DRX WA URGENT CARE PROVIDERS, PLLC (NPI# 1295070324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295070324 |
| Entity Type | Organization |
| Organization Name | DRX WA URGENT CARE PROVIDERS, PLLC |
| Other Organization Name | IMMEDIATE CLINIC |
| Practice Address |
4725 196th St Sw Suite 105 Lynnwood WA 98036-5518 |
| Mailing Address |
9000 Holman Rd Nw Suite A1 Seattle WA 98117-3418 |
| Practice Telephone | 4256405115 |
| Enumeration Date | 2012-11-29 |
| Last Update Date | 2014-02-11 |
| Authorized Official Name | JEROMY SJOLSETH (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 2067069001 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians | ||
| N | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Immediate Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740525872 | Drx Wa Urgent Care Providers, Pllc | Emergency Medicine | 15870 1st Ave S, Suite 101, Burien, WA 98148-1213 | 2012-11-29 |
| 1649523101 | Drx Wa Urgent Care Providers, Pllc | Clinic/Center | 9000 Holman Road Nw, Suite A1, Seattle, WA 98117 | 2012-10-22 |
| 1144565219 | Drx Wa Urgent Care Providers, Pllc | Clinic/Center | 607 Se Everett Mall Way, Suite 2, Everett, WA 98208-3248 | 2012-11-30 |
| 1750626883 | Drx Wa Urgent Care Providers, Pllc | Clinic/Center | 13718 100th Ave Ne, Kirkland, WA 98034-5216 | 2012-11-29 |
| Street Address |
4725 196TH ST SW SUITE 105 |
| City | LYNNWOOD |
| State | WA |
| Zip Code | 98036-5518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407952674 | Satish Subramanian | Physical Medicine & Rehabilitation | 4725 196th St Sw, Lynnwood, WA 98036-5518 | 2006-09-15 |
| 1447749866 | Jaya Deelena | Nurse Practitioner | 4725 196th St Sw, Lynnwood, WA 98036-5518 | 2018-05-02 |
| 1134572035 | Therapy Management Services, Pllc | Physical Therapist | 4725 196th St Sw, Lynnwood, WA 98036-5518 | 2016-07-15 |
| 1134464274 | Jing Jin | Family Medicine | 4725 196th St Sw, Lynnwood, WA 98036-5516 | 2012-11-29 |
| 1578792115 | Evan Thomas Martina | Physical Therapist | 4725 196th St Sw, Lynnwood, WA 98036-5518 | 2009-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342630 | Zachary Perry | Behavior Technician | 4100 Veterans Way, Unit 100, Lynnwood, WA 98036 | 2020-10-08 |
| 1942832795 | Alexis Michelle Solomon-winne | Behavior Technician | 4100 Veterans Way Unit 100 Lynnwood, Wa 98036 United S, Lynnwood, WA 98036 | 2020-02-10 |
| 1881239028 | Endc Pllc | Psychologist | 19217 36th Ave W. Suite 219, Lynnwood, WA 98036 | 2019-11-12 |
| 1225507866 | Kyung Suk Seo | Massage Therapist | 18904 Hwy 99, Ste. K, Lynnwood, WA 98036 | 2018-11-13 |
| 1790270197 | Kabal Sriviboon | Behavior Technician | 20818 44th Ave W Suite 270, Lynnwood, WA 98036 | 2018-06-27 |
| 1992206148 | Kendal Ilyse Borison | Behavioral Analyst | 4100 194th Se, Suite 100, Lynnwood, WA 98036 | 2018-02-23 |
| 1205352515 | Doug Brant | Registered Nurse | 19931 Cypress Way, Lynnwood, WA 98036 | 2017-08-17 |
| 1588184980 | Evergreen Recovery Centers-lynnwood Detox | Substance Abuse Rehabilitation Facility | 20508 56th Ave W, Lynnwood, WA 98036 | 2017-06-27 |
| 1699213439 | Patrick J. Pacyga | Dentist | 19620 Wa-99, Suite 106, Lynnwood, WA 98036 | 2017-02-01 |
| 1134676646 | Fiona Green | Occupational Therapy Assistant | 21503 8th Place W, A, Lynnwood, WA 98036 | 2016-09-01 |
| Find all providers in zip 98036 | ||||
| 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 |
|---|---|---|---|---|
| 1144768151 | A2nk, Pllc | Family Medicine | 19230 Alderwood Mall Pkwy, Suite 120, Lynnwood, WA 98036-4869 | 2017-02-09 |
| 1013049741 | Community Health Center of Snohomish County | Family Medicine | 4111 194th St Sw Ste 100, Lynnwood, WA 98036-4604 | 2007-03-09 |
| 1073528766 | Stanley D Borish | Family Medicine | 19526 64th W, Lynnwood, WA 98036-5100 | 2006-07-30 |
| 1194739987 | Tanya I Bryant | Family Medicine | 6101 200th St Sw, Ste 208, Lynnwood, WA 98036-6077 | 2006-07-28 |
| 1033134267 | Edward Sungwon Lee | Family Medicine | 2902 164th St Sw, Bldg E1, Lynnwood, WA 98087-3201 | 2006-07-12 |
| 1598792657 | Joseph O Aiyenowo | Family Medicine | 19401 40th Ave W Ste 230, Lynnwood, WA 98036-5675 | 2006-06-26 |
| 1073578704 | Casey Kwon Kim | Family Medicine | 18623 Highway 99, Ste 230, Lynnwood, WA 98037-4552 | 2006-04-18 |
| 1396711487 | Elisa Marie Frost Granger | Family Medicine | 20200 54th Ave W, Lynnwood, WA 98036-6318 | 2006-02-27 |
| 1225027006 | Phyllis A.m. Hollenbeck | Family Medicine | 19401 40th Ave W, Suite 100, Lynnwood, WA 98036-4612 | 2005-10-14 |
| 1407852742 | Laurie L Kreiter | Family Medicine | 19116 33rd Ave W, Lynnwood, WA 98036-4706 | 2005-06-22 |
| Find all providers in LYNNWOOD | ||||
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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.