MOLINA HEALTHCARE OF WASHINGTON, INC


Address: 15 Sw Everett Mall Way Ste A, Everett, WA 98204-2715
Phone: 4253486727

MOLINA HEALTHCARE OF WASHINGTON, INC (NPI# 1659897163) 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) 1659897163
Entity Type Organization
Organization Name MOLINA HEALTHCARE OF WASHINGTON, INC
Practice Address 15 Sw Everett Mall Way Ste A
Everett
WA 98204-2715
Mailing Address 200 Oceangate Ste 100
Long Beach
CA 90802-4317
Practice Telephone 4253486727
Practice Fax Number 8778602291
Mailing Telephone 8885625442
Mailing Fax Number 5624996171
Enumeration Date 2017-08-16
Last Update Date 2018-02-22
Authorized Official Name JOSEPH WHITE (MHI-CFO)
Authorized Official Telephone 5624996191
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine Allopathic & Osteopathic Physicians
Y 207Q00000X Family Medicine WA Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1912235060 Molina Healthcare of Washington, Inc Pediatrics 3322 Broadway, Suite 200, Everett, WA 98201-4425 2009-12-01
1891000725 Molina Healthcare of Washington, Inc Pediatrics 15 Sw Everett Mall Way, Suite A, Everett, WA 98208-2777 2010-08-16

Other Data Sources

Entity Type Entity Name Entity Address
Oregon Corporations, Companies and Business Names MOLINA HEALTHCARE OF WASHINGTON, INC. 21540 30th Drive Se, Suite 400, Bothell, WA 98021
Colorado Business Entities Molina Healthcare of Washington, Inc. 21540 30th Drive Se, Suite 400, Bothell, WA 98021

Office Location

Street Address 15 SW EVERETT MALL WAY STE A
City EVERETT
State WA
Zip Code 98204-2715

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528377991 Sonya Beth Starr Nurse Practitioner 15 Sw Everett Mall Way Ste A, Everett, WA 98204 2010-10-01
1205477361 Stephanie Sanderson Nurse Practitioner 15 Sw Everett Mall Way Ste A, Everett, WA 98204-2715 2019-09-30
1255889044 Kaari Corbridge Clinic/Center 15 Sw Everett Mall Way Ste A, Everett, WA 98204 2016-09-21
1336511575 Lucy Chege Registered Nurse 15 Sw Everett Mall Way Ste A, Everett, WA 98204-2715 2015-10-27
1730587700 Rhonda Rasmussen Nurse Practitioner 15 Sw Everett Mall Way Ste A, Everett, WA 98204-2715 2014-12-08
1144625542 Shanna Marie Moore Nurse Practitioner 15 Sw Everett Mall Way Ste A, Everett, WA 98204-2715 2014-10-28
1861820425 Emily Chao Wong Naturopath 15 Sw Everett Mall Way Ste A, Everett, WA 98204-2715 2013-10-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588262869 Samuel Lin, Nd, Pllc Naturopath 13410 Hwy 99, Ste 202, Everett, WA 98204 2020-10-09
1003458225 Svetlana A Gayevskaya Technician 12605 E. Gibson Rd. Unit # 87, Everett, WA 98204 2019-10-09
1821555921 Kymberly Ann Shepherd Counselor 1011 128th St Sw, E201, Everett, WA 98204 2019-02-25
1609392653 Mohammed Bayo Nurse's Aide 9217 4th Ave. West, Everett, WA 98204 2017-08-21
1962951582 Abreham Shoangizaw Pharmacist 802 134th S B C, Everett, WA 98204 2016-09-23
1588012694 Tammy J Laird Counselor 9300 Evergreen Way, Everett, WA 98204 2016-05-31
1083011282 Bernadette K Stanek Massage Therapist 13410 Washington 99 #204, Everett, WA 98204 2014-12-03
1356771067 Dixon Stopper Hearing Instrument Specialist 12811 8th Ave W Ste B203, Everett, WA 98204 2013-11-15
1427312495 Dan Huy Nguyen Respiratory Therapist, Registered 1919 112th Street Southwest, Everett, WA 98204 2012-06-25
1942571880 Alena A Klimenko Specialist 12811 8th- Ave W, Suite B-103, Everett, WA 98204 2012-01-24
Find all providers in zip 98204

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649882275 Blair Regenerative Medicine LLC Family Medicine 201 Hospital Dr Ste 2, Everett, PA 15537-7019 2020-08-17
1366856569 Bowhee Sohn Gwak Family Medicine 12800 Bothell Everett Hwy Ste 160, Everett, WA 98208-6644 2014-06-16
1518392513 Bernadette Flynn Family Medicine 41 W 1st St, Everett, PA 15537-1103 2013-09-09
1801164058 Charles William Starbuck Family Medicine 3605 Shore Avenue, Everett, WA 98203-1209 2011-12-02
1649498049 Western Washington Medical Group, Inc Ps Family Medicine 4225 Hoyt Ave Ste B, Everett, WA 98203-2351 2007-04-23
1689790792 Del Whetstone Family Medicine 9629 Evergreen Way, Suite 102, Everett, WA 98204-7198 2007-03-21
1497843213 Vincent M. Koike Family Medicine 7601 Evergreen Way, B-6, Everett, WA 98203 2006-10-10
1295820942 North Creek Medicine Inc P S Family Medicine 210 128th St Se, Everett, WA 98208-6338 2006-10-04
1376644518 Thomas G. Pautler Family Medicine 5007 Claremont Way, Everett, WA 98203-3321 2006-09-26
1487662581 Allison M Cole Family Medicine 1410 Broadway, Everett, WA 98201-1720 2006-08-04
Find all providers in EVERETT

Competitor

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City EVERETT
Zip Code 98204

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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