PROVIDENCE HEALTH & SERVICES-WA (NPI# 1447547658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447547658 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE HEALTH & SERVICES-WA |
| Other Organization Name | PMG NW WA MONROE OB/GYN |
| Practice Address |
14692 179th Ave Se Ste 800 Monroe WA 98272-1162 |
| Mailing Address |
Po Box 34439 Seattle WA 98124-1439 |
| Practice Telephone | 4252587550 |
| Practice Fax Number | 4252587450 |
| Mailing Telephone | 4253165469 |
| Mailing Fax Number | 4253165484 |
| Enumeration Date | 2011-07-08 |
| Last Update Date | 2012-03-28 |
| Authorized Official Name | MARCY NICOL (DIRECTOR RCM NWR PHYSICIAN DIVISION) |
| Authorized Official Telephone | 4253170284 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | Nursing Service Providers | ||
| N | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 367A00000X | Advanced Practice Midwife | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| PMG NW WA Monroe OB/GYN | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114236791 | Providence Health & Services-wa | Surgery | 1330 Rockefeller Avenue, Suite 400, Everett, WA 98201-1676 | 2010-09-30 |
| 1588294854 | Providence Health & Services-wa | Clinic/Center | 916 Pacific Ave, Everett, WA 98201-4147 | 2020-01-24 |
| 1649615220 | Providence Health & Services-wa | Naturopath | 1321 Colby Ave, Everett, WA 98201-1665 | 2013-05-08 |
| 1215225099 | Providence Health & Services-wa | Midwife | 14692 179th Ave Se, Ste 800, Monroe, WA 98272-1162 | 2011-07-14 |
| 1891088845 | Providence Health & Services-wa | Pharmacy | 3305 Nassau St # 101, Everett, WA 98201-4140 | 2011-05-24 |
| 1831499755 | Providence Health & Services-wa | Orthopaedic Surgery | 1330 Rockefeller Ave, Suite 225, Everett, WA 98201-1684 | 2010-10-26 |
| 1972819175 | Providence Health & Services-wa | Registered Nurse | 3305 Nassau St, Everett, WA 98201-4140 | 2010-08-25 |
| 1164747242 | Providence Health & Services-wa | General Practice | 1717 13th Street, Everett, WA 98201-1621 | 2010-04-01 |
| 1346571841 | Providence Health & Services-wa | Nurse Practitioner | 1330 Rockefeller, Suite 200, Everett, WA 98201-1677 | 2010-01-22 |
| 1255664652 | Providence Health & Services-wa | Obstetrics & Gynecology | 900 Pacific Ave, Suite 501, Everett, WA 98201-4147 | 2009-09-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Providence Health & Services-Washington | 1801 Lind Ave Sw #9016, Renton, Washington 98057-9016 |
| Oregon Corporations, Companies and Business Names | PROVIDENCE HEALTH & SERVICES-WASHINGTON | 1801 Lind Ave Sw #9016, Renton, WA 98057 |
| System for Award Management (SAM) Entities | PROVIDENCE HEALTH & SERVICES-WASHINGTON | 1801 Lind Ave Sw #9016, Renton, WA 98057-3368 |
| Washington State Corporations | PROVIDENCE HEALTH & SERVICES-WASHINGTON | 1801 Lind Ave Sw # 9016, Renton, WA 98057 |
| Street Address |
14692 179TH AVE SE STE 800 |
| City | MONROE |
| State | WA |
| Zip Code | 98272-1162 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952342974 | Paul W Boone Jr. | Family Medicine | 14692 179th Ave Se, Suite 500, Monroe, WA 98272-1198 | 2006-06-09 |
| 1215225099 | Providence Health & Services-wa | Midwife | 14692 179th Ave Se, Ste 800, Monroe, WA 98272-1162 | 2011-07-14 |
| 1720391758 | Carmela Batallones Andrada | Pharmacist | 14692 179th Ave Se, Monroe, WA 98272-1198 | 2010-07-20 |
| 1902139959 | Priscilla Grace Navaja | Pharmacist | 14692 179th Ave Se, Suite 200, Monroe, WA 98272-1198 | 2009-09-09 |
| 1427282250 | Melissa Dawn Goldsmith | Specialist | 14692 179th Ave Se, Suite 400, Monroe, WA 98272-1198 | 2009-05-07 |
| 1457502551 | Providence Health & Services-wa | Clinic/Center | 14692 179th Ave Se, Suite 100, Monroe, WA 98272-1198 | 2008-10-07 |
| 1538345194 | Foot Care Associates PC | Podiatrist | 14692 179th Ave Se, Monroe, WA 98272 | 2008-01-14 |
| 1366625030 | Harmony Lynn Mckenna-clark | Specialist | 14692 179th Ave Se, Suite 400, Monroe, WA 98272-1198 | 2007-12-17 |
| 1558544098 | Nancy Lynnette Rukman | Specialist | 14692 179th Ave Se, Suite 400, Monroe, WA 98272-1198 | 2007-12-06 |
| 1235294901 | Henry Peter Luckel | Pharmacist | 14692 179th Ave Se, Monroe, WA 98272-1198 | 2006-12-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710346135 | Kiran Agarwal | Internal Medicine | 17707 W Main St Fl 1, Monroe, WA 98272 | 2016-02-12 |
| 1982073136 | Rochelle Conway Toulouse | Behavioral Analyst | 642 North Street, Monroe, WA 98272 | 2015-09-17 |
| 1740658467 | Casey Jane Bahr | Social Worker | Casey Bahr, C.o. Tru- Sotap, 16550 177th Ave Se, Monroe, WA 98272 | 2015-09-11 |
| 1811395049 | Gianna M Rosewood | Massage Therapist | 101 East Main Street Set 201, Monroe, WA 98272 | 2014-12-22 |
| 1528478609 | Puget Sound Kidney Centers | Clinic/Center | 18121 149th Street Se, Monroe, WA 98272 | 2014-04-29 |
| 1215356878 | Sabiha K Barot | Emergency Medicine | Evergreenhealth Monroe, 14701 179th Ave. Se, Monroe, WA 98272 | 2014-04-10 |
| 1346677986 | Irina Emily Goldstein | Pharmacist | 179th Ave Se, Monroe, WA 98272 | 2013-09-27 |
| 1740612449 | Erik Michael Erxleben | Massage Therapist | 211 West Hill St., Monroe, WA 98272 | 2013-08-05 |
| 1780023796 | Jamie Marlo Selbe | Counselor | 16560 167th St Se, Monroe, WA 98272 | 2013-06-24 |
| 1942644620 | Robin Fenn | Counselor | 14841 179th Ave Se, St 230, Neary Naturopathic Clinic, Monroe, WA 98272 | 2013-04-24 |
| Find all providers in zip 98272 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336688464 | Well Womans Center of Louisiana | Obstetrics & Gynecology | 708 Jackson St, Monroe, LA 71201-8420 | 2017-02-22 |
| 1588809222 | Turek and Bazley Sc | Obstetrics & Gynecology | N4117 Ladwig Rd, Monroe, WI 53566-8937 | 2008-12-10 |
| 1578690483 | Maribelle Verdiales | Obstetrics & Gynecology | 924 W Spring St, Monroe, GA 30655-1751 | 2007-02-27 |
| 1841334091 | Julianne E Kenton-haney | Obstetrics & Gynecology | 2000 Wellness Blvd Ste 120, Monroe, NC 28110 | 2007-02-19 |
| 1821171497 | Women's Health Associates of Monroe | Obstetrics & Gynecology | 410 Wood St, Monroe, LA 71201-7445 | 2006-10-24 |
| 1154354447 | Union Physicians Network Inc | Obstetrics & Gynecology | 1550 Faulk Street, Suite 2100, Monroe, NC 28112-5087 | 2006-07-09 |
| 1497795736 | Kareen Saunders | Obstetrics & Gynecology | 520 State Route 17m, 2nd Floor, Monroe, NY 10950-3455 | 2006-06-07 |
| 1538120183 | Michael Jordan Caire | Obstetrics & Gynecology | 3130 Mercedes Drive, Monroe, LA 71201 | 2006-03-31 |
| 1811958606 | Rafael Bernard Armstrong | Obstetrics & Gynecology | 3408 Medical Park Dr, Monroe, LA 71203-2354 | 2006-03-31 |
| 1508825571 | Benion S Horton | Obstetrics & Gynecology | 1550 Faul Street, Suite 2100, Monroe, NC 28112-5087 | 2006-03-20 |
| Find all providers in MONROE | ||||
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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.