SWEDISH EDMONDS (NPI# 1124334248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124334248 |
| Entity Type | Organization |
| Organization Name | SWEDISH EDMONDS |
| Other Organization Name | SWEDISH EDMONDS PAIN TREATMENT CENTER |
| Practice Address |
21601 76th Ave W Edmonds WA 98026-7507 |
| Mailing Address |
Po Box 91000 Edmonds WA 98026-2100 |
| Practice Telephone | 4256404740 |
| Practice Fax Number | 4256404746 |
| Mailing Telephone | 4256404740 |
| Mailing Fax Number | 4256404746 |
| Enumeration Date | 2010-08-26 |
| Last Update Date | 2010-08-26 |
| Authorized Official Name | RICHARD L CANNING (CFO/COO) |
| Authorized Official Telephone | 4256404000 |
| Is Organization Subpart | Y |
| Parent Organization Name | SWEDISH EDMONDS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| SWEDISH EDMONDS PAIN TREATMENT CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881994028 | Swedish Edmonds | Internal Medicine | 21616 76 Ave W, Suite 212, Edmonds, WA 98026 | 2010-10-21 |
| 1831404607 | Swedish Edmonds | Internal Medicine | 7320 216th Sw, Suite 200, Edmonds, WA 98026-8006 | 2010-08-17 |
| 1053626465 | Swedish Edmonds | Psychiatric Unit | 21601 76th Ave W., Edmonds, WA 98026-2100 | 2010-08-10 |
| 1982911418 | Swedish Edmonds | Internal Medicine | 21601 76th Ave W, Edmonds, WA 98026-2100 | 2010-09-03 |
| 1770899189 | Swedish Edmonds | Surgery | 21600 Highway 99 Ste 150, Edmonds, WA 98026-8047 | 2010-08-23 |
| 1588970909 | Swedish Edmonds | Psychiatry & Neurology | 21601 76th Ave W, Edmonds, WA 98026-7507 | 2010-08-23 |
| 1861708281 | Swedish Edmonds | Family Medicine | 21911 76th Ave W, Suite 110, Edmonds, WA 98026-7507 | 2010-08-23 |
| 1043428352 | Swedish Edmonds | Psychiatry & Neurology | 21601 76th Ave W, Edmonds, WA 98026-7507 | 2007-05-18 |
| 1033107214 | Swedish Edmonds | Psychiatric Unit | 21601 76th Ave W, Edmonds, WA 98026-7507 | 2005-10-11 |
| 1518961051 | Swedish Edmonds | Pharmacy | 7320 216th St Sw, Ste 100b, Edmonds, WA 98026-8006 | 2005-06-13 |
| Street Address |
21601 76TH AVE W |
| City | EDMONDS |
| State | WA |
| Zip Code | 98026-7507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417954173 | Andrea Ference | Specialist | 21601 76th Ave W, Edmonds, WA 98026-7507 | 2005-07-07 |
| 1811519614 | Kelsey Nicole Gardetto | Pharmacist | 21601 76th Ave W, Edmonds, WA 98026-7507 | 2020-05-14 |
| 1942835087 | Nancy Kelly | Registered Nurse | 21601 76th Ave W, Edmonds, WA 98026-7507 | 2020-03-09 |
| 1003440231 | Selma Tanjo | Registered Nurse | 21601 76th Ave W, Edmonds, WA 98026-7507 | 2020-02-26 |
| 1972147098 | Xin Zhang | Pharmacist | 21601 76th Ave W, Edmonds, WA 98026-7507 | 2019-10-31 |
| 1285278499 | Emily Riley | Pharmacist | 21601 76th Ave W, Edmonds, WA 98026-7507 | 2019-10-30 |
| 1366009185 | Janice Gear | Doula | 21601 76th Ave W, Edmonds, WA 98026-7507 | 2019-05-28 |
| 1437668506 | Margaret S Fischer | Family Medicine | 21601 76th Ave W, Edmonds, WA 98026-7507 | 2017-09-21 |
| 1295192441 | Katherine Bliss Ross | Physician Assistant | 21601 76th Ave W, Edmonds, WA 98026-7507 | 2016-01-19 |
| 1215311212 | Kimberly Iversen | Physician Assistant | 21601 76th Ave W, Edmonds, WA 98026-7507 | 2015-07-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833526 | Enas Hamid Albar | Student in an Organized Health Care Education/Training Program | 7500 212th Street S.w., Suite 205, Edmonds, WA 98026 | 2020-08-26 |
| 1215579453 | Kailey Anne Matulich | Technician | 21630 84th Ave W, Edmonds, WA 98026 | 2019-10-09 |
| 1154962124 | Steven M Weible | Technician | 21630 84th Ave, Edmonds, WA 98026 | 2019-10-01 |
| 1053767293 | Hyo Kyung Kim | Pharmacist | 22618 Hwy 99 Ste 109, Edmonds, WA 98026 | 2016-05-06 |
| 1679947956 | Lucilyn Lumio | Occupational Therapist | 21008 76th Avenue W, Edmonds, WA 98026 | 2015-11-24 |
| 1669844205 | Kathleen Schmitt | Pharmacist | 21601 76th Ave West, Edmonds, WA 98026 | 2015-10-22 |
| 1689087967 | Ronald Paul Meagher | Anesthesiology | 7305 173rd St Sw, Edmonds, WA 98026 | 2014-06-04 |
| 1598194342 | Allison Alberton | Surgery | 7315 212th St Sw Ste 201, Edmonds, WA 98026 | 2013-11-02 |
| 1356681019 | Tekle Zewolday Eysadik | Registered Nurse | 8102 - 226 St Sw, Edmonds, WA 98026 | 2013-02-18 |
| 1447557087 | Diane Taylor | Counselor | 20903 70th Ave W., Edmonds, WA 98026 | 2011-02-17 |
| Find all providers in zip 98026 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114017068 | Brendan Rhodes O'donnell | Anesthesiology | 21616 76th W Ave, Suite 209, Edmonds, WA 98026-7512 | 2006-10-13 |
| 1497984850 | Howard John Quint | Anesthesiology | 21616 76th Ave W, Suite 209, Edmonds, WA 98026-7512 | 2009-07-07 |
| 1790942886 | Praveen Kumar Mambalam | Anesthesiology | 21616 76th Ave W, Ste 102, Edmonds, WA 98026-7512 | 2008-05-17 |
| 1467564484 | Rajni K Jutla | Anesthesiology | 21701 76th Ave W, Ste 203, Edmonds, WA 98026-7536 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740822139 | Bellevue Pain and Wellness Pllc | Anesthesiology | 14550 Ne 29th Pl Ste 230, Bellevue, WA 98007-3630 | 2019-10-17 |
| 1659700730 | Washington Center for Pain Management LLC | Anesthesiology | 705 S 9th St Ste 102, Tacoma, WA 98405-4678 | 2013-11-08 |
| 1629332895 | North Cascade Pain Management Ps | Anesthesiology | 340 E George Hopper Rd, Suite #1, Burlington, WA 98233 | 2012-07-02 |
| 1396044947 | Mind Your Body Clinic Pllc | Anesthesiology | 6900 E Greenlake Way N, Suite J, Seattle, WA 98103 | 2011-03-22 |
| 1205163771 | Pacific Pain Specialists | Anesthesiology | 22510 Se 64th Place, Suite 120, Issaquan, WA 98027 | 2009-11-04 |
| 1528228103 | Jared Paul Wagner | Anesthesiology | 636 Valley Mall Pkwy Ste 5, Wenatchee, WA 98802-4898 | 2008-06-17 |
| 1053585802 | Jordan Graham Graybill | Anesthesiology | 920 Ne 112th Ave Ste 104, Vancouver, WA 98684 | 2008-04-14 |
| 1780754499 | T Daniel Dibble Md PC | Anesthesiology | 1117 North Evergreen Rd, Suite 2, Spokane, WA 99216-1138 | 2006-11-09 |
| 1508936212 | Timothy Daniel Dibble | Anesthesiology | 1117 N Evergreen Rd Ste 2, Spokane Valley, WA 99216-1138 | 2006-11-09 |
| 1053499608 | Kathy I-wen Wang | Anesthesiology | 1519 3rd St Se Ste 101, Puyallup, WA 98372-3742 | 2006-11-01 |
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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.