PROVIDENCE HEALTH & SERVICES - WASHINGTON (NPI# 1326282963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326282963 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE HEALTH & SERVICES - WASHINGTON |
| Other Organization Name | PROVIDENCE SMMC MULTI-SPECIALTY DME |
| Practice Address |
301 W Poplar St Suite 210 Walla Walla WA 99362-2858 |
| Mailing Address |
209 W Poplar St Po Box 1477 Walla Walla WA 99362-2828 |
| Practice Telephone | 5095225825 |
| Practice Fax Number | 5095293512 |
| Mailing Telephone | 5095225906 |
| Mailing Fax Number | 5095225789 |
| Enumeration Date | 2009-04-27 |
| Last Update Date | 2009-04-27 |
| Authorized Official Name | SUSAN A COLUMBER (RCM DIRECTOR) |
| Authorized Official Telephone | 5095225906 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Y00000X | Otolaryngology | HAC.FS.00000050 | WA | Allopathic & Osteopathic Physicians |
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
HAC.FS00000050 | WA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Providence SMMC Multi-Specialty DME | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407162571 | Providence Health & Services - Washington | Internal Medicine | 510 E Amende Drive, Odessa, WA 99159-0000 | 2010-08-26 |
| 1841503034 | Providence Health & Services - Washington | Family Medicine | 18313 Paulsonst Sw, Suite A, Rochester, WA 98579-9262 | 2010-07-16 |
| 1083947709 | Providence Health & Services - Washington | Hospice Care, Community Based | 2731 Wetmore Ave Ste 500, Everett, WA 98201-3585 | 2009-09-14 |
| 1760636690 | Providence Health & Services - Washington | Neurological Surgery | 301 W Poplar Street, Ste 220, Walla Walla, WA 99362-2800 | 2008-11-05 |
| 1558512368 | Providence Health & Services - Washington | Home Health | 209 W Poplar St, Walla Walla, WA 99362 | 2008-10-10 |
| 1922259738 | Providence Health & Services - Washington | Internal Medicine | 380 Chase Avenue, Pmg Se Wa, Walla Walla, WA 99362-2924 | 2008-10-10 |
| 1306097126 | Providence Health & Services - Washington | Radiology | 401 W Poplar Street, Pmg Se Wa Imaging, Walla Walla, WA 99362-2846 | 2008-10-10 |
| 1043374119 | Providence Health & Services - Washington | Rehabilitation, Substance Use Disorder Unit | 508 Quarter Eighth Street, Hoquiam, WA 98550 | 2006-12-21 |
| 1073677605 | Providence Health & Services - Washington | Rehabilitation, Substance Use Disorder Unit | 506 W Franklin St, Shelton, WA 98584-3517 | 2006-12-20 |
| 1003906918 | Providence Health & Services - Washington | Home Health | 3432 Bay Rd Ne, Olympia, WA 98506-2958 | 2006-10-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Providence Health & Services - Washington | 1801 Lind Ave. Sw, #9016, Renton, WA 98057 |
| Street Address |
301 W POPLAR ST SUITE 210 |
| City | WALLA WALLA |
| State | WA |
| Zip Code | 99362-2858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164427456 | Guy Frank Gehling | Neurological Surgery | 301 W Poplar St, Ste 220, Walla Walla, WA 99362-2858 | 2005-06-14 |
| 1497254635 | Corey Carson | Physician Assistant | 301 W Poplar St, Walla Walla, WA 99362-2858 | 2018-02-02 |
| 1174814552 | Providence Health & Services - Washington | Durable Medical Equipment & Medical Supplies | 301 W Poplar St, Walla Walla, WA 99362-2858 | 2011-04-20 |
| 1699000901 | Chelane R Fackenthall | Registered Nurse | 301 W Poplar St, Suite 100, Walla Walla, WA 99362-2858 | 2009-10-05 |
| 1417191057 | Providence Health & Services - Washington | Urology | 301 W Poplar St, Suite 50, Walla Walla, WA 99362-2858 | 2009-04-27 |
| 1235373879 | Providence Health & Services - Washington | Internal Medicine | 301 W Poplar St, Suite 100, Walla Walla, WA 99362-2858 | 2009-04-27 |
| 1811130156 | Providence Health & Services - Washington | Surgery | 301 W Poplar St, Suites 50, Walla Walla, WA 99362-2858 | 2009-04-16 |
| 1104070598 | Brianne Nicole Bridgeland | Registered Nurse | 301 W Poplar St, Suite #210, Walla Walla, WA 99362-2858 | 2008-11-11 |
| 1417165382 | Jennifer W Leach | Internal Medicine | 301 W Poplar St, Suite 100, Walla Walla, WA 99362-2858 | 2007-05-21 |
| 1194949594 | Jason Adam Dreyer | Neurological Surgery | 301 W Poplar St, Walla Walla, WA 99362-2858 | 2007-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164065959 | Kevin Gia-minh Phan | Optometrist | Walla Walla Vamc Bldg 86, Walla Walla, WA 99362 | 2019-10-24 |
| 1659836401 | Arlene Lavonne Whitney | Social Worker | 1361 Dalles Military Road, Walla Walla, WA 99362 | 2019-02-06 |
| 1053880674 | Julie Ann Cooke | Speech-Language Pathologist | Providence St. Mary Medical Center, 401 W. Poplar St., Walla Walla, WA 99362 | 2018-11-14 |
| 1558887133 | Chantey Walker | Massage Therapist | 1840 Pleasant St, Walla Walla, WA 99362 | 2017-08-16 |
| 1447798723 | Carrie S Diede | Speech-Language Pathologist | 410 West Poplar Street, Rehabilitation Services, Walla Walla, WA 99362 | 2017-02-07 |
| 1235584103 | Anchor Point Counseling Pllc | Clinic/Center | 2330 Eastgate St. Ste. 140, Walla Walla, WA 99362 | 2016-04-28 |
| 1548627011 | Washington State Walla Walla Veterans Home | Skilled Nursing Facility | 92 Wainwright Drive, Walla Walla, WA 99362 | 2016-01-28 |
| 1073926200 | Sherry Goff | Registered Nurse | 11120 W Rose St, Family Medical Center, Walla Walla, WA 99362 | 2014-06-05 |
| 1538597935 | Michael Wade Gillespie | Orthopaedic Surgery | 101 Brookside Drive, Walla Walla, WA 99362 | 2013-10-22 |
| 1023357985 | Sandra Kay Bushnell | Speech-Language Pathologist | 1105 Isaacs Ave, Walla Walla, WA 99362 | 2013-02-12 |
| Find all providers in zip 99362 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1609163294 | Patrick John Laing | Internal Medicine | 301 W Poplar St Ste 210, Walla Walla, WA 99362-2800 | 2011-07-01 |
| 1386888790 | Carl Leroy Bauer | Internal Medicine | 1111 S 2nd Ave, Walla Walla, WA 99362-4118 | 2009-04-29 |
| 1336387356 | Siew M Wong | Internal Medicine | 55 W Tietan St, Walla Walla, WA 99362-4445 | 2009-01-29 |
| 1215043609 | James E Harri | Internal Medicine | 301 W Poplar, Suite 210, Walla Walla, WA 99362 | 2006-08-21 |
| 1407823701 | Charles Stanley Hames | Internal Medicine | 301 W Poplar St, Suite 210, Walla Walla, WA 99362-2858 | 2006-03-06 |
| 1811961832 | Lawrence S Zawatzky | Internal Medicine | 55 W Tietan St, Walla Walla, WA 99362-4445 | 2006-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639618630 | Digestive Gi Care | Internal Medicine | 305 Sw Chkalov Dr, 111-140, Vancouver, WA 98683 | 2017-02-23 |
| 1407238173 | South Perry Endoscopy Pllc | Internal Medicine | 907 South Perry Street Suite 203, Spokane, WA 99202 | 2015-06-18 |
| 1316351430 | Mohammed M. Aboelsoud | Internal Medicine | 4545 Cordata Pkwy Ste 1b, Bellingham, WA 98226-7264 | 2014-06-17 |
| 1952721771 | Ling Guo | Internal Medicine | Kaiser Permanente Central Hospital Building, 126 16th Ave E, Seattle, WA 98112 | 2014-04-19 |
| 1881032423 | Richard Atwood Willson | Internal Medicine | 815 West Galer Street, Seattle, WA 98119 | 2013-06-05 |
| 1770833857 | Jonathan Alan Levant | Internal Medicine | 3201 Pacific Ave, Unit 1108, Tacoma, WA 98418-6907 | 2012-09-15 |
| 1841572724 | Kenneth Bruce Klein | Internal Medicine | 7470 Ne Manual Rd, Bainbridge Island, WA 98110-3032 | 2011-09-15 |
| 1972891505 | Gorav Kalra | Internal Medicine | 410 9th Ave, Seattle, WA 98104-2499 | 2011-07-18 |
| 1194018366 | Hamid Habibi | Internal Medicine | 105 W 8th Ave Ste 6010, Spokane, WA 99204 | 2011-05-20 |
| 1548559552 | Stephen Michael Vindigni | Internal Medicine | 1959 Ne Pacific St, Room Bb-527, Seattle, WA 98195-6421 | 2011-03-30 |
| Find all providers with the same taxonomy | ||||
| City | WALLA WALLA |
| Zip Code | 99362 |
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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.