NORTHWEST MEDICAL SPECIALIST (NPI# 1578006599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578006599 |
| Entity Type | Organization |
| Organization Name | NORTHWEST MEDICAL SPECIALIST |
| Practice Address |
11511 Canterwood Blvd Suite 45 Gig Harbor WA 98332 |
| Mailing Address |
1624 South I Street Suite 305 Tacoma WA 98405 |
| Practice Telephone | 2538584725 |
| Practice Fax Number | 2538584452 |
| Mailing Telephone | 2534288700 |
| Mailing Fax Number | 2533833376 |
| Enumeration Date | 2016-11-22 |
| Last Update Date | 2016-11-22 |
| Authorized Official Name | MR. REX HAYES (BUSINESS MANAGER) |
| Authorized Official Telephone | 2534288700 |
| Authorized Official Credential | MBA, CMPE |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SX0200X |
Clinical Nurse Specialist Specialization: Oncology |
AP60711956 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | NORTHWEST MEDICAL SPECIALISTS, LLC | 2115 Ne Wyatt Ct Suite 201, Bend, OR 97701 |
| Washington State Corporations | NORTHWEST MEDICAL SPECIALISTS, P.S. | 823 W 7th Ave, Spokane, WA 99204 |
| Street Address |
11511 CANTERWOOD BLVD SUITE 45 |
| City | GIG HARBOR |
| State | WA |
| Zip Code | 98332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346248754 | Ellen M Hanisch | Nurse Practitioner | 11511 Canterwood Blvd, Suite 45, Gig Harbor, WA 98332-5813 | 2005-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023584125 | William Edmondson Wells | Counselor | Wccw, 9601 Bujacick Rd. Nw, Gig Harbor, WA 98332 | 2018-10-17 |
| 1417446758 | Janelle Elizabeth Becker | Physician Assistant | 11511 Canterwood Blvd Nw Ste 205, Gig Harbor, WA 98332 | 2018-05-02 |
| 1205252046 | Jenny Wical | Registered Nurse | 12201 Osprey Dr. Nw, Gig Harbor, WA 98332 | 2014-03-17 |
| 1134486616 | Jacinda Leigh Pickett | Pharmacist | 10990 Harbor Hill Dr, Gig Harbor, WA 98332 | 2012-04-20 |
| 1114242898 | Michael Robert Conger | Urology | 9704 Woodworth Ave Nw, Gig Harbor, WA 98332 | 2010-04-06 |
| 1346473899 | Robert Howard Lerman | Internal Medicine | 9770 44th Ave Nw, Suite 102, Gig Harbor, WA 98332 | 2009-09-01 |
| 1447406699 | Franciscan Health System | General Acute Care Hospital | 11567 Canterwood Blvd, Gig Harbor, WA 98332 | 2008-08-07 |
| 1730303249 | Richard Mason Coyner | Dentist | 7715 Pioneer Way, Gig Harbor, WA 98332 | 2007-04-13 |
| 1902978711 | Byron D Fenton | Chiropractor | 14619 Purdy Dr, Gig Harbor, WA 98332 | 2006-11-15 |
| 1063515351 | Gordon Bernstein | Radiology | 5304 W Old Stump Dr Nw, Gig Harbor, WA 98332 | 2006-09-05 |
| Find all providers in zip 98332 | ||||
| Taxonomy Code | 364SX0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Oncology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336683796 | Sharon Kaye Zell | Clinical Nurse Specialist | 11511 Canterwood Blvd Nw Ste 45, Gig Harbor, WA 98332-5816 | 2016-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245685684 | Lisa Hansen | Clinical Nurse Specialist | 1498 Se Tech Center Pl, Suite 240, Vancouver, WA 98683-9591 | 2016-05-03 |
| City | GIG HARBOR |
| Zip Code | 98332 |
Please comment or provide details below to improve the information on NORTHWEST MEDICAL SPECIALIST.
| 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.