KING COUNTY PUBLIC HOSPITAL DISTRICT NO. 2 (NPI# 1568535136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568535136 |
| Entity Type | Organization |
| Organization Name | KING COUNTY PUBLIC HOSPITAL DISTRICT NO. 2 |
| Other Organization Name | EVERGREENHEALTH RAD ONC SVCS |
| Practice Address |
12040 Ne 128th St Kirkland WA 98034-3013 |
| Mailing Address |
Po Box 34738 Seattle WA 98124-1738 |
| Practice Telephone | 4258991000 |
| Mailing Telephone | 4258991000 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2017-03-23 |
| Authorized Official Name | ROBERT MALTE (CEO) |
| Authorized Official Telephone | 4258992610 |
| Is Organization Subpart | Y |
| Parent Organization Name | KING COUNTY PUBLIC HOSPITAL DISTRICT NO. 2 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| EvergreenHealth Rad Onc Svcs | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588662761 | King County Public Hospital District No. 2 | Home Health | 11800 Ne 128th St Ste 200, Kirkland, WA 98034-7211 | 2005-07-12 |
| 1548740210 | King County Public Hospital District No. 2 | Neurological Surgery | 939 Caroline St, Port Angeles, WA 98362 | 2018-08-21 |
| 1043694185 | King County Public Hospital District No. 2 | Clinic/Center | 12333 Ne 130th Ln, #420, Kirkland, WA 98034-7467 | 2015-07-18 |
| 1750612883 | King County Public Hospital District No. 2 | Family Medicine | 8980 161st Ave Ne, Suite 400, Redmond, WA 98052-7554 | 2010-01-29 |
| 1538213327 | King County Public Hospital District No. 2 | Community/Behavioral Health | 12040 Ne 128th St, Kirkland, WA 98034-3013 | 2007-01-22 |
| 1497803829 | King County Public Hospital District No. 2 | Psychiatry & Neurology | 12040 Ne 128th St, Kirkland, WA 98034-3013 | 2007-01-08 |
| 1285706036 | King County Public Hospital District No. 2 | Pediatrics | 12040 Ne 128th St, Kirkland, WA 98034-3013 | 2006-11-15 |
| 1285719609 | King County Public Hospital District No. 2 | Hospice, Inpatient | 12822 124th Ln Ne, Kirkland, WA 98034-7612 | 2006-10-25 |
| 1154411338 | King County Public Hospital District No. 2 | Rehabilitation Unit | 12040 Ne 128th St, Kirkland, WA 98034-3013 | 2006-10-16 |
| 1033174933 | King County Public Hospital District No. 2 | General Acute Care Hospital | 12040 Ne 128th St, Kirkland, WA 98034-3013 | 2006-04-20 |
| Street Address |
12040 NE 128TH ST |
| City | KIRKLAND |
| State | WA |
| Zip Code | 98034-3013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225027428 | Suman L. Tewari | Obstetrics & Gynecology | 12040 Ne 128th St, Ms 105, Kirkland, WA 98034-3013 | 2005-10-19 |
| 1528674389 | Hannah Rose Narag Galvan | Registered Nurse | 12040 Ne 128th St, Kirkland, WA 98034-3013 | 2020-09-17 |
| 1942816970 | Julia Anne Baura Suico | Registered Nurse | 12040 Ne 128th St, Kirkland, WA 98034-3013 | 2020-09-16 |
| 1275147688 | Diana Dubinsky | Registered Nurse | 12040 Ne 128th St, Kirkland, WA 98034-3013 | 2020-09-02 |
| 1619599040 | Ana-irina Bologan | Registered Nurse | 12040 Ne 128th St, Kirkland, WA 98034-3013 | 2020-05-07 |
| 1467080499 | Suzanne Marie Campiche | Social Worker | 12040 Ne 128th St, Kirkland, WA 98034-3013 | 2020-03-27 |
| 1528694106 | Jordan Daryoush Kamal | Registered Nurse | 12040 Ne 128th St, Kirkland, WA 98034-3013 | 2020-03-16 |
| 1689224727 | Patricia Duenas Morgan | Nurse Practitioner | 12040 Ne 128th St, Kirkland, WA 98034-3013 | 2019-09-19 |
| 1700351533 | Katherine Claire Newman | Pharmacist | 12040 Ne 128th St, Kirkland, WA 98034-3013 | 2018-10-08 |
| 1104337682 | Kristin Bainbridge | Speech-Language Pathologist | 12040 Ne 128th St, Kirkland, WA 98034-3013 | 2017-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578116596 | Rachel Bowers | Behavior Technician | 1335 Northeast 122nd Way, Suite 105, Kirkland, WA 98034 | 2019-07-18 |
| 1740841048 | Kristina Louise Inghram | Behavior Technician | 11415 Ne 128th St., Suite 40, Kirkland, WA 98034 | 2019-06-26 |
| 1053978064 | Matthew A. Bagnulo, Dds, Ps | Dentist | 11830 Ne 128th St., #202, Kirkland, WA 98034 | 2019-05-24 |
| 1629568928 | Stephanie Michalko | Optometrist | 11800 Ne 128th St Ste 110, Kirkland, WA 98034 | 2018-05-14 |
| 1952800013 | Heath Family Counseling LLC | Marriage & Family Therapist | 12025 115th Ave. Ne, Building D, Ste 200, Kirkland, WA 98034 | 2018-02-05 |
| 1891202834 | Barbara Josephine Gorham | Counselor | 2025 115th Ave Ne, Bldg D, #200, Kirkland, WA 98034 | 2017-12-29 |
| 1548782915 | Eleanor Hollis Wall | Counselor | 14340 102nd Ave Ne, Kirkland, WA 98034 | 2017-07-07 |
| 1457885212 | Peter Schoonmaker | Hospitalist | 12040 Ne 128th Street, Ms105, Kirkland, WA 98034 | 2017-04-18 |
| 1780124370 | Rebecca Managan | Advanced Practice Midwife | 12303 Ne 130th Ln Ste Coral225, Kirkland, WA 98034 | 2017-03-01 |
| 1669821104 | Winter Gonzalez | Counselor | 11720 97th Ln Ne Apt A411, Kirkland, WA 98034 | 2016-06-06 |
| Find all providers in zip 98034 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669829289 | Rosanna Hoi Lam Yeung | Radiology | 12040 Ne 128th St # Ms -63, Kirkland, WA 98034 | 2016-05-24 |
| 1780790055 | Eric William Taylor | Radiology | 12040 Ne 128th St # 63, Kirkland, WA 98034-3013 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508251000 | Anthony Hoai-nam Pham | Radiology | 19917 7th Ave Ne Ste 100, Poulsbo, WA 98370-6555 | 2015-04-01 |
| 1841603479 | Sherry Zhao | Radiology | 7350 W Deschutes Ave Ste A, Kennewick, WA 99336 | 2014-06-11 |
| 1467877670 | John Paul Lytle Jr. | Radiology | 6729 204th Dr. Ne, Redmond, WA 98053 | 2014-02-25 |
| 1962824219 | The Polyclinic | Radiology | 1225 Madison St, Seattle, WA 98104-1336 | 2014-01-06 |
| 1720356090 | Herbert Carl Berry | Radiology | 65 E. Roanoke St., Seattle, WA 98102 | 2011-12-01 |
| 1609175660 | Legacy Salmon Creek Hospital | Radiology | 2121 Ne 139th St Ste 100, Vancouver, WA 98686-2316 | 2011-03-16 |
| 1861794992 | Thomas Ward Griffin | Radiology | 3620 E Prospect St, Seattle, WA 98112-4440 | 2010-11-22 |
| 1407170467 | Aaron Shingo Kusano | Radiology | 1959 Ne Pacific St. Box 356043, University of Washington Department of Radiation Oncolo, Seattle, WA 98195 | 2010-03-19 |
| 1184866527 | Justin William Suszko | Radiology | 4525 3rd Ave Se Ste 100, Lacey, WA 98503-1010 | 2009-03-31 |
| 1164630752 | Michael Allan Myers | Radiology | 8821 Ne 5th St., Vancouver, WA 98664 | 2007-05-18 |
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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.