PUBLIC HOSPITAL DISTRICT NO 2 (NPI# 1417058694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417058694 |
| Entity Type | Organization |
| Organization Name | PUBLIC HOSPITAL DISTRICT NO 2 |
| Other Organization Name | EVERGREEN MEDICAL GROUP SAMMAMISH |
| Practice Address |
22850 Ne 8th St Ste 103 Sammamish WA 98074-7256 |
| Mailing Address |
Po Box 34036 Seattle WA 98124-1036 |
| Practice Telephone | 4258980305 |
| Practice Fax Number | 4258988825 |
| Mailing Telephone | 4258993292 |
| Mailing Fax Number | 4258993269 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2011-01-04 |
| Authorized Official Name | ROBERT MALTE (CEO) |
| Authorized Official Telephone | 4258992610 |
| Is Organization Subpart | Y |
| Parent Organization Name | PUBLIC HOSPITAL DISTRICT NO 2 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | MEDICARE RAILROAD | CG8137 | 01 |
| WA | 7099849 | 05 | |
| WA | MEDICARE RAILROAD | CJ9678 | 01 |
| WA | MEDICARE RAILROAD | CQ2437 | 01 |
| WA | MEDICARE RAILROAD | CG2833 | 01 |
| Other Name | Type Code |
|---|---|
| Evergreen Medical Group Sammamish | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891958153 | Public Hospital District No 2 | Hospice Care, Community Based | 12040 Ne 128th St # Ms -119, Kirkland, WA 98034-3013 | 2008-07-08 |
| 1922198191 | Public Hospital District No 2 | Family Medicine | 17000 140th Ave Ne, Ste 101, Woodinville, WA 98072-6928 | 2006-10-16 |
| 1578653747 | Public Hospital District No 2 | Family Medicine | 8301 161st Ave Ne, Ste 308, Redmond, WA 98052-3858 | 2006-10-16 |
| 1518057793 | Public Hospital District No 2 | Nurse Practitioner | 12303 Ne 130th Ln, # 225, Kirkland, WA 98034-3099 | 2006-10-16 |
| 1629179890 | Public Hospital District No 2 | Family Medicine | 18208 66th Ave Ne, Ste 200, Kenmore, WA 98028-7949 | 2006-09-26 |
| 1942301122 | Public Hospital District No 2 | Family Medicine | 17000 140th Ave Ne, Ste 101, Woodinville, WA 98072-6928 | 2006-09-26 |
| 1568563732 | Public Hospital District No 2 | Family Medicine | 14720 Main St Ne, Ste 109, Duvall, WA 98019-8460 | 2006-09-26 |
| 1538260716 | Public Hospital District No 2 | Family Medicine | 8299 161st Ave Ne, Ste 101, Redmond, WA 98052-3860 | 2006-09-26 |
| 1013014786 | Public Hospital District No 2 | Family Medicine | 8301 161st Ave Ne, Suite 105, Redmond, WA 98052-3858 | 2006-09-17 |
| Street Address |
22850 NE 8TH ST STE 103 |
| City | SAMMAMISH |
| State | WA |
| Zip Code | 98074-7256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447232384 | Luba Kihichak | Emergency Medicine | 22850 Ne 8th St, Suite 103, Sammamish, WA 98074-7256 | 2005-11-16 |
| 1104424662 | Ana Burcheci | Nurse Practitioner | 22850 Ne 8th St, Sammamish, WA 98074-7256 | 2020-10-15 |
| 1710388673 | Deborah Christensen | Nurse Practitioner | 22850 Ne 8th St, #103, Sammamish, WA 98074-7256 | 2014-09-10 |
| 1639206139 | Leena Chacko | Family Medicine | 22850 Ne 8th St, #103, Sammamish, WA 98074-7256 | 2007-02-28 |
| 1255472775 | Jay Stephen Kaufman | Optometrist | 22850 Ne 8th St, Suite 102, Sammamish, WA 98074-7256 | 2007-02-09 |
| 1366592339 | Melanie Ann Brinckerhoff | Nurse Practitioner | 22850 Ne 8th St, Suite 103, Sammamish, WA 98074-7256 | 2007-01-11 |
| 1497825673 | Colleen Mulvihill Pacem | Registered Nurse | 22850 Ne 8th St, Suite 103, Sammamish, WA 98074-7256 | 2006-11-08 |
| 1740262526 | William Yeardon Mckee | Family Medicine | 22850 Ne 8th St, Suite 103, Sammamish, WA 98074-7256 | 2005-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700435807 | Jenna Crutsinger | Family Medicine | 22850 Ne 8th Street Ste 103, Sammamish, WA 98074 | 2019-09-10 |
| 1699212456 | Washington Dental Corporation, PC | Dentist | 22640 Se 4th Street, Suite 212, Sammamish, WA 98074 | 2017-01-31 |
| 1457802886 | Nazarena Deschiave | Interpreter | 906 207th Pl Ne, Sammamish, WA 98074 | 2016-10-20 |
| 1649578600 | Christopher Bao Brown | Dentist | 22620 Se 4th St Ste 150, Sammamish, WA 98074 | 2011-03-01 |
| 1942522834 | Tinsy K George | Pharmacist | 526 228th Ave Ne, Bartell Drugs, Sammamish, WA 98074 | 2010-02-19 |
| 1285855858 | Helga S Ding | Dentist | 21325 Se 3rd Street, Sammamish, WA 98074 | 2007-05-01 |
| 1316079684 | Sabiha Tyab Haider | Occupational Therapist | 2325 237th Pl Ne, Sammamish, WA 98074 | 2007-03-12 |
| 1053477976 | Rhonda Newton Dds | Dentist | 707 228th Ave Ne, Sammamish, WA 98074 | 2006-12-28 |
| 1699849331 | Pediatric Associates, Inc., P.s. Dba Allegro Pediatrics | Pediatrics | 22620 Se 4th Street, Suite #200, Sammamish, WA 98074 | 2006-11-17 |
| 1578662011 | Michael Allan Macinnes | Dentist | 336 228th Ave Ne, Suite 200, Sammamish, WA 98074 | 2006-09-21 |
| Find all providers in zip 98074 | ||||
| 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 |
|---|---|---|---|---|
| 1700435807 | Jenna Crutsinger | Family Medicine | 22850 Ne 8th Street Ste 103, Sammamish, WA 98074 | 2019-09-10 |
| 1659455368 | Donald T Stewart | Family Medicine | 3854 E Lk Sammamish Pkwy Ne, Sammamish, WA 98074-4534 | 2006-10-25 |
| 1861648487 | Li Wang | Family Medicine | 22707 Se 29th St, Sammamish, WA 98075-9532 | 2008-08-14 |
| 1639206139 | Leena Chacko | Family Medicine | 22850 Ne 8th St, #103, Sammamish, WA 98074-7256 | 2007-02-28 |
| 1497803936 | Darshana Dudgikar | Family Medicine | 22707 Se 29th St, Sammamish, WA 98075-9532 | 2007-01-08 |
| 1225190978 | Seth P Fader | Family Medicine | 22707 Se 29th St, Sammamish, WA 98075-9532 | 2006-12-15 |
| 1114088713 | Jeannie Chia Hui Chang | Family Medicine | 22707 Se 29th St, Sammamish, WA 98075-9532 | 2006-12-13 |
| 1881767507 | Fengxia Qiao | Family Medicine | 22707 Se 29th St, Ste F, Sammamish, WA 98075-9532 | 2006-11-17 |
| 1740364454 | Gayle H Palmer | Family Medicine | 22707 Se 29th St, Sammamish, WA 98075-9532 | 2006-10-25 |
| 1578647285 | Luann L Chen | Family Medicine | 22707 Se 29th St, Sammamish, WA 98075-9532 | 2006-10-25 |
| Find all providers in SAMMAMISH | ||||
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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.