WASHINGTON ORTHOPEDICS AND SPORTS MEDICINE, PC (NPI# 1629008081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629008081 |
| Entity Type | Organization |
| Organization Name | WASHINGTON ORTHOPEDICS AND SPORTS MEDICINE, PC |
| Practice Address |
11821 Ne 128th St Suite A Kirkland WA 98034-7210 |
| Practice Telephone | 4258238282 |
| Practice Fax Number | 4258236696 |
| Mailing Telephone | 4258238282 |
| Mailing Fax Number | 4258236696 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. SHERI D WILKIN (BILLING MANAGER) |
| Authorized Official Telephone | 4258148514 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
MD00030689 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 7040033 | 05 | |
| WA | L&I GROUP | 0053352 | 01 |
| WA | REGENCE GROUP WRITER | 5677DE | 01 |
| Street Address |
11821 NE 128TH ST SUITE A |
| City | KIRKLAND |
| State | WA |
| Zip Code | 98034-7210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023088374 | Timothy Hayes Massey | Orthopaedic Surgery | 11821 Ne 128th St, Suite A, Kirkland, WA 98034-7210 | 2006-01-26 |
| 1003351925 | Eric O'quinn | Physical Therapist | 11821 Ne 128th St, Ste C, Kirkland, WA 98034-7210 | 2017-01-02 |
| 1073981775 | Julie Foerster | Physical Therapist | 11821 Ne 128th St, Ste. C, Kirkland, WA 98034-7210 | 2015-09-11 |
| 1356718969 | Briana L Rogers | Physical Therapist | 11821 Ne 128th St, Ste C, Kirkland, WA 98034-7210 | 2015-08-31 |
| 1750774881 | Lisa Gleason | Dietitian, Registered | 11821 Ne 128th St, Ste C, Kirkland, WA 98034-7210 | 2015-03-13 |
| 1477953222 | Comprehensive Natural Medicine, Pllc | Non-Pharmacy Dispensing Site | 11821 Ne 128th St, Suite H, Kirkland, WA 98034-7210 | 2014-08-29 |
| 1134529183 | Virginia Haley | Physical Therapist | 11821 Ne 128th St, Ste C, Kirkland, WA 98034-7210 | 2014-08-27 |
| 1477979847 | Scott Schorer, L.ac., Eamp, Pllc | Acupuncturist | 11821 Ne 128th St, Suite H, Kirkland, WA 98034-7210 | 2014-03-10 |
| 1922346360 | Carley Moore | Specialist | 11821 Ne 128th St, Suite B, Kirkland, WA 98034-7210 | 2013-01-18 |
| 1992906481 | Galen Brett | Massage Therapist | 11821 Ne 128th St, Suite C, Kirkland, WA 98034-7210 | 2007-05-30 |
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| 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 | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891115085 | Alexander H. Arzeno | Orthopaedic Surgery | 510 8th Ave Ne Ste 200, Issaquah, WA 98029-5436 | 2014-04-26 |
| 1922334804 | Alpine Orthopaedic and Spine A Professional Corporation | Orthopaedic Surgery | 212 E Central Ave Ste 365, Spokane, WA 99208-6291 | 2009-10-27 |
| 1912110933 | Virgil V Becker Jr Jd Md Inc Ps | Orthopaedic Surgery | 125 3rd St Ne Ste 401, Auburn, WA 98002-4035 | 2007-05-07 |
| 1003904434 | Farouq A Al-hamdan | Orthopaedic Surgery | 119 S 14th St, Mount Vernon, WA 98274-4114 | 2006-10-11 |
| 1366549040 | Antoine G. Tohmeh | Orthopaedic Surgery | 605 E Holland Ave Ste 200, Spokane, WA 99218-1246 | 2006-09-17 |
| 1447298021 | Paul Edward Schwaegler | Orthopaedic Surgery | 550 16th Ave Ste 404, Seattle, WA 98122-5636 | 2006-06-03 |
| 1588640361 | Michael A Chang | Orthopaedic Surgery | 1211 N 16th Ave, Yakima, WA 98902-1347 | 2005-12-22 |
| 1144228750 | Alan Burchard Brown | Orthopaedic Surgery | 1427 116th Ave Ne, Bellevue, WA 98004-3807 | 2005-07-08 |
| 1699328278 | Bilal Izzat Qutteineh | Orthopaedic Surgery | 550 17th Ave Ste 500, Seattle, WA 98122-5789 | 2019-07-22 |
| 1063924116 | Proliance Surgeons, Inc., P.s | Orthopaedic Surgery | 801 Broadway Ste 617, Seattle, WA 98122-4319 | 2017-10-30 |
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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.