HEALTH HEROES PNW, INC. (NPI# 1316393036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316393036 |
| Entity Type | Organization |
| Organization Name | HEALTH HEROES PNW, INC. |
| Other Organization Name | HEALTH HEROES OF THE PACIFIC NORTHWEST |
| Practice Address |
720 S 320th St Ste E Federal Way WA 98003-5254 |
| Mailing Address |
23418 Pacific Hwy S Po Box 3104 Kent WA 98032-9994 |
| Practice Telephone | 2064191815 |
| Mailing Telephone | 2064191815 |
| Enumeration Date | 2016-05-12 |
| Last Update Date | 2016-05-12 |
| Authorized Official Name | MR. RANDY C SMITH JR. (PRESIDENT) |
| Authorized Official Telephone | 2064191815 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
603-607-747 | WA | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | 603-607-747 | WA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Health Heroes of the Pacific Northwest | Other Name - Individual/Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | HEALTH HEROES PNW, INC. | 720 S 320th St, Ste E, Federal Way, WA 98003 |
| Street Address |
720 S 320TH ST STE E |
| City | FEDERAL WAY |
| State | WA |
| Zip Code | 98003-5254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578634606 | Kim E Brain | Dentist | 720 S 320th St, Suite#i, Federal Way, WA 98003-5254 | 2006-11-12 |
| 1922542323 | David R Dawson Orthopaedic Surgeon | Specialist | 720 S 320th St, Suite G, Federal Way, WA 98003-5254 | 2016-12-05 |
| 1457711772 | Jonathon Einowski Dds Pllc | Dentist | 720 S 320th St, Federal Way, WA 98003-5254 | 2016-02-29 |
| 1205007523 | George Wm. Koss | Family Medicine | 720 S 320th St, Suite A., Federal Way, WA 98003-5254 | 2008-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634969 | Jossie Jeniffer Wong-vicuna | Interpreter | 3001 S 288th Street, 201, Ferderal Way, WA 98003 | 2020-09-17 |
| 1336642420 | Otto Family | Massage Therapist | 720 S 348th St Ste A-1b, Federal Way, WA 98003 | 2018-03-14 |
| 1962912709 | Lindsay Plumley | Occupational Therapist | 33330 8th Avenue S, Federal Way, WA 98003 | 2017-10-06 |
| 1861922387 | Sea Mar Community Health Centers | Pharmacy | 31405 18th Ave South, Federal Way, WA 98003 | 2017-06-18 |
| 1023547072 | Iora Health Washington Physicians, P.C. | Internal Medicine | 1414 S. 324th Street, Federal Way, WA 98003 | 2017-06-05 |
| 1811346869 | Iora Senior Health Inc | Internal Medicine | 1414 S 324th St, Federal Way, WA 98003 | 2016-06-10 |
| 1972958940 | Kathy Marie Haviland | Registered Nurse | 1010 S. 336th St, Supplemental Health Care, Federal Way, WA 98003 | 2016-04-27 |
| 1972969343 | Jacklyn Marie James | Specialist | 530 South 336th Street, Ste C, Massage for Health and Day Spa, Inc., Federal Way, WA 98003 | 2016-01-14 |
| 1659767036 | Jillian Liner | Pediatrics | 34503 9th Ave S Ste 220, Federal Way, WA 98003 | 2015-04-12 |
| 1235537739 | Simranjit Singh Longia | Student in an Organized Health Care Education/Training Program | 34618 11th Ave. S., Suite 100, Federal Way, WA 98003 | 2014-12-15 |
| Find all providers in zip 98003 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578754743 | Maxwell Elmer Waldron Jr. | General Practice | 2101 So 324 St, Unit 122, Federal Way, WA 98003 | 2007-08-05 |
| 1730272147 | Wanda Roberton | General Practice | 32020 1st Ave S, Suite 115, Federal Way, WA 98003-5717 | 2006-09-30 |
| 1043844723 | Sound Integrated Medical Center | General Practice | 34716 1st Ave S, Federal Way, WA 98003-6760 | 2020-03-02 |
| 1174831192 | Michael S Davidov, Md, Inc, Ps | General Practice | 34509 9th Avenue South, #207, Federal Way, WA 98003-8709 | 2010-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063971703 | Source Northwest Integrative Medicine | General Practice | 7206 267th St Nw Ste 102, Stanwood, WA 98292-6269 | 2019-03-12 |
| 1255896601 | Emily Christine Buck | General Practice | 940 Fitzsimmons Dr, Tacoma, WA 98431-0001 | 2019-02-08 |
| 1740755651 | Alyssa Ann Yruegas | General Practice | 2108 W Spruce St, Moses Lake, WA 98837-2853 | 2018-10-06 |
| 1306321237 | Rainier Springs Physician Group, LLC | General Practice | 2805 Ne 129th Street, Vancouver, WA 98686 | 2018-09-26 |
| 1962916437 | Parkview Medical Group Inc | General Practice | 615 S Division St Ste A, Moses Lake, WA 98837-3800 | 2017-11-20 |
| 1790212496 | Thien Thanh Ho | General Practice | 12307 Douglas Rd, Yakima, WA 98908-9129 | 2017-05-12 |
| 1285173625 | Regenerative Medicine Institute, Pllc | General Practice | 731 N Stanley St, Medical Lake, WA 99022-8940 | 2017-02-17 |
| 1457708430 | James Bailey | General Practice | 9040 Jackson Ave Tripler Army Medical Center, Tacoma, WA 98431-5001 | 2016-05-19 |
| 1740635887 | Peter Chulhi Kang | General Practice | 1425 Spring St Apt 802, Seattle, WA 98104-1635 | 2016-04-26 |
| 1831551084 | Anna Hackenmiller | General Practice | 1657 S Nettleton Ln, Spokane, WA 99224-6108 | 2016-03-27 |
| Find all providers with the same taxonomy | ||||
| City | FEDERAL WAY |
| Zip Code | 98003 |
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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.