TELEHEALTH MEDICAL GROUP (NPI# 1063928281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063928281 |
| Entity Type | Organization |
| Organization Name | TELEHEALTH MEDICAL GROUP |
| Practice Address |
11415 Slater Ave Ne Kirkland WA 98033-4656 |
| Mailing Address |
615 E Chapman Ave Orange CA 92866-1643 |
| Practice Telephone | 4258992525 |
| Mailing Telephone | 7146394012 |
| Mailing Fax Number | 7146394018 |
| Enumeration Date | 2017-12-26 |
| Last Update Date | 2017-12-26 |
| Authorized Official Name | DR. BRYN JARALD HENDERSON (OWNER) |
| Authorized Official Telephone | 7146394012 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
11415 SLATER AVE NE |
| City | KIRKLAND |
| State | WA |
| Zip Code | 98033-4656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407867690 | Frank F Marinkovich | Internal Medicine | 11415 Slater Ave Ne, 102, Kirkland, WA 98033-4656 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584826 | Raquel Maria Reyes | Interpreter | 11205 Ne 62nd St., Kirkland, WA 98033 | 2020-10-02 |
| 1588146468 | Lake Washington Family Chiropractic, Pllc | Chiropractor | 816 6th Street South, 816 6th Street South, Kirkland, WA 98033 | 2018-09-06 |
| 1316463557 | Tony Jia Ly | Pharmacist | 7224 120th Ave Ne, Kirkland, WA 98033 | 2017-08-18 |
| 1003356403 | Eden Home Health of King County, LLC | Home Health | 733 7th Avenue, Suite 110, Kirkland, WA 98033 | 2017-03-03 |
| 1184170763 | Kirkland Family Dentistry | Dentist | 1715 Market St #104, Kirkland, WA 98033 | 2016-09-01 |
| 1144688565 | Kamala Psychology and Yoga LLC | Psychologist | 603 4th Ave Ste 101, Kirkland, WA 98033 | 2016-01-30 |
| 1245695352 | Ron Massey | Massage Therapist | 11406 Ne 112th St, Kirkland, WA 98033 | 2015-12-17 |
| 1194106039 | John Pham | Internal Medicine | 9426 116th Ave Ne, Kirkland, WA 98033 | 2015-06-16 |
| 1992199970 | Garrison Patrick Wier | Ophthalmology | 625 4th Ave Ste 301, Kirkland, WA 98033 | 2015-03-26 |
| 1871993113 | Abigail Trajtenberg Loomis | Behavioral Analyst | 1003 7th Avenue, Kirkland, WA 98033 | 2014-08-22 |
| Find all providers in zip 98033 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598205908 | The Everett Clinic, Pllc | Family Medicine | 11800 Ne 128th St Ste 560, Kirkland, WA 98034-7208 | 2017-03-03 |
| 1417132804 | Christy Chan | Family Medicine | 290 Central Way, Kirkland, WA 98033 | 2008-01-03 |
| 1841413952 | Jeffrey Alan Lane | Family Medicine | 13151 92nd Ave Ne, Kirkland, WA 98034-5902 | 2007-04-10 |
| 1053450627 | Reza Tabibi | Family Medicine | 11521 Ne 128th St Ste 100, Kirkland, WA 98034-4317 | 2007-02-06 |
| 1164585204 | Setsuko Hosoda | Family Medicine | 11800 Ne 128th St Fl 5, Kirkland, WA 98034-7208 | 2006-12-19 |
| 1073566345 | Larry E Nacht | Family Medicine | 12710 Totem Lake Blvd Ne, Kirkland, WA 98034-2907 | 2006-05-18 |
| 1275515702 | Glen Stuhring | Family Medicine | 14048 Juanita Dr Ne, Kirkland, WA 98034-9712 | 2005-11-18 |
| 1215387345 | Kyle Jordan | Family Medicine | 12910 Totem Lake Blvd Ne Ste 101, Kirkland, WA 98034-2901 | 2016-06-20 |
| 1831505676 | Orion B Wells | Family Medicine | 11800 Ne 128th St Ste 300, Kirkland, WA 98034-7211 | 2014-07-01 |
| 1730599283 | Tara Lekshmi Nair | Family Medicine | 290 Central Way, Kirkland, WA 98033-6104 | 2014-05-06 |
| Find all providers in KIRKLAND | ||||
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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.