PUBLIC HOSPITAL DISTRICT #1 OF KING COUNTY (NPI# 1396763850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396763850 |
| Entity Type | Organization |
| Organization Name | PUBLIC HOSPITAL DISTRICT #1 OF KING COUNTY |
| Other Organization Name | NEPHROLOGY HEALTH SERVICES |
| Practice Address |
4033 Talbot Rd S Ste 430 Renton WA 98055-5772 |
| Mailing Address |
3600 Lind Ave Sw Ste 100 Renton WA 98055-4934 |
| Practice Telephone | 4252270231 |
| Practice Fax Number | 4252270177 |
| Mailing Telephone | 4256565412 |
| Mailing Fax Number | 4256565423 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MELISSA FARLEY (TECHNICAL COORDINATOR) |
| Authorized Official Telephone | 4259176282 |
| Authorized Official Credential | CPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 7107246 | 05 |
| Other Name | Type Code |
|---|---|
| Nephrology Health Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528015229 | Public Hospital District #1 of King County | Family Medicine | 3600 Lind Ave Sw, Suite 170, Renton, WA 98055-4934 | 2006-05-28 |
| 1700833480 | Public Hospital District #1 of King County | Physician Assistant | 27230 216th Ave Se, Ste D, Maple Valley, WA 98038-0000 | 2006-05-28 |
| 1649227380 | Public Hospital District #1 of King County | Physician Assistant | 14410 Se Petrovitsky Rd, Suite 104, Renton, WA 98058-8900 | 2006-05-28 |
| 1629025333 | Public Hospital District #1 of King County | Pediatrics | 6920 Coal Creek Pkwy Se, Ste 12, Newcastle, WA 98059-3147 | 2006-05-28 |
| 1508188566 | Public Hospital District #1 of King County | Internal Medicine | 1205 N 10th St, Ste A, Renton, WA 98057-5577 | 2010-02-18 |
| 1316273345 | Public Hospital District #1 of King County | Counselor | 400 S 43rd St, Renton, WA 98055-5714 | 2009-10-27 |
| 1427384411 | Public Hospital District #1 of King County | Clinical Neuropsychologist | 3915 Talbot Rd S, Ste 104, Renton, WA 98055-5738 | 2009-10-26 |
| 1871748111 | Public Hospital District #1 of King County | Hospitalist | 400 S 43rd St, Renton, WA 98055-5714 | 2008-12-01 |
| 1629245865 | Public Hospital District #1 of King County | Family Medicine | 10555 Se Carr Rd, Ste M, Renton, WA 98055-5820 | 2008-05-15 |
| 1447305693 | Public Hospital District #1 of King County | Neurological Surgery | 1550 N 115th St, Seattle, WA 98133-8401 | 2007-01-25 |
| Street Address |
4033 TALBOT RD S STE 430 |
| City | RENTON |
| State | WA |
| Zip Code | 98055-5772 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053312769 | Frank P Rudey | Dentist | 4033 Talbot Rd S, Renton, WA 98055-5700 | 2005-08-03 |
| 1699173856 | Olivia Nicole Corrado | Advanced Practice Midwife | 4033 Talbot Rd S, Ste 430, Renton, WA 98055-5772 | 2014-12-19 |
| 1457758054 | Hanna M Filitovich | Physician Assistant | 4033 Talbot Rd S, Suite 500, Renton, WA 98055-5772 | 2014-11-25 |
| 1962832519 | Darcy Anne King | Advanced Practice Midwife | 4033 Talbot Rd S, Suite 450, Renton, WA 98055-5772 | 2013-11-18 |
| 1033546718 | Aliscia Rose Lindeke | Advanced Practice Midwife | 4033 Talbot Rd S, Ste 430, Renton, WA 98055-5772 | 2013-09-26 |
| 1407190663 | Sarah Leola Benrath | Nurse Practitioner | 4033 Talbot Rd S, Suite 200, Renton, WA 98055-5772 | 2012-11-11 |
| 1629323472 | Lierra Sobolevskiy | Audiologist | 4033 Talbot Rd S, Ste 540, Renton, WA 98055-5772 | 2012-07-18 |
| 1477843084 | Edward Norman Fisher | Pediatrics | 4033 Talbot Rd S, Medical Arts Center, Suite 200, Renton, WA 98055-5772 | 2011-04-15 |
| 1518270990 | Michael P Galvin | Physician Assistant | 4033 Talbot Rd S, Suite 500, Renton, WA 98055-5772 | 2010-07-14 |
| 1184936429 | Kristen M Oulton | Audiologist | 4033 Talbot Rd S, Ste 540, Renton, WA 98055-5772 | 2010-07-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356965750 | Proliance Surgery Center At Valley, LLC | Clinic/Center | 4009 Talbot Road S, Suite 200, Renton, WA 98055 | 2020-06-01 |
| 1851804959 | Talbot Rehabilitation Center, LLC | Skilled Nursing Facility | 4430 Talbot Road South, Renton, WA 98055 | 2017-11-10 |
| 1154878668 | Nelson Family Dentistry | Dentist | 19221 108th Ave Se Suite #2, Renton, WA 98055 | 2016-09-01 |
| 1598182990 | Annie Kyunga Ahn | Otolaryngology | 4033 Talbot Rd S Ste 540, Renton, WA 98055 | 2014-03-24 |
| 1376960138 | Madhuri Gordhan Patel | Registered Nurse | 3501 Mill Place South, Renton, WA 98055 | 2014-03-18 |
| 1912331042 | Karen Dohr | Pharmacist | 400 S. 43 Street, Renton, WA 98055 | 2013-08-26 |
| 1659637668 | Benjamin Reiss | Ophthalmology | 4300 Talbot Rd S Ste 300, Renton, WA 98055 | 2012-04-03 |
| 1205137940 | Duy Ai Quang Hoang | Pharmacist | 9431 S 196th Pl, Renton, WA 98055 | 2010-11-11 |
| 1972823664 | Erica L Ellzey | Physical Therapist | 18623 112th Ave Se, Renton, WA 98055 | 2010-06-04 |
| 1588984587 | Melissa A. Jordan | Nurse Anesthetist, Certified Registered | 4011 Talbot Rd., 5th Floor, Renton, WA 98055 | 2010-06-02 |
| Find all providers in zip 98055 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| 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 |
|---|---|---|---|---|
| 1659462448 | Gary Don Cline | Internal Medicine | 4011 Talbot Rd S, Suite 500, Renton, WA 98055-5773 | 2006-09-27 |
| 1487671020 | Public Hospital District #1 of King County | Internal Medicine | 4033 Talbot Rd S, Ste 430, Renton, WA 98055-5772 | 2006-07-17 |
| 1770511735 | Vilma E Quijada | Internal Medicine | 4300 Talbot Rd S, #403, Renton, WA 98055-6238 | 2006-06-29 |
| 1316994288 | Andrew Trueman Brockenbrough | Internal Medicine | 4033 Talbot Rd S, Ste 430, Renton, WA 98055-5772 | 2006-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790326502 | Blazing Grace Medical, LLC | Internal Medicine | 953 Stevens Dr Ste C, Richland, WA 99352-3533 | 2019-10-02 |
| 1619460268 | Pacific Kidney & Hypertension, LLC | Internal Medicine | 2707 Colby Ave, Everett, WA 98201-3528 | 2018-06-08 |
| 1992258289 | Roderick Marshall Macdonald | Internal Medicine | University of Washington Mc 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2016-08-03 |
| 1124458310 | Cascade Kidney Specialists | Internal Medicine | Cascade Kidney Specialists, 1370 116th Ave Ne Suite 209, Bellevue, WA 98004-3825 | 2013-11-25 |
| 1518209758 | Maurice Ibrahim Khayat | Internal Medicine | 9040 Jackson Ave Mche-qd (creds), Tacoma, WA 98431 | 2013-03-26 |
| 1164775508 | Hoang H Dang, Md, Ps | Internal Medicine | 9804 Ne 15th St, Bellevue, WA 98004-3431 | 2012-10-23 |
| 1942561824 | Tsering Dhondup | Internal Medicine | 3525 Ensign Rd Ne Ste K, Olympia, WA 98506-5065 | 2012-06-06 |
| 1518248921 | William Griffith Couser | Internal Medicine | 16050 169th Ave Ne, Woodinville, WA 98072-8949 | 2011-08-30 |
| 1346535556 | David Alan Goodkin | Internal Medicine | 3807 134th Ave Ne, Bellevue, WA 98005-1437 | 2011-06-15 |
| 1174838676 | Shanza Mujeeb | Internal Medicine | 1708 Yakima Ave Ste 107, Tacoma, WA 98405-5300 | 2010-08-10 |
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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.