PRICE MEDICAL, INC (NPI# 1275710949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275710949 |
| Entity Type | Organization |
| Organization Name | PRICE MEDICAL, INC |
| Practice Address |
400 S 43rd St Nw Pavillion Wound Center Renton WA 98055-5714 |
| Mailing Address |
Po Box 50150 Bellevue WA 98015-0150 |
| Practice Telephone | 4256565512 |
| Mailing Telephone | 4252285228 |
| Mailing Fax Number | 4252285733 |
| Enumeration Date | 2008-01-24 |
| Last Update Date | 2008-02-28 |
| Authorized Official Name | MARY CATHERINE PRICE (PRESIDENT) |
| Authorized Official Telephone | 4252609962 |
| Authorized Official Credential | ARNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
AP30006253 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 9637513 | 05 |
| Street Address |
400 S 43RD ST NW PAVILLION WOUND CENTER |
| City | RENTON |
| State | WA |
| Zip Code | 98055-5714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780681569 | Minsoo Kang | Internal Medicine | 400 S 43rd St, Renton, WA 98055 | 2005-07-07 |
| 1700490760 | Toni Anne Wolcott | Registered Nurse | 400 S 43rd St, Renton, WA 98055 | 2020-09-06 |
| 1770107484 | Richmond Li | Registered Nurse | 400 S 43rd St, Renton, WA 98055-5714 | 2020-05-29 |
| 1144840711 | Brendan Wesley-smith | Registered Nurse | 400 S 43rd St, Renton, WA 98055-5714 | 2020-04-23 |
| 1205460359 | Yingying Lu | Registered Nurse | 400 S 43rd St, Renton, WA 98055-5714 | 2020-02-27 |
| 1508404955 | Hannah Rae Humphrey | Speech-Language Pathologist | 400 S 43rd St, Renton, WA 98055-5714 | 2019-12-17 |
| 1881232247 | Jennifer Susan Katz | Physical Therapist | 400 S 43rd St, Renton, WA 98055-5714 | 2019-12-17 |
| 1760029714 | Selam Estefanos | Registered Nurse | 400 S 43rd St, Renton, WA 98055-5714 | 2019-12-09 |
| 1407493133 | Alba Sari | Registered Nurse | 400 S 43rd St, Renton, WA 98055-5714 | 2019-12-02 |
| 1336784131 | Julia Lysyuk | Nurse Anesthetist, Certified Registered | 400 S 43rd St, Renton, WA 98055-5714 | 2019-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356965750 | Proliance Surgery Center At Valley, LLC | Clinic/Center | 4009 Talbot Road S, Suite 200, Renton, WA 98055 | 2020-06-01 |
| 1851804959 | Talbot Rehabilitation Center, LLC | Skilled Nursing Facility | 4430 Talbot Road South, Renton, WA 98055 | 2017-11-10 |
| 1154878668 | Nelson Family Dentistry | Dentist | 19221 108th Ave Se Suite #2, Renton, WA 98055 | 2016-09-01 |
| 1598182990 | Annie Kyunga Ahn | Otolaryngology | 4033 Talbot Rd S Ste 540, Renton, WA 98055 | 2014-03-24 |
| 1376960138 | Madhuri Gordhan Patel | Registered Nurse | 3501 Mill Place South, Renton, WA 98055 | 2014-03-18 |
| 1912331042 | Karen Dohr | Pharmacist | 400 S. 43 Street, Renton, WA 98055 | 2013-08-26 |
| 1659637668 | Benjamin Reiss | Ophthalmology | 4300 Talbot Rd S Ste 300, Renton, WA 98055 | 2012-04-03 |
| 1205137940 | Duy Ai Quang Hoang | Pharmacist | 9431 S 196th Pl, Renton, WA 98055 | 2010-11-11 |
| 1972823664 | Erica L Ellzey | Physical Therapist | 18623 112th Ave Se, Renton, WA 98055 | 2010-06-04 |
| 1588984587 | Melissa A. Jordan | Nurse Anesthetist, Certified Registered | 4011 Talbot Rd., 5th Floor, Renton, WA 98055 | 2010-06-02 |
| Find all providers in zip 98055 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295193787 | Frank Ross Jr. | Nurse Practitioner | 2218 Kennewick Pl Ne, Renton, WA 98056-2295 | 2016-01-29 |
| 1790101616 | Daniel Smith | Nurse Practitioner | 11100 Se Petrovitsky Rd Apt C206, Renton, WA 98055-5645 | 2014-03-17 |
| 1659702058 | Maricel Hinkulow | Nurse Practitioner | 16224 Se 138th Pl, Renton, WA 98059-6837 | 2013-12-10 |
| 1558600650 | Kalyan Dandala, Md Pllc | Nurse Practitioner | 350 S 38th Ct Ste 100, Renton, WA 98055-5777 | 2013-02-08 |
| 1306133665 | Amy Louise Cheng | Nurse Practitioner | 1107 Sw Grady Way Ste 100, Renton, WA 98057-5217 | 2011-07-06 |
| 1881062990 | L'oreal Kennedy | Nurse Practitioner | 4033 Talbot Rd S Ste 470, Renton, WA 98055-5700 | 2015-09-04 |
| 1386958692 | Lourdes C Jose | Nurse Practitioner | 3600 Lind Ave Sw, Ste 170, Renton, WA 98057-4934 | 2010-07-28 |
| 1821218124 | Wendy Wank | Nurse Practitioner | 400 S 43rd St, Renton, WA 98055-5714 | 2007-04-27 |
| 1821120841 | Dorothy Suzanne Pianko | Nurse Practitioner | 4033 Talbot Rd S, Suite 500, Renton, WA 98055-5772 | 2007-03-12 |
| 1073659108 | Mary C Price | Nurse Practitioner | 400 S 43rd St, Renton, WA 98055-5714 | 2007-01-29 |
| Find all providers in RENTON | ||||
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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.