EDMONDS MEDICAL CLINIC INC (NPI# 1376174979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376174979 |
| Entity Type | Organization |
| Organization Name | EDMONDS MEDICAL CLINIC INC |
| Practice Address |
21600 Highway 99 Ste 280 Edmonds WA 98026-8022 |
| Practice Telephone | 3609016355 |
| Mailing Telephone | 4255827753 |
| Mailing Fax Number | 4257400078 |
| Enumeration Date | 2020-02-01 |
| Last Update Date | 2020-08-01 |
| Authorized Official Name | STEVEN KOH (PRESIDENT) |
| Authorized Official Telephone | 4255827753 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | EDMONDS MEDICAL CLINIC INC | 21600 Highway 99 Ste 280, Edmonds, WA 98026-8022 |
| Street Address |
21600 HIGHWAY 99 STE 280 |
| City | EDMONDS |
| State | WA |
| Zip Code | 98026-8022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114114535 | Steven Koh | Family Medicine | 21600 Highway 99 Ste 280, Edmonds, WA 98026-8022 | 2007-09-30 |
| 1801020946 | Yoon Jin Park | Family Medicine | 21600 Highway 99 Ste 280, Edmonds, WA 98026-8022 | 2009-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833526 | Enas Hamid Albar | Student in an Organized Health Care Education/Training Program | 7500 212th Street S.w., Suite 205, Edmonds, WA 98026 | 2020-08-26 |
| 1215579453 | Kailey Anne Matulich | Technician | 21630 84th Ave W, Edmonds, WA 98026 | 2019-10-09 |
| 1154962124 | Steven M Weible | Technician | 21630 84th Ave, Edmonds, WA 98026 | 2019-10-01 |
| 1053767293 | Hyo Kyung Kim | Pharmacist | 22618 Hwy 99 Ste 109, Edmonds, WA 98026 | 2016-05-06 |
| 1679947956 | Lucilyn Lumio | Occupational Therapist | 21008 76th Avenue W, Edmonds, WA 98026 | 2015-11-24 |
| 1669844205 | Kathleen Schmitt | Pharmacist | 21601 76th Ave West, Edmonds, WA 98026 | 2015-10-22 |
| 1689087967 | Ronald Paul Meagher | Anesthesiology | 7305 173rd St Sw, Edmonds, WA 98026 | 2014-06-04 |
| 1598194342 | Allison Alberton | Surgery | 7315 212th St Sw Ste 201, Edmonds, WA 98026 | 2013-11-02 |
| 1356681019 | Tekle Zewolday Eysadik | Registered Nurse | 8102 - 226 St Sw, Edmonds, WA 98026 | 2013-02-18 |
| 1447557087 | Diane Taylor | Counselor | 20903 70th Ave W., Edmonds, WA 98026 | 2011-02-17 |
| Find all providers in zip 98026 | ||||
| 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 |
|---|---|---|---|---|
| 1265825236 | Barton Eugene Smith | Family Medicine | 7315 212th St Sw Ste 10, Edmonds, WA 98026-7610 | 2015-03-14 |
| 1114114535 | Steven Koh | Family Medicine | 21600 Highway 99 Ste 280, Edmonds, WA 98026-8022 | 2007-09-30 |
| 1003967456 | Clifford John Johnson | Family Medicine | 7320 179th St Sw, Edmonds, WA 98026-5534 | 2007-01-14 |
| 1619060530 | Theodore Raymond Matheny | Family Medicine | 617 Dayton St Ste 2, #a, Edmonds, WA 98020-3446 | 2006-10-02 |
| 1750393666 | Tommy Lyle Summe | Family Medicine | 7614 195th St. S.w., Suite 200, Edmonds, WA 98026-4731 | 2006-08-12 |
| 1942238977 | Henry Hochberg | Family Medicine | 22721 76th Ave W, #b, Edmonds, WA 98026-3000 | 2006-06-29 |
| 1427086800 | Shawn H West | Family Medicine | 7315 212th St Sw Ste 101, Puget Sound Family Physicians Dba Edmonds Family Medici, Edmonds, WA 98026 | 2006-06-28 |
| 1952346884 | Kathryn Elizabeth Upton | Family Medicine | 221 4th Ave N, Edmonds, WA 98020-3116 | 2006-06-17 |
| 1851332365 | Upton Family Medicine Pllc | Family Medicine | 221-4th Ave, North, Edmonds, WA 98020 | 2006-06-08 |
| 1326099078 | Maurene P Cronyn | Family Medicine | 21911 76th Ave W, #110, Edmonds, WA 98026-7903 | 2006-05-15 |
| Find all providers in EDMONDS | ||||
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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.