KING COUNTY PUBLIC HOSPITAL DISTRICT NO. 2 (NPI# 1285706036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285706036 |
| Entity Type | Organization |
| Organization Name | KING COUNTY PUBLIC HOSPITAL DISTRICT NO. 2 |
| Other Organization Name | EVERGREENHEALTH CARDIAC SVCS |
| Practice Address |
12040 Ne 128th St Kirkland WA 98034-3013 |
| Mailing Address |
Po Box 34738 Seattle WA 98124-1738 |
| Practice Telephone | 4258991000 |
| Mailing Telephone | 4258991000 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2017-03-23 |
| Authorized Official Name | ROBERT MALTE (CEO) |
| Authorized Official Telephone | 4258992610 |
| Is Organization Subpart | Y |
| Parent Organization Name | KING COUNTY PUBLIC HOSPITAL DISTRICT NO. 2 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
Allopathic & Osteopathic Physicians | ||
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| EvergreenHealth Cardiac Svcs | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588662761 | King County Public Hospital District No. 2 | Home Health | 11800 Ne 128th St Ste 200, Kirkland, WA 98034-7211 | 2005-07-12 |
| 1548740210 | King County Public Hospital District No. 2 | Neurological Surgery | 939 Caroline St, Port Angeles, WA 98362 | 2018-08-21 |
| 1043694185 | King County Public Hospital District No. 2 | Clinic/Center | 12333 Ne 130th Ln, #420, Kirkland, WA 98034-7467 | 2015-07-18 |
| 1750612883 | King County Public Hospital District No. 2 | Family Medicine | 8980 161st Ave Ne, Suite 400, Redmond, WA 98052-7554 | 2010-01-29 |
| 1538213327 | King County Public Hospital District No. 2 | Community/Behavioral Health | 12040 Ne 128th St, Kirkland, WA 98034-3013 | 2007-01-22 |
| 1497803829 | King County Public Hospital District No. 2 | Psychiatry & Neurology | 12040 Ne 128th St, Kirkland, WA 98034-3013 | 2007-01-08 |
| 1568535136 | King County Public Hospital District No. 2 | Radiology | 12040 Ne 128th St, Kirkland, WA 98034-3013 | 2006-11-15 |
| 1285719609 | King County Public Hospital District No. 2 | Hospice, Inpatient | 12822 124th Ln Ne, Kirkland, WA 98034-7612 | 2006-10-25 |
| 1154411338 | King County Public Hospital District No. 2 | Rehabilitation Unit | 12040 Ne 128th St, Kirkland, WA 98034-3013 | 2006-10-16 |
| 1033174933 | King County Public Hospital District No. 2 | General Acute Care Hospital | 12040 Ne 128th St, Kirkland, WA 98034-3013 | 2006-04-20 |
| Street Address |
12040 NE 128TH ST |
| City | KIRKLAND |
| State | WA |
| Zip Code | 98034-3013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225027428 | Suman L. Tewari | Obstetrics & Gynecology | 12040 Ne 128th St, Ms 105, Kirkland, WA 98034-3013 | 2005-10-19 |
| 1528674389 | Hannah Rose Narag Galvan | Registered Nurse | 12040 Ne 128th St, Kirkland, WA 98034-3013 | 2020-09-17 |
| 1942816970 | Julia Anne Baura Suico | Registered Nurse | 12040 Ne 128th St, Kirkland, WA 98034-3013 | 2020-09-16 |
| 1275147688 | Diana Dubinsky | Registered Nurse | 12040 Ne 128th St, Kirkland, WA 98034-3013 | 2020-09-02 |
| 1619599040 | Ana-irina Bologan | Registered Nurse | 12040 Ne 128th St, Kirkland, WA 98034-3013 | 2020-05-07 |
| 1467080499 | Suzanne Marie Campiche | Social Worker | 12040 Ne 128th St, Kirkland, WA 98034-3013 | 2020-03-27 |
| 1528694106 | Jordan Daryoush Kamal | Registered Nurse | 12040 Ne 128th St, Kirkland, WA 98034-3013 | 2020-03-16 |
| 1689224727 | Patricia Duenas Morgan | Nurse Practitioner | 12040 Ne 128th St, Kirkland, WA 98034-3013 | 2019-09-19 |
| 1700351533 | Katherine Claire Newman | Pharmacist | 12040 Ne 128th St, Kirkland, WA 98034-3013 | 2018-10-08 |
| 1104337682 | Kristin Bainbridge | Speech-Language Pathologist | 12040 Ne 128th St, Kirkland, WA 98034-3013 | 2017-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578116596 | Rachel Bowers | Behavior Technician | 1335 Northeast 122nd Way, Suite 105, Kirkland, WA 98034 | 2019-07-18 |
| 1740841048 | Kristina Louise Inghram | Behavior Technician | 11415 Ne 128th St., Suite 40, Kirkland, WA 98034 | 2019-06-26 |
| 1053978064 | Matthew A. Bagnulo, Dds, Ps | Dentist | 11830 Ne 128th St., #202, Kirkland, WA 98034 | 2019-05-24 |
| 1629568928 | Stephanie Michalko | Optometrist | 11800 Ne 128th St Ste 110, Kirkland, WA 98034 | 2018-05-14 |
| 1952800013 | Heath Family Counseling LLC | Marriage & Family Therapist | 12025 115th Ave. Ne, Building D, Ste 200, Kirkland, WA 98034 | 2018-02-05 |
| 1891202834 | Barbara Josephine Gorham | Counselor | 2025 115th Ave Ne, Bldg D, #200, Kirkland, WA 98034 | 2017-12-29 |
| 1548782915 | Eleanor Hollis Wall | Counselor | 14340 102nd Ave Ne, Kirkland, WA 98034 | 2017-07-07 |
| 1457885212 | Peter Schoonmaker | Hospitalist | 12040 Ne 128th Street, Ms105, Kirkland, WA 98034 | 2017-04-18 |
| 1780124370 | Rebecca Managan | Advanced Practice Midwife | 12303 Ne 130th Ln Ste Coral225, Kirkland, WA 98034 | 2017-03-01 |
| 1669821104 | Winter Gonzalez | Counselor | 11720 97th Ln Ne Apt A411, Kirkland, WA 98034 | 2016-06-06 |
| Find all providers in zip 98034 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831489871 | Xuanjing Zhou | Internal Medicine | 12333 Ne 130th Ln Ste 320, Kirkland, WA 98034-7467 | 2011-04-11 |
| 1407010648 | Ali Sharifian | Internal Medicine | 12333 Ne 130th Ln Ste 320, Kirkland, WA 98034 | 2008-07-16 |
| 1922292051 | Karlyn B Huddy | Internal Medicine | 12333 Ne 130th Ln Ste 320, Kirkland, WA 98034-7467 | 2007-08-31 |
| 1194833723 | James S Schneider | Internal Medicine | 12333 Ne 130th Lane, #320, Kirkland, WA 98034-3039 | 2006-08-25 |
| 1003924630 | Mark R Vossler | Internal Medicine | 12333 Ne 130th Lane, #320, Kirkland, WA 98034-3039 | 2006-08-25 |
| 1194736041 | Derek M Rodrigues | Internal Medicine | 12333 Ne 130th Lane, #320, Kirkland, WA 98034-3039 | 2006-08-10 |
| 1437160389 | Harry H Yu | Internal Medicine | 12333 Ne 130th Lane, #320, Kirkland, WA 98034-3039 | 2006-08-10 |
| 1013928977 | William S Getchell | Internal Medicine | 12333 Ne 130th Lane, #320, Kirkland, WA 98034-3039 | 2006-08-10 |
| 1588675458 | Rubin R Maidan | Internal Medicine | 12333 Ne 130th Lane, #320, Kirkland, WA 98034-3039 | 2006-08-10 |
| 1154332096 | Robert E Haynes | Internal Medicine | 12333 Ne 130th Lane, #320, Kirkland, WA 98034-3039 | 2006-08-09 |
| Find all providers in KIRKLAND | ||||
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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.