PUBLIC HOSPITAL DISTRICT NO. 4 KING COUNTY WASHINGTON (NPI# 1144432634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144432634 |
| Entity Type | Organization |
| Organization Name | PUBLIC HOSPITAL DISTRICT NO. 4 KING COUNTY WASHINGTON |
| Other Organization Name | PUBLIC HOSPITAL DISTRICT NO 4 CLINIC |
| Practice Address |
9801 Frontier Ave Se Snoqualmie WA 98065-5200 |
| Practice Telephone | 4258312321 |
| Mailing Telephone | 4258312321 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2015-04-16 |
| Authorized Official Name | MR. RODGER MCCOLLUM (CEO) |
| Authorized Official Telephone | 4258312300 |
| Is Organization Subpart | Y |
| Parent Organization Name | PUBLIC HOSPITAL DISTRICT NO. 4 KING COUNTY WASHINGTON |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | WA | Allopathic & Osteopathic Physicians | |
| N | 207V00000X | Obstetrics & Gynecology | WA | Allopathic & Osteopathic Physicians | |
| N | 208000000X | Pediatrics | WA | Allopathic & Osteopathic Physicians | |
| N | 363A00000X | Physician Assistant | WA | Physician Assistants & Advanced Practice Nursing Providers | |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
WA | Physician Assistants & Advanced Practice Nursing Providers | |
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 7126295 | 05 |
| Other Name | Type Code |
|---|---|
| Public Hospital District No 4 Clinic | Doing Business As Name - Organization |
| Street Address |
9801 FRONTIER AVE SE |
| City | SNOQUALMIE |
| State | WA |
| Zip Code | 98065-5200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487644563 | Noel Theodore Johnson | Internal Medicine | 9801 Frontier Ave Se, Snoqualmie, WA 98065-5200 | 2005-10-28 |
| 1922612738 | Jiyoung Cha | Registered Nurse | 9801 Frontier Ave Se, Snoqualmie, WA 98065-5200 | 2020-08-31 |
| 1558869289 | Public Hospital District No 4 King County Washington | Nurse Practitioner | 9801 Frontier Ave Se, Snoqualmie, WA 98065-5200 | 2018-01-29 |
| 1780126144 | Brenda Marie Taylor | Dietitian, Registered | 9801 Frontier Ave Se, Snoqualmie, WA 98065-5200 | 2016-11-16 |
| 1841604949 | Molly Fitzgerald Keogh | Physical Therapy Assistant | 9801 Frontier Ave Se, Snoqualmie, WA 98065-5200 | 2014-06-17 |
| 1548527054 | Cristin Hovee | Specialist | 9801 Frontier Ave Se, Snoqualmie, WA 98065-5200 | 2012-04-20 |
| 1033448832 | Amanda L Schaefer | Physical Therapy Assistant | 9801 Frontier Ave Se, Snoqualmie, WA 98065-5200 | 2009-12-08 |
| 1659509727 | Jessica Craik Macdonald | Physical Therapist | 9801 Frontier Ave Se, Snoqualmie, WA 98065-5200 | 2009-06-29 |
| 1447455738 | Afshin Bidari | Internal Medicine | 9801 Frontier Ave Se, Snoqualmie, WA 98065-5200 | 2007-06-18 |
| 1194929471 | Public Hospital District No 4 King County Wa | Medicare Defined Swing Bed Unit | 9801 Frontier Ave Se, Snoqualmie, WA 98065-5200 | 2007-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891265807 | Adam Kutzner | Dentist | 34929 Se Ridge Street Suite 220, Snoqualmie, WA 98065 | 2018-12-03 |
| 1396215000 | Anna Maher | Counselor | 37624 Se Fury St Ste 203, Snoqualmie, WA 98065 | 2018-11-26 |
| 1194271718 | Cindy Costa | Specialist | 38579 Se River Street, Suite 13, Snoqualmie, WA 98065 | 2016-09-01 |
| 1548716830 | Snoqualmie Family Dentistry | Clinic/Center | 38475 Se River Street, Snoqualmie, WA 98065 | 2016-08-28 |
| 1851769202 | Greg Kiper | Counselor | 9571 Ethan Wade Way Se, Snoqualmie, WA 98065 | 2015-09-02 |
| 1952792814 | Casi Davis | Registered Nurse | 8476 Se Reinig Pl, Snoqualmie, WA 98065 | 2015-02-13 |
| 1336484443 | Heidi Biddle | Counselor | 7972 Maple Ave. Se, Snoqualmie, WA 98065 | 2012-11-29 |
| 1255675302 | Patricia Soderlund Holladay | Occupational Therapist | 8001 Silva Ave Se, Snoqualmie, WA 98065 | 2012-11-15 |
| 1750635066 | Anne Elizabeth Mcgavran | Registered Nurse | 8001 Silva Avenue South East, Snoqualmie, WA 98065 | 2012-11-08 |
| 1447552005 | Friends of Youth | Community/Behavioral Health | 7972 Maple Ave. Se., Snoqualmie, WA 98065 | 2010-12-02 |
| Find all providers in zip 98065 | ||||
| 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 |
|---|---|---|---|---|
| 1437256302 | Aarti R Deshpande | Family Medicine | 37624 Se Fury St Ste 101, Snoqualmie, WA 98065-9680 | 2006-09-20 |
| 1831122449 | Mary E Lambe | Family Medicine | 38700 Se River Street, Snoqualmie Valley Clinic, Snoqualmie, WA 98065 | 2006-07-08 |
| 1659335255 | Maurice Lee Doerfler | Family Medicine | 38700 Se River St, Snoqualmie, WA 98065 | 2006-04-12 |
| 1487186011 | Volkmar Uwe Gaussmann | Family Medicine | 37624 Se Fury St Ste 101, Snoqualmie, WA 98065-9680 | 2017-04-02 |
| 1194987891 | Craig M Schier | Family Medicine | 37624 Se Fury St, Ste 101, Snoqualmie, WA 98065-9680 | 2008-06-25 |
| 1134310865 | Snoqualmie Indian Tribe | Family Medicine | 8130 Railroad Avenue, Snoqualmie, WA 98065-0969 | 2007-08-07 |
| 1457492936 | Snoqualmie Valley Clinic, Pllc | Family Medicine | 38700 Se River St, Snoqualmie, WA 98065-2013 | 2007-02-09 |
| 1770663759 | John Merle Gray | Family Medicine | 35020 Se Kinsey St, Snoqualmie, WA 98065-8992 | 2006-10-16 |
| 1831280684 | H. Martin Vatheuer | Family Medicine | 37624 Se Fury St Ste 101, Snoqualmie, WA 98065-9680 | 2006-09-27 |
| 1447292552 | Alan K Johnson | Family Medicine | 35020 Se Kinsey St, Snoqualmie, WA 98065-8992 | 2006-06-12 |
| Find all providers in SNOQUALMIE | ||||
| City | SNOQUALMIE |
| Zip Code | 98065 |
Please comment or provide details below to improve the information on PUBLIC HOSPITAL DISTRICT NO. 4 KING COUNTY WASHINGTON.
| 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.