NES WASHINGTON, INC. (NPI# 1215239595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215239595 |
Entity Type | Organization |
Organization Name | NES WASHINGTON, INC. |
Practice Address |
3100 Tongass Ave Ketchikan AK 99901 |
Mailing Address |
Po Box 936430 Atlanta GA 31193-6430 |
Practice Telephone | 9072255171 |
Mailing Telephone | 8003778721 |
Mailing Fax Number | 3046971155 |
Enumeration Date | 2010-11-19 |
Last Update Date | 2018-09-06 |
Authorized Official Name | JENNIFER MOORE (CFO) |
Authorized Official Telephone | 4154354591 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AK | 1571009 | 05 | |
RR MEDICARE | DR7134 | 01 |
Street Address |
3100 TONGASS AVE |
City | KETCHIKAN |
State | AK |
Zip Code | 99901 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194720250 | Alan L Christensen | Obstetrics & Gynecology | 3100 Tongass Ave, Ketchikan, AK 99901-5746 | 2005-06-16 |
1528544822 | Peacehealth Ketchikan Medical Center | Medicare Defined Swing Bed Unit | 3100 Tongass Ave, Ketchikan, AK 99901-5746 | 2018-07-19 |
1710337381 | Ian Dobbe | Family Medicine | 3100 Tongass Ave, Ketchikan, AK 99901-5746 | 2016-06-15 |
1073977443 | Michael Sheflo | Internal Medicine | 3100 Tongass Ave, Ketchikan, AK 99901-5746 | 2016-04-11 |
1598144800 | Bryan Cothren | Psychiatry & Neurology | 3100 Tongass Ave, Ketchikan, AK 99901 | 2015-05-20 |
1093145567 | Catherine Henderson | Nurse Practitioner | 3100 Tongass Ave, Ketchikan, AK 99901-5746 | 2013-11-20 |
1003169434 | Urology Northwest, Ps | Urology | 3100 Tongass Ave, 3rd Floor Visiting Clinic, Ketchikan, AK 99901-5746 | 2012-10-23 |
1821374497 | Deborah M O'loane | Nurse Practitioner | 3100 Tongass Ave, Ketchikan, AK 99901-5746 | 2011-10-27 |
1447562921 | Victor Chen | Psychiatry & Neurology | 3100 Tongass Ave, Ketchikan, AK 99901-5746 | 2010-07-13 |
1336469469 | Leslie Amanda Locklear | Nurse Practitioner | 3100 Tongass Ave, Ketchikan, AK 99901-5746 | 2010-06-11 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992314215 | Residential Youth Care, Inc. | Community/Behavioral Health | 2442 Tongass Avenue, Ketchikan, AK 99901 | 2020-07-23 |
1316563026 | Residential Youth Care, Inc. | Community/Behavioral Health | 606 Hill Road, Ketchikan, AK 99901 | 2020-06-18 |
1043836851 | Residential Youth Care, Inc. | Community/Behavioral Health | 2514 1st Avenue, Ketchikan, AK 99901 | 2020-06-18 |
1215553029 | Residential Youth Care, Inc. | Community/Behavioral Health | 2951 Baranof Avenue, Ketchikan, AK 99901 | 2020-06-18 |
1174159222 | Helene Rae Simpson | Behavior Technician | 201 Deermont St, Ketchikan, AK 99901 | 2020-03-20 |
1003295155 | Suzanne Webb | Massage Therapist | 602 Dock St Ste 106, Ketchikan, AK 99901 | 2015-05-22 |
1093194342 | Kate Mortensen | Case Manager/Care Coordinator | 2690 Tongass Ave, Ketchikan, AK 99901 | 2015-05-20 |
1578879631 | Thomas Peter Ryan | Social Worker | 320 Bawden St. #318, Ketchikan, AK 99901 | 2010-08-27 |
1689820979 | Akeela Inc | Community Based Residential Treatment Facility, Mental Illness | 3050 Fifth Ave, Ketchikan, AK 99901 | 2008-08-18 |
1750565438 | Susan Marie Swift | Nurse Practitioner | 21 Jefferson Way, Suite 202, Psychiatry, Ketchikan, AK 99901 | 2007-12-18 |
Find all providers in zip 99901 |
Taxonomy Code | 207P00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Emergency Medicine |
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275502684 | Mark Raine | Emergency Medicine | 3100 S Tongass Hwy, Ketchikan, AK 99901-9600 | 2006-03-16 |
1003872748 | Scott Myers Kirchner | Emergency Medicine | 3100 Tongass Ave, Ketchikan, AK 99901-5746 | 2006-04-21 |
1770552994 | Ernest Meloche | Emergency Medicine | 3100 Tongass Ave, Ketchikan General Hospital Er, Ketchikan, AK 99901-5746 | 2006-03-17 |
1164428371 | Karl E. Richey | Emergency Medicine | 3100 Tongass Ave, Ketchikan, AK 99901-5746 | 2005-06-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477819613 | Emily Junck | Emergency Medicine | 3240 Hospital Dr, Emergency Department, Bartlett Regional Hospital, Juneau, AK 99801-7808 | 2012-04-02 |
1174814073 | Justin Ray Warix | Emergency Medicine | 417 1st Avenue, Seward, AK 99664 | 2011-04-26 |
1538458799 | David Rf Otten | Emergency Medicine | 5955 Zeamer Ave 673d Mdg, Jber, AK 99506-3702 | 2011-03-28 |
1881928372 | Jennifer Eisner | Emergency Medicine | 1 Chief Eddie Hoffman Highway, Ykhc, Bethel, AK 99559 | 2009-09-30 |
1487816476 | Jessica Erin Sotelo | Emergency Medicine | Providence Medical Center Alaska, Anchorage Emergency D, 3200 Providence Drive, Anchorage, AK 99508 | 2008-06-30 |
1427251008 | John Jay Everett | Emergency Medicine | 4315 Diplomacy Drive/emergency Dept, Alaska Native Medical Center, Anchorage, AK 99508-2511 | 2007-06-09 |
1982810925 | Nancy L Kragt | Emergency Medicine | 2741 Debarr Rd Bldg C, #403, Denali Emergency Medicine Assoc., Anchorage, AK 99508-2961 | 2007-05-15 |
1730392150 | Christopher Calvert | Emergency Medicine | 6471 Village Pkwy, Anchorage, AK 99504-3947 | 2007-05-08 |
1972644664 | Marc Jack Dumas | Emergency Medicine | 5859 Aerofuel Pl, Fairbanks, AK 99709-4486 | 2007-02-08 |
1760532006 | Robert D Hagberg | Emergency Medicine | Mat Su Empercency Medicine Physicians At Msrmc, 2500 S. Woodworth Loop, Palmer, AK 99645 | 2007-01-11 |
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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.