EVERGREEN MEDICAL CENTER ANESTHESIOLOGY SERVICES PS (NPI# 1376592154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376592154 |
| Entity Type | Organization |
| Organization Name | EVERGREEN MEDICAL CENTER ANESTHESIOLOGY SERVICES PS |
| Practice Address |
12707 120th Avenue Ne, #205 Kirkland WA 98034 |
| Mailing Address |
Dept. 390, Box 34935 Seattle WA 98124 |
| Practice Telephone | 4258995566 |
| Mailing Telephone | 5033722740 |
| Mailing Fax Number | 5033722754 |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JEFFREY J TOMLIN (PRESIDENT) |
| Authorized Official Telephone | 5033722740 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 7049224 | 05 |
| Street Address |
12707 120TH AVENUE NE, #205 |
| City | KIRKLAND |
| State | WA |
| Zip Code | 98034 |
| 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 | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003009796 | Holly Anne Nelson | Anesthesiology | 12040 Ne 128th St # Ms 69, Kirkland, WA 98034-3013 | 2007-08-25 |
| 1225111644 | Dana Lawrence | Anesthesiology | 13867 62nd Ave Ne, Kirkland, WA 98034-4904 | 2006-10-21 |
| 1023062635 | Julian W Klos | Anesthesiology | 12040 Ne 128th Street, Kirkland, WA 98034-3013 | 2006-05-19 |
| 1184627564 | William James Ritchie | Anesthesiology | 12040 Ne 128th St # 69, Kirkland, WA 98034-3013 | 2005-05-31 |
| 1962935197 | Lake Washington Anesthesia Pllc | Anesthesiology | 11800 Ne 128th St, Suite 100, Kirkland, WA 98034-7208 | 2017-04-05 |
| 1538502844 | Stephen O Sills | Anesthesiology | 12040 Ne 128th St, Kirkland, WA 98034-3013 | 2013-04-17 |
| 1316236276 | Samuel J Yang | Anesthesiology | 12040 Ne 128th St # 69, Kirkland, WA 98034-3013 | 2011-03-31 |
| 1811215429 | Hieu Le, Md, Pllc | Anesthesiology | 3100 Carillon Pt, Kirkland, WA 98033-7306 | 2010-05-06 |
| 1528299757 | Monirath Saly | Anesthesiology | 12040 Ne 128th St, Ms 69, Kirkland, WA 98034-3013 | 2009-08-05 |
| 1598994394 | Elisabeth Clark Walker | Anesthesiology | 218 Main St, #551, Kirkland, WA 98033-6108 | 2009-07-14 |
| 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.