ADULT AND GERIATRIC MEDICINE PLLC (NPI# 1639590987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639590987 |
| Entity Type | Organization |
| Organization Name | ADULT AND GERIATRIC MEDICINE PLLC |
| Practice Address |
801 Sw 150th St Suite 230 Burien WA 98166-1855 |
| Mailing Address |
Po Box 97115 Lakewood WA 98497-0115 |
| Practice Telephone | 2069576036 |
| Practice Fax Number | 2062571181 |
| Mailing Telephone | 2535887911 |
| Mailing Fax Number | 2539846774 |
| Enumeration Date | 2014-01-03 |
| Last Update Date | 2014-01-03 |
| Authorized Official Name | LUBNA N KHAN (PROVIDER/OWNER) |
| Authorized Official Telephone | 2069576036 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | MD00038733 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | MEDICAL PROFESSIONAL LICENSE | MD00038733 | 01 |
| Street Address |
801 SW 150TH ST SUITE 230 |
| City | BURIEN |
| State | WA |
| Zip Code | 98166-1855 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063573434 | Lynn Marie Boyer | Massage Therapist | 801 Sw 150th St, #208, Burien, WA 98166 | 2006-12-12 |
| 1326605239 | Michael Chege Ngugi | Nurse Practitioner | 801 Sw 150th St, Burien, WA 98166-1855 | 2019-05-26 |
| 1023207362 | Frances H Donohue | Massage Therapist | 801 Sw 150th St, Suite 206, Burien, WA 98166-1855 | 2007-10-23 |
| 1215120241 | John Francis Van Den Bosch Jr. | Specialist | 801 Sw 150th St, Suite # 218, Burien, WA 98166-1855 | 2007-08-22 |
| 1457569634 | Mary C. Knight | Counselor | 801 Sw 150th St, Suite 204, Burien, WA 98166-1855 | 2007-05-19 |
| 1619006608 | Lillian Marie Caplon | Physical Therapist | 801 Sw 150th St, Burien, WA 98166-1855 | 2007-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508341488 | Robert James Woodland Sr. | Counselor | 1210 Sw 136th St., Burien, WA 98166 | 2018-09-26 |
| 1215467329 | Amy Elizabeth Castillo | Massage Therapist | 1204 Sw 168th St, Normandy Park, WA 98166 | 2017-06-13 |
| 1053856070 | Michael David Blackledge | Physical Therapist | 15811 Ambaum Blvd Sw Ste 140, Burien, WA 98166 | 2016-12-29 |
| 1114372232 | Maris Gibson | Massage Therapist | 801 S.w. 150thst, #110, Burien, WA 98166 | 2016-04-26 |
| 1649642992 | Navos | Community/Behavioral Health | 31408 28th Ave South, 1201 Sw 136th Street, Burien, WA 98166 | 2015-10-27 |
| 1154790798 | Han Nguyen | Chiropractor | 15811 Ambaum Blvd Sw Suite 110, Burien, WA 98166 | 2015-09-24 |
| 1497163778 | Maria Garvey-caruso | Physical Therapist | 1511 Ambaum Blvd South West, Suite 140, Burien, WA 98166 | 2014-07-30 |
| 1427495274 | Mohammed Nayeemuddin | Internal Medicine | 16259 Sylvester Rd Sw Ste 404, Burien, WA 98166 | 2013-06-03 |
| 1023362753 | Donna Shaman | Occupational Therapist | 15675 Ambaum Blvd, Burien, WA 98166 | 2012-11-02 |
| 1366707010 | Tracy C Saephanh | Pharmacy Technician | 14901 4th Ave Sw Ste 100, Burien, WA 98166 | 2012-07-09 |
| Find all providers in zip 98166 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104261874 | Andrew Philip Covington | Internal Medicine | 16233 Sylvester Rd Sw Ste G60, Burien, WA 98166-3047 | 2013-05-07 |
| 1437414232 | Susan A Bick | Internal Medicine | 1826 Sw Shoreview Ln, Burien, WA 98146-3007 | 2012-07-08 |
| 1962775486 | Pacific Clinic & Urgent Care Pllc | Internal Medicine | 15500 1st Ave S, Suite 106a, Burien, WA 98148-1052 | 2012-02-14 |
| 1598783201 | Edward D Davila, Md Pllc | Internal Medicine | 629 Sw 153rd St, Burien, WA 98166-2216 | 2006-07-18 |
| 1144275272 | Cameron Gordon Hampton Smith | Internal Medicine | 16045 1st Ave S Fl 1, Burien, WA 98148-1401 | 2006-05-24 |
| 1982652400 | Highline Medical Group Inc | Internal Medicine | 15811 Ambaum Blvd Sw, Suite A, Burien, WA 98166-3013 | 2006-05-05 |
| 1801877717 | Harry A Pierce IIi | Internal Medicine | 13014 12th Ave Sw, Burien, WA 98146-3110 | 2005-11-08 |
| 1477027381 | Daiya Healthcare Pllc | Internal Medicine | 16259 Sylvester Rd Sw Ste 401, Burien, WA 98166-3059 | 2019-01-14 |
| 1205247483 | Nhi Nguyen | Internal Medicine | 16259 Sylvester Rd Sw Ste 401, Burien, WA 98166-3059 | 2014-05-09 |
| 1386960540 | Dana Ioana Ionescu | Internal Medicine | 16251 Sylvester Rd Sw, Burien, WA 98166-3017 | 2010-04-13 |
| Find all providers in BURIEN | ||||
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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.