CONCERTO MEDICAL GROUP OF WASHINGTON, PC (NPI# 1396192803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396192803 |
| Entity Type | Organization |
| Organization Name | CONCERTO MEDICAL GROUP OF WASHINGTON, PC |
| Practice Address |
1412 Sw 43rd St Suite 315 Renton WA 98057-4803 |
| Practice Telephone | 4252724600 |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2016-06-16 |
| Authorized Official Name | MS. CINDY BECKER (SECRETARY) |
| Authorized Official Telephone | 9493988413 |
| Authorized Official Credential | ESQ. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
1412 SW 43RD ST SUITE 315 |
| City | RENTON |
| State | WA |
| Zip Code | 98057-4803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487654331 | N W Eye Surgeons P C | Ophthalmology | 1412 Sw 43rd St, Suite 310, Renton, WA 98057-4803 | 2005-07-21 |
| 1568085454 | Jacqueline R. Buckley, LLC | Podiatrist | 1412 Sw 43rd St, Renton, WA 98057-4803 | 2020-05-26 |
| 1184191603 | Pacific Retina Center Pllc | Ophthalmology | 1412 Sw 43rd St, Renton, WA 98057-4803 | 2018-11-01 |
| 1336690684 | Geoffrey Natividad | Pharmacist | 1412 Sw 43rd St, 120, Renton, WA 98057-4803 | 2016-10-21 |
| 1386195048 | Reddi Enterprises Inc | Pharmacy | 1412 Sw 43rd St, 120, Renton, WA 98057-4803 | 2016-10-18 |
| 1417405333 | Evergreen Treatment Services | Clinic/Center | 1412 Sw 43rd St, Suite 140, Renton, WA 98057-4803 | 2016-09-20 |
| 1225421688 | Associated Valley Counseling, LLC | Counselor | 1412 Sw 43rd St, Suite 111, Renton, WA 98057-4803 | 2015-03-10 |
| 1649660853 | Lauren Rainbow | Social Worker | 1412 Sw 43rd St, Renton, WA 98057-4803 | 2015-01-26 |
| 1336539733 | Washington Center for Pain Management LLC | Anesthesiology | 1412 Sw 43rd St, Suite 110, Renton, WA 98057-4803 | 2015-01-23 |
| 1083022537 | Timothy Stewart | Counselor | 1412 Sw 43rd St, Suite 111, Renton, WA 98057-4803 | 2014-07-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043856628 | Megan Ramaiya | Student in an Organized Health Care Education/Training Program | King Count Sexual Assault & Resource Center, 200 Mill Ave S # 10, Renton, WA 98057 | 2019-11-19 |
| 1063076255 | Breanne Michele Smiley | Specialist/Technologist | 737 Logan Ave N, Renton, WA 98057 | 2019-04-24 |
| 1093215063 | Laura Lewis | Physical Medicine & Rehabilitation | 1000 Oakesdale Ave Sw Ste 100, Renton, WA 98057 | 2018-02-16 |
| 1437676004 | Ralph William Papke Jr. | Counselor | Kaiser Permanente of Wa, 1200 Sw 27th St, Renton, WA 98057 | 2017-08-24 |
| 1487106456 | Serengeti Care Partners LLC | Community/Behavioral Health | 707 S- Grady Way, Suite 6008, Renton, WA 98057 | 2016-10-26 |
| 1548716152 | Phandinh Ngoc Nguyen | Naturopath | 330 Sw 43rd St,suite L, Renton, WA 98057 | 2016-09-01 |
| 1275905721 | Todd R Glass | Chiropractor | 1024 N 10th Pl #2306, Renton, WA 98057 | 2015-10-23 |
| 1134595341 | Have A Heart | Case Management | 151 Taylor Ave Nw, Renton, WA 98057 | 2015-08-12 |
| 1780087171 | Brianne N Lefferts | Physical Therapist | 300 Sw 7th Street, Renton, WA 98057 | 2014-09-30 |
| 1588089460 | Sound Association Western Washington LLC | Audiologist | 108 Factory Ave. N., Ste 2b, Renton, WA 98057 | 2014-02-28 |
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| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275681561 | Craig M Brewer | General Practice | 315 Morris Ave S, Renton, WA 98055-2522 | 2007-01-05 |
| 1205906716 | Anthony John Rains | General Practice | 5163 Ne 1st Ct, Renton, WA 98059-4924 | 2006-11-09 |
| 1497129696 | Swedish Health Services | General Practice | 4105 Ne 4th St, Renton, WA 98059-5012 | 2015-11-25 |
| 1720140619 | Allcare Medical Clinic Inc. | General Practice | 148 Park Ave N, Renton, WA 98057-5719 | 2006-12-15 |
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| 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 |
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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.