PUBLIC HOSPITAL DISTRICT #1 OF KING COUNTY (NPI# 1528015229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528015229 |
| Entity Type | Organization |
| Organization Name | PUBLIC HOSPITAL DISTRICT #1 OF KING COUNTY |
| Other Organization Name | VMC SPORTS MEDICINE CLINIC |
| Practice Address |
3600 Lind Ave Sw Suite 170 Renton WA 98055-4934 |
| Mailing Address |
3600 Lind Ave Sw Suite 100 Renton WA 98055-4934 |
| Practice Telephone | 4256564260 |
| Mailing Telephone | 4256565412 |
| Mailing Fax Number | 4256565423 |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2008-01-15 |
| 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 | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 7060353 | 05 |
| Other Name | Type Code |
|---|---|
| VMC Sports Medicine Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1710032917 | Public Hospital District #1 of King County | Neurological Surgery | 3915 Talbot Rd S, Ste 206, Renton, WA 98055-5738 | 2007-01-25 |
| Street Address |
3600 LIND AVE SW SUITE 170 |
| City | RENTON |
| State | WA |
| Zip Code | 98055-4934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922545144 | Lesley Elizabeth Rytel | Speech-Language Pathologist | 3600 Lind Ave Sw, Suite 160, Renton, WA 98057-4934 | 2017-01-25 |
| 1184073348 | Kristina Johnston | Speech-Language Pathologist | 3600 Lind Ave Sw, Ste 160, Renton, WA 98057-4934 | 2016-06-08 |
| 1932553088 | Nicki Baumgartner | Occupational Therapist | 3600 Lind Ave Sw, Ste 160, Renton, WA 98057-4934 | 2016-04-14 |
| 1881053908 | Lauren Crouch | Occupational Therapist | 3600 Lind Ave Sw, Ste 160, Renton, WA 98057-4934 | 2016-02-17 |
| 1154780260 | Megan N Lesh | Occupational Therapist | 3600 Lind Ave Sw, Ste 160, Renton, WA 98057-4934 | 2016-02-17 |
| 1760891535 | Britan Cosand | Occupational Therapist | 3600 Lind Ave Sw, Ste 160, Renton, WA 98057-4934 | 2014-08-06 |
| 1164831947 | Claire Fischer | Speech-Language Pathologist | 3600 Lind Ave Sw, Ste 160, Renton, WA 98057-4934 | 2014-08-06 |
| 1447669221 | Tiffany Cunningham | Occupational Therapist | 3600 Lind Ave Sw, Ste 160, Renton, WA 98057-4934 | 2014-08-06 |
| 1316280423 | Justine Magnotti | Speech-Language Pathologist | 3600 Lind Ave Sw, Ste 160, Renton, WA 98057-4934 | 2013-03-27 |
| 1760724389 | Bethany Z Coleman | Occupational Therapist | 3600 Lind Ave Sw, Ste 160, Renton, WA 98057-4934 | 2013-03-21 |
| Find all providers in the same location | ||||
| 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 | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| 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 Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558527143 | David S Lessman | Family Medicine | 4011 Talbot Rd S Ste 300, Renton, WA 98055 | 2008-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326565110 | Family Care Network, Pllc | Family Medicine | 3130 Squalicum Pkwy Ste 110, Bellingham, WA 98225-1940 | 2017-08-23 |
| 1578682100 | Robert Stewart Nicol | Family Medicine | 23512 Ne 206th St, Battle Ground, WA 98604-9699 | 2007-03-28 |
| 1912033663 | Richard Terril Jacobs | Family Medicine | 1351 Fowler St, Richland, WA 99352-4714 | 2007-02-26 |
| 1821132481 | James E Hult | Family Medicine | 800 N 5th Ave # 101, Sequim, WA 98382-3045 | 2007-02-16 |
| 1598874430 | Patrick Z Pearce | Family Medicine | 730 N Hamilton St, Spokane, WA 99202-2045 | 2006-08-30 |
| 1265450514 | Lawrence J Greenblatt X | Family Medicine | 1407 116th Ave Ne Ste 102, Bellevue, WA 98004-3819 | 2006-07-17 |
| 1649211764 | Mark David Wagner | Family Medicine | 1000 Dexter Ave N Ste 320, Seattle, WA 98109-4878 | 2006-06-09 |
| 1063486074 | Warren Billings Howe | Family Medicine | 516 High St, Wwu Student Health (ms-9132), Bellingham, WA 98225-5946 | 2006-02-15 |
| 1588280804 | Rainier Family and Sports Medicine P C | Family Medicine | 16202 64th St E Ste 104, Sumner, WA 98390-3028 | 2020-06-23 |
| 1417469404 | Maksportsmd | Family Medicine | 19110 Bothell Way Ne Ste 102, Bothell, WA 98011-2970 | 2017-10-30 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on PUBLIC HOSPITAL DISTRICT #1 OF KING COUNTY.
| 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.