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).
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 |
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 |
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 |
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 |
Street Address |
15 SW EVERETT MALL WAY STE A |
City | EVERETT |
State | WA |
Zip Code | 98204-2715 |
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 |
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 Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
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. |
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 |
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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.