EASTSIDE FAMILY HEALTH CENTER, P.S. (NPI# 1083625271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083625271 |
| Entity Type | Organization |
| Organization Name | EASTSIDE FAMILY HEALTH CENTER, P.S. |
| Practice Address |
11821 Ne 128th St Ste D Kirkland WA 98034-7210 |
| Practice Telephone | 4258992525 |
| Practice Fax Number | 4258992526 |
| Mailing Telephone | 4258992525 |
| Mailing Fax Number | 4258992526 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. FRANK F MARINKOVICH (PRESIDENT) |
| Authorized Official Telephone | 4258992525 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
11821 NE 128TH ST STE D |
| City | KIRKLAND |
| State | WA |
| Zip Code | 98034-7210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023088374 | Timothy Hayes Massey | Orthopaedic Surgery | 11821 Ne 128th St, Suite A, Kirkland, WA 98034-7210 | 2006-01-26 |
| 1003351925 | Eric O'quinn | Physical Therapist | 11821 Ne 128th St, Ste C, Kirkland, WA 98034-7210 | 2017-01-02 |
| 1073981775 | Julie Foerster | Physical Therapist | 11821 Ne 128th St, Ste. C, Kirkland, WA 98034-7210 | 2015-09-11 |
| 1356718969 | Briana L Rogers | Physical Therapist | 11821 Ne 128th St, Ste C, Kirkland, WA 98034-7210 | 2015-08-31 |
| 1750774881 | Lisa Gleason | Dietitian, Registered | 11821 Ne 128th St, Ste C, Kirkland, WA 98034-7210 | 2015-03-13 |
| 1477953222 | Comprehensive Natural Medicine, Pllc | Non-Pharmacy Dispensing Site | 11821 Ne 128th St, Suite H, Kirkland, WA 98034-7210 | 2014-08-29 |
| 1134529183 | Virginia Haley | Physical Therapist | 11821 Ne 128th St, Ste C, Kirkland, WA 98034-7210 | 2014-08-27 |
| 1477979847 | Scott Schorer, L.ac., Eamp, Pllc | Acupuncturist | 11821 Ne 128th St, Suite H, Kirkland, WA 98034-7210 | 2014-03-10 |
| 1922346360 | Carley Moore | Specialist | 11821 Ne 128th St, Suite B, Kirkland, WA 98034-7210 | 2013-01-18 |
| 1992906481 | Galen Brett | Massage Therapist | 11821 Ne 128th St, Suite C, Kirkland, WA 98034-7210 | 2007-05-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578116596 | Rachel Bowers | Behavior Technician | 1335 Northeast 122nd Way, Suite 105, Kirkland, WA 98034 | 2019-07-18 |
| 1740841048 | Kristina Louise Inghram | Behavior Technician | 11415 Ne 128th St., Suite 40, Kirkland, WA 98034 | 2019-06-26 |
| 1053978064 | Matthew A. Bagnulo, Dds, Ps | Dentist | 11830 Ne 128th St., #202, Kirkland, WA 98034 | 2019-05-24 |
| 1629568928 | Stephanie Michalko | Optometrist | 11800 Ne 128th St Ste 110, Kirkland, WA 98034 | 2018-05-14 |
| 1952800013 | Heath Family Counseling LLC | Marriage & Family Therapist | 12025 115th Ave. Ne, Building D, Ste 200, Kirkland, WA 98034 | 2018-02-05 |
| 1891202834 | Barbara Josephine Gorham | Counselor | 2025 115th Ave Ne, Bldg D, #200, Kirkland, WA 98034 | 2017-12-29 |
| 1548782915 | Eleanor Hollis Wall | Counselor | 14340 102nd Ave Ne, Kirkland, WA 98034 | 2017-07-07 |
| 1457885212 | Peter Schoonmaker | Hospitalist | 12040 Ne 128th Street, Ms105, Kirkland, WA 98034 | 2017-04-18 |
| 1780124370 | Rebecca Managan | Advanced Practice Midwife | 12303 Ne 130th Ln Ste Coral225, Kirkland, WA 98034 | 2017-03-01 |
| 1669821104 | Winter Gonzalez | Counselor | 11720 97th Ln Ne Apt A411, Kirkland, WA 98034 | 2016-06-06 |
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| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive 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 |
|---|---|---|---|---|
| 1194106039 | John Pham | Internal Medicine | 9426 116th Ave Ne, Kirkland, WA 98033 | 2015-06-16 |
| 1922406867 | Lois Jean Weaver | Internal Medicine | 11411 - 111th Pl Ne, Kirkland, WA 98033-4543 | 2014-12-09 |
| 1699195651 | Xiaobing Wang | Internal Medicine | 12333 Ne 130th Ln Ste 310, Kirkland, WA 98034-7467 | 2014-04-17 |
| 1144653916 | Alexandra Rich | Internal Medicine | 12040 128th St, Ms-50, Kirkland, WA 98034-3013 | 2013-08-15 |
| 1407295256 | Lane Benes | Internal Medicine | 12333 Ne 130th Ln, Ste 320, Kirkland, WA 98034 | 2013-06-14 |
| 1821431461 | Sonia Kaur Hans | Internal Medicine | 12333 Ne 130th Ln, #400, Kirkland, WA 98034 | 2013-04-13 |
| 1326277203 | Christine Meyers | Internal Medicine | 12040 Ne 128th St # Ms -10, Kirkland, WA 98034-3013 | 2009-07-13 |
| 1891954780 | Lucy Doyle | Internal Medicine | 12040 Ne 128th St # Ms -105, Kirkland, WA 98034-3013 | 2008-06-05 |
| 1902095128 | Anslem O Opitoke | Internal Medicine | 1521 Ne 128th St Ste 100, Kirkland, WA 98101 | 2007-10-24 |
| 1275690463 | Sana Isa Pratt Md Pllc | Internal Medicine | 10413 Ne 37th Cir Bldg 3, Suite B, Kirkland, WA 98033-7924 | 2007-01-03 |
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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.