JEFFERSON COUNTY PUBLIC HOSPITAL DISTRICT NO 2 (NPI# 1174917033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174917033 |
Entity Type | Organization |
Organization Name | JEFFERSON COUNTY PUBLIC HOSPITAL DISTRICT NO 2 |
Other Organization Name | JEFFERSON UROLOGY CLINIC |
Practice Address |
1274 7th St Ste B Port Townsend WA 98368-2404 |
Mailing Address |
834 Sheridan St Port Townsend WA 98368-2443 |
Practice Telephone | 3603852905 |
Practice Fax Number | 3603856796 |
Mailing Telephone | 3603852200 |
Mailing Fax Number | 3603792256 |
Enumeration Date | 2015-03-27 |
Last Update Date | 2020-10-29 |
Authorized Official Name | MIKE GLENN (CEO) |
Authorized Official Telephone | 3603852200 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208800000X | Urology | HAC.FS.00000085 | WA | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Jefferson Healthcare Urology Clinic | Doing Business As Name - Organization |
JEFFERSON UROLOGY CLINIC | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801188073 | Jefferson County Public Hospital District No 2 | Clinic/Center | 89 Breaker Ln, Port Ludlow, WA 98365-9766 | 2011-05-06 |
1780897074 | Jefferson County Public Hospital District No 2 | Clinic/Center | 294843 State Highway 101, Quilcene, WA 98376 | 2007-05-07 |
1467664631 | Jefferson County Public Hospital District No 2 | Psychiatry & Neurology | 9833 Poplars Ave Nw Ste 104, Silverdale, WA 98383-7675 | 2007-05-03 |
1760433049 | Jefferson County Public Hospital District No 2 | Clinic/Center | 1010 Sheridan St, Suite 101, Port Townsend, WA 98368-2901 | 2006-05-12 |
1346210366 | Jefferson County Public Hospital District No 2 | Hospice Care, Community Based | 2500 W Sims Way Ste 300, Port Townsend, WA 98368-2234 | 2006-01-23 |
1295218188 | Jefferson County Public Hospital District No 2 | Pharmacy | 9481 Oak Bay Rd Ste A, Port Ludlow, WA 98365-9801 | 2018-09-07 |
1013421114 | Jefferson County Public Hospital District No 2 | Clinic/Center | 834 Sheridan, Suite B, Port Townsend, WA 98368-2443 | 2017-11-28 |
1245657956 | Jefferson County Public Hospital District No 2 | General Acute Care Hospital | 834 Sheridan St, Port Townsend, WA 98368-2443 | 2014-03-20 |
1629492525 | Jefferson County Public Hospital District No 2 | General Acute Care Hospital | 1010 Sheridan St Ste 201, Port Townsend, WA 98368-2901 | 2014-02-12 |
1194032201 | Jefferson County Public Hospital District No 2 | Nurse Practitioner | 1274 7th St Ste A, Port Townsend, WA 98368-2404 | 2010-09-10 |
Street Address |
1274 7TH ST STE B |
City | PORT TOWNSEND |
State | WA |
Zip Code | 98368-2404 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710184494 | Dimitri Kuznetsov, M.d. Pllc | Urology | 1274 7th St Ste B, Port Townsend, WA 98368-2404 | 2007-06-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730727827 | Ace It Employment & Transition Services LLC | Community/Behavioral Health | 1233 Lawrence Street, Port Townsend, WA 98368 | 2019-12-19 |
1942862792 | Peninsula Midwives | Midwife | 203 Pocket Lane, Port Townsend, WA 98368 | 2019-07-02 |
1700349461 | Kelle Gayelena Ronnfeldt | Nurse Practitioner | 844 West Park Ave, Port Townsend, WA 98368 | 2019-04-10 |
1841769031 | Richard Sankey Hansen | Counselor | 448 Hastings Ave, Port Townsend, WA 98368 | 2018-11-16 |
1255800595 | Alan P Brown | Counselor | 821 Mcpherson St, Port Townsend, WA 98368 | 2018-11-15 |
1699257873 | Megan E Smith | Counselor | 260 Kala Point Dr, Ste 99, Port Townsend, WA 98368 | 2018-09-04 |
1093297434 | Jacqueline Levin | Clinical Nurse Specialist | 234 Pond Road, Port Townsend, WA 98368 | 2018-09-02 |
1306335682 | Matthew D Hust | Physical Therapy Assistant | 751 Kearney Street, Port Townsend, WA 98368 | 2018-05-02 |
1306368238 | Michael Ozar | Psychologist | 1806 Walnut Street, Port Townsend, WA 98368 | 2017-07-12 |
1336674076 | Yuko Umeda | Registered Nurse | 615 Sheridan Street, Port Townsend, WA 98368 | 2017-05-01 |
Find all providers in zip 98368 |
Taxonomy Code | 208800000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Urology |
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659473825 | Dimitri D Kuznetsov | Urology | 1274 7th St, Suite B, Port Townsend, WA 98368 | 2006-09-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295371532 | Jeffrey Allen Zhan | Urology | Good Samaritan Medical Office Bldg 1450 5th St Se, Suite 2100- Urology Clinic, Puyallup, WA 98372 | 2019-11-21 |
1023400041 | Pacific Northwest Urology Specialists, Pllc | Urology | 4545 Cordata Pkwy Ste 1a, Bellingham, WA 98226-7264 | 2015-02-27 |
1598182818 | Boston Medical Group- Washington, P.C. | Urology | 12301 N.e. 10th Place, Suite 101, Bellevue, WA 98005 | 2014-03-25 |
1033552823 | Carol Collins | Urology | 272 Health Sciences, 1959 Ne Pacific St, Seattle, WA 98195-7610 | 2013-04-10 |
1740523158 | Kacey Helena Provenzano | Urology | 780 Swift Blvd Ste 201, Richland, WA 99352 | 2013-04-03 |
1023366283 | William P Griggs | Urology | 2160 Dellesta Dr, Bellingham, WA 98226-7850 | 2012-08-20 |
1710242714 | Ralph Vernon Stagner | Urology | 3414 Horsehead Bay Dr. N.w., Gig Harbor, WA 98335 | 2012-07-06 |
1043579980 | Richard Kenneth Ohme | Urology | 3108 E Bay Dr Nw, Gig Harbor, WA 98335-7610 | 2012-05-13 |
1730447731 | Daniel Christian Sackman | Urology | 3124 South 19th St #c320, Tacoma, WA 98405-3011 | 2012-04-26 |
1144595299 | Philip Clark May | Urology | 11911 Ne 132nd St Ste 200, Kirkland, WA 98034 | 2012-03-21 |
Find all providers with the same taxonomy |
City | PORT TOWNSEND |
Zip Code | 98368 |
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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.