cemetery Road, Arlington, WA 98223 | 2019-09-23 |
| 1801457643 | Maddison Post | Massage Therapist | 18725 Smokey Point Boulevard, Arlington, WA 98223 | 2019-06-24 |
| 1790341113 | Brandon Tyler Stott | Specialist/Technologist | 17023 11th Ave Ne, Arlington, WA 98223 | 2019-05-10 |
| 1881177715 | Hailey R Tanis | Massage Therapist | 3131 Smokey Point Drive #5b, Arlington, WA 98223 | 2018-09-06 |
| 1407381023 | Rest Easy Hair Clinic | Specialist | 3710 168th Street N.e. B101, Arlington, WA 98223 | 2017-04-21 |
| 1851839617 | Jamie Claire Chatters-elf | Preventive Medicine | 315 N French Avenue, Arlington, WA 98223 | 2017-02-01 |
| 1790153286 | Glenda Louise Taylor | Massage Therapist | 16404 Smokey Point Blvd #307, 307, Arlington, WA 98223 | 2015-09-14 |
| 1972990042 | Lizette Jamora Antig | Pediatrics | 875 Wesley St Ste 130, Arlington, WA 98223 | 2015-04-16 |
| Find all providers in zip 98223 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972990042 | Lizette Jamora Antig | Pediatrics | 875 Wesley St Ste 130, Arlington, WA 98223 | 2015-04-16 |
| 1255735791 | Naum I. Becker | Pediatrics | 6201 Matlock Rd Ste 139, Arlington, TX 76002-2763 | 2014-10-13 |
| 1790199735 | Nikita Patel | Pediatrics | 1915 E Mayfield Rd Ste 115, Arlington, TX 76014-2605 | 2014-06-18 |
| 1760750103 | Robert Kennedy Portman Jr. | Pediatrics | 2209 Shadywood Ct., Arlington, TX 76012 | 2011-12-13 |
| 1174828289 | Rainbow Children's Clinic, P.a. | Pediatrics | 1900 Ballpark Way, Ste 106, Arlington, TX 76006-6610 | 2011-01-20 |
| 1316259468 | George Peter Contis | Pediatrics | 2356 N Lincoln St, Arlington, VA 22207-3862 | 2010-07-06 |
| 1649581067 | Saurabh Dasgupta | Pediatrics | 611 S Carlin Springs Rd Ste 301, Arlington, VA 22204-1086 | 2010-06-30 |
| 1154653681 | Sarah Bridges Sheldon | Pediatrics | 22 Mill St Ste 206, Arlington, MA 02476 | 2010-02-09 |
| 1689807315 | Johanna Delacroix | Pediatrics | 920 N Barton St, Arlington, VA 22201-1910 | 2009-08-28 |
| 1629219407 | Purnachander Rao Sirikonda | Pediatrics | 4907 S Collins St Ste 141, Arlington, TX 76018-1159 | 2009-03-09 |
| Find all providers in ARLINGTON | ||||
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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.