WESTERN WASHINGTON MEDICAL GROUP, INC PS


Address: 12728 19th Ave Se, Suite 300, Everett, WA 98208-6526
Phone: 4252594041

WESTERN WASHINGTON MEDICAL GROUP, INC PS (NPI# 1568916682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568916682
Entity Type Organization
Organization Name WESTERN WASHINGTON MEDICAL GROUP, INC PS
Other Organization Name WWMG DEPT OF NEUROLOGY
Practice Address 12728 19th Ave Se
Suite 300
Everett
WA 98208-6526
Mailing Address 1728 W Marine View Dr
Suite 110
Everett
WA 98201-2094
Practice Telephone 4252594041
Mailing Telephone 4252594041
Enumeration Date 2016-08-05
Last Update Date 2016-08-05
Authorized Official Name VICKI MCGINNIS (PRIVACY OFFICIER)
Authorized Official Telephone 4252594041
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084N0400X Psychiatry & Neurology
Specialization: Neurology
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
WWMG Dept of Neurology Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1023236528 Western Washington Medical Group, Inc Ps Internal Medicine 4225 Hoyt Ave Ste A, Everett, WA 98203-2351 2007-04-23
1649498049 Western Washington Medical Group, Inc Ps Family Medicine 4225 Hoyt Ave Ste B, Everett, WA 98203-2351 2007-04-23
1932327335 Western Washington Medical Group, Inc Ps Podiatrist 3202 Colby Ave Ste E, Everett, WA 98201-4324 2007-04-23
1326266727 Western Washington Medical Group, Inc Ps Psychologist 3525 Colby Ave Ste 200, Everett, WA 98201-4782 2007-04-23
1538387931 Western Washington Medical Group, Inc Ps Urology 4310 Colby Ave Ste 203, Everett, WA 98203-2338 2007-04-23
1093933491 Western Washington Medical Group, Inc Ps Internal Medicine 1330 Rockefeller Ave Ste 330, Everett, WA 98201 2007-04-23
1417175811 Western Washington Medical Group, Inc Ps Internal Medicine 1330 Rockefeller Ave Ste 450, Everett, WA 98201-1677 2007-04-23
1831238443 Western Washington Medical Group, Inc Ps Spec/Tech, Pathology 6825 216th St Sw Ste E, Lynnwood, WA 98036-7379 2007-02-06
1003809229 Western Washington Medical Group, Inc Ps Clinic/Center 3501 Shelby Rd, Suite B, Lynnwood, WA 98087-3599 2005-08-23
1538606413 Western Washington Medical Group, Inc Ps Internal Medicine 1909 214th St Se, Suite 211, Bothell, WA 98021-4412 2017-01-30

Office Location

Street Address 12728 19TH AVE SE
SUITE 300
City EVERETT
State WA
Zip Code 98208-6526

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780643973 Jessica Susan Webb Nurse Practitioner 12728 19th Ave Se, Suite 300, Everett, WA 98208-6526 2006-03-17
1366927253 Victoria Leona Longstreth Nurse Practitioner 12728 19th Ave Se, Everett, WA 98208-6526 2018-09-26
1851710495 Western Washington Medical Group Pharmacist 12728 19th Ave Se, Suite 200, Everett, WA 98208-6526 2014-04-10
1457793390 Bariatric Surgery Clinic Trust Surgery 12728 19th Ave Se, Suite 200, Everett, WA 98208-6526 2013-07-19
1093064263 Evelyn Woods Dietitian, Registered 12728 19th Ave Se, Suite 300, Everett, WA 98208-6526 2012-09-04
1568747012 Jason Anthony Talavera Internal Medicine 12728 19th Ave Se, Suite 200, Everett, WA 98208-6526 2011-10-17
1477847606 Western Washington Cardiology Tr Internal Medicine 12728 19th Ave Se, Suite 200, Everett, WA 98208-6526 2011-06-06
1114217510 Western Washington Cardiology Tr Internal Medicine 12728 19th Ave Se, Suite 200, Everett, WA 98208-6526 2011-04-19
1770727307 Jillian K Hamel Nurse Practitioner 12728 19th Ave Se, Ste 200, Everett, WA 98208-6526 2009-04-27
1447423017 Andrea Vitello Internal Medicine 12728 19th Ave Se, Everett, WA 98208-6526 2008-04-03
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790270296 Kenneth Britt Dyer Registered Nurse 10333 19th Ave, Se, Ste #109, Everett, WA 98208 2018-06-27
1518482215 Glacier Peak Healthcare, Inc. Home Health 10530 19th Ave Se Ste 201, Everett, WA 98208 2017-08-03
1114454865 Aliza Kreisman Registered Nurse 11020 19th Avenue Se, Kaiser Permanente of Washington Seattle Care Clinic, Everett, WA 98208 2017-05-12
1902269418 Clay Eakin Counselor 2732 Grand Evenue, Everett, WA 98208 2016-04-01
1467810259 Elizabeth Anne Powley Marriage & Family Therapist 1920 100th Street Southeast, Bld C3, Everett, WA 98208 2016-02-08
1659745842 Andrea Rose Bedlington Pharmacist 11407 33rd Dr. Se, Everett, WA 98208 2015-11-25
1396123865 Sound Surgeons Pllc Clinic/Center 125 130th Street Se, 1st Floor, Everett, WA 98208 2015-05-15
1831576537 Chris Sturgeon Counselor 10102 Meridian Ave, Everett, WA 98208 2015-05-01
1982011128 James M Lee Physical Therapist 10821 19th Ave Se Ste 102, Everett, WA 98208 2014-07-21
1972937357 Ronald Tracy Dentist 10315 19th Avenue Se Suite 110, Everett, WA 98208 2013-08-21
Find all providers in zip 98208

Taxonomy Information

Taxonomy Code 2084N0400X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neurology

Taxonomy Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578858908 Thomas M Murphy Psychiatry & Neurology 522 Laurel Dr, Everett, WA 98201-4130 2011-06-14
1417156993 James William Jordan Psychiatry & Neurology 1321 Colby Ave Fl 3, Everett, WA 98201-1665 2007-07-13
1730139973 Robert H Price Md Pllc Psychiatry & Neurology 10315 19th Ave Se, Building B, Suite 112, Everett, WA 98208-4259 2006-05-10
1093109381 Nicola Carlisle Psychiatry & Neurology 3901 Hoyt Ave, Everett, WA 98201-4918 2015-03-24
1952696395 Nicholas Tamoria Psychiatry & Neurology 1728 W Marine View Dr Ste 106, Everett, WA 98201-2094 2011-06-14
1043504798 Derek Chen Huang Psychiatry & Neurology 3901 Hoyt Ave, Everett, WA 98201-4918 2011-05-29
1447549183 Tyler Aspinwall Clark Psychiatry & Neurology 3901 Hoyt Ave, Everett, WA 98201-4918 2011-04-04
1982866158 Rachel P Allen Psychiatry & Neurology 3901 Hoyt Ave, Everett, WA 98201-4918 2008-06-30
1770782989 Sharon C Galicia Psychiatry & Neurology 3901 Hoyt Ave, Everett, WA 98201-4918 2007-07-17
1336267806 Kara Fairbanks Warden Psychiatry & Neurology 3901 Hoyt Ave, Everett, WA 98201-4918 2007-03-26
Find all providers in EVERETT

Competitor

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City EVERETT
Zip Code 98208

Improve Information

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Dataset Information

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.

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