WESTERN WASHINGTON MEDICAL GROUP, INC PS (NPI# 1134460959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134460959 |
| Entity Type | Organization |
| Organization Name | WESTERN WASHINGTON MEDICAL GROUP, INC PS |
| Other Organization Name | WHITEHORSE FAMILY MEDICINE |
| Practice Address |
875 Wesley St Suite 250 Arlington WA 98223-1613 |
| Mailing Address |
1728 W Marine View Dr Suite 110 Everett WA 98201-2094 |
| Practice Telephone | 4252594041 |
| Mailing Telephone | 4252594041 |
| Mailing Fax Number | 4252526642 |
| Enumeration Date | 2013-03-04 |
| Last Update Date | 2016-02-23 |
| Authorized Official Name | KIMBERLY K HOLSTEIN (DIRECTOR PFS) |
| Authorized Official Telephone | 4252594041 |
| Is Organization Subpart | Y |
| Parent Organization Name | WESTERN WASHINGTON MEDICAL GROUP, INC, PS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Whitehorse Family Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023236528 | Western Washington Medical Group, Inc Ps | Internal Medicine | 4225 Hoyt Ave Ste A, Everett, WA 98203-2351 | 2007-04-23 |
| 1649498049 | Western Washington Medical Group, Inc Ps | Family Medicine | 4225 Hoyt Ave Ste B, Everett, WA 98203-2351 | 2007-04-23 |
| 1932327335 | Western Washington Medical Group, Inc Ps | Podiatrist | 3202 Colby Ave Ste E, Everett, WA 98201-4324 | 2007-04-23 |
| 1326266727 | Western Washington Medical Group, Inc Ps | Psychologist | 3525 Colby Ave Ste 200, Everett, WA 98201-4782 | 2007-04-23 |
| 1538387931 | Western Washington Medical Group, Inc Ps | Urology | 4310 Colby Ave Ste 203, Everett, WA 98203-2338 | 2007-04-23 |
| 1093933491 | Western Washington Medical Group, Inc Ps | Internal Medicine | 1330 Rockefeller Ave Ste 330, Everett, WA 98201 | 2007-04-23 |
| 1417175811 | Western Washington Medical Group, Inc Ps | Internal Medicine | 1330 Rockefeller Ave Ste 450, Everett, WA 98201-1677 | 2007-04-23 |
| 1831238443 | Western Washington Medical Group, Inc Ps | Spec/Tech, Pathology | 6825 216th St Sw Ste E, Lynnwood, WA 98036-7379 | 2007-02-06 |
| 1003809229 | Western Washington Medical Group, Inc Ps | Clinic/Center | 3501 Shelby Rd, Suite B, Lynnwood, WA 98087-3599 | 2005-08-23 |
| 1538606413 | Western Washington Medical Group, Inc Ps | Internal Medicine | 1909 214th St Se, Suite 211, Bothell, WA 98021-4412 | 2017-01-30 |
| Street Address |
875 WESLEY ST SUITE 250 |
| 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 |
| 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 |
| 1043241540 | Public Hospital District No 1 Skagit | Pediatrics | 875 Wesley St, Ste 130, Arlington, WA 98223-1613 | 2006-07-05 |
| 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 | 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. |
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|---|---|---|---|---|
| 1326683467 | Amy Haddad | Family Medicine | 2500 Hunter Hill Dr, Arlington, TX 76012-5519 | 2019-11-13 |
| 1689227233 | Casper Regenerative and Physical Medicine, Pllc | Family Medicine | 701 Highlander Blvd Ste 150, Arlington, TX 76015-4602 | 2019-07-23 |
| 1609432764 | Ifeanyi Duruewuru | Family Medicine | 3132 Matlock Rd Ste 311, Arlington, TX 76015-2922 | 2019-05-14 |
| 1366911034 | Quynhanh Thi Vo | Family Medicine | 501 Rita Ln Ste 109, Arlington, TX 76014-2010 | 2018-11-25 |
| 1003394396 | Mariana Stone | Family Medicine | 52a Montague St, Arlington, MA 02474-2508 | 2018-07-30 |
| 1982108312 | Premierhealth Family Medicine Pllc | Family Medicine | 601 Omega Dr Ste 203, Arlington, TX 76014-2075 | 2018-03-21 |
| 1881106607 | Yourfamilydoc Pllc | Family Medicine | 903 Medical Centre Dr Ste A, Arlington, TX 76012-4754 | 2017-11-02 |
| 1497288518 | Billiken T Lin | Family Medicine | 6515 Virginia Sq, Arlington, TX 76017-4948 | 2017-04-05 |
| 1609314392 | Post Acute Specialists, Pa | Family Medicine | 835 E Lamar Blvd # 141, Arlington, TX 76011 | 2017-02-02 |
| 1235685793 | America Medical Diagnostics, Inc | Family Medicine | 610 Crownpoint Ln, Arlington, TX 76002-4776 | 2016-08-25 |
| 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.