DRX WA URGENT CARE PROVIDERS PLLC (NPI# 1669801999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669801999 |
| Entity Type | Organization |
| Organization Name | DRX WA URGENT CARE PROVIDERS PLLC |
| Other Organization Name | IMMEDIATE CLINIC |
| Practice Address |
20120 Ballinger Way Ne Suite A-01 Shoreline WA 98155-1117 |
| Mailing Address |
9000 Holman Rd Nw Suite A1 Seattle WA 98117-3418 |
| Practice Telephone | 2063659000 |
| Practice Fax Number | 2063659001 |
| Mailing Telephone | 2067069001 |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2014-05-01 |
| Authorized Official Name | JEROMY SJOLSETH (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 4808183079 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians | ||
| N | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Immediate Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518396845 | Drx Wa Urgent Care Providers Pllc | Emergency Medicine | 13131 Ne 85th St, Kirkland, WA 98033-8092 | 2013-11-07 |
| 1497184725 | Drx Wa Urgent Care Providers Pllc | Emergency Medicine | 3050 Ne 127th St, Seattle, WA 98125-4415 | 2013-11-07 |
| 1578992806 | Drx Wa Urgent Care Providers Pllc | Emergency Medicine | 23131 Bothell Everett Hwy Ste B, Bothell, WA 98021-9362 | 2013-11-07 |
| 1578996211 | Drx Wa Urgent Care Providers Pllc | Emergency Medicine | 610 1st Ave N, Seattle, WA 98109-4001 | 2013-08-16 |
| 1740600246 | Drx Wa Urgent Care Providers Pllc | Emergency Medicine | 15500 1st Ave S, Suite 106, Burien, WA 98148-1052 | 2014-04-23 |
| 1487083713 | Drx Wa Urgent Care Providers Pllc | Emergency Medicine | 1512 Broadway, Seattle, WA 98122-3811 | 2013-11-07 |
| 1932538857 | Drx Wa Urgent Care Providers Pllc | Emergency Medicine | 15600 Ne 8th St, Suite A-4, Bellevue, WA 98008-3927 | 2013-11-02 |
| Street Address |
20120 BALLINGER WAY NE SUITE A-01 |
| City | SHORELINE |
| State | WA |
| Zip Code | 98155-1117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891059580 | William Richard Stubbs | Family Medicine | 20120 Ballinger Way Ne, Suite B, Shoreline, WA 98155-1117 | 2012-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922575703 | Dale Worrell | Counselor | Center for Human Services, 17018 15th Ave Ne, Shoreline, WA 98155 | 2018-10-30 |
| 1770060568 | Jason Freed | Occupational Therapist | 1250 Ne 145th St., Shoreline, WA 98155 | 2018-07-24 |
| 1497208771 | Mirit Markowitz | Counselor | 14803 15 Ave Ne, Seattle, WA 98155 | 2016-08-03 |
| 1003207788 | Jessica Hinckley | Counselor | 17018 15tth Ave Ne, Shoreline, WA 98155 | 2015-02-17 |
| 1407119001 | Erika Tydor | Optometrist | 18021 15th Ave Ne Suite 100, Shoreline, WA 98155 | 2012-06-19 |
| 1891075917 | Kieran Joseph Mcmanimon | Massage Therapist | 18724 35th Ave Ne, Lake Forest Park, WA 98155 | 2011-08-20 |
| 1376841270 | Kym Kolb | Massage Therapist | 17908 15th Ave Ne, Shoreline, WA 98155 | 2011-03-02 |
| 1205069333 | Acclaim Body Care, LLC | Massage Therapist | 17517 15th Ave., Suite B, Shoreline, WA 98155 | 2009-08-24 |
| 1881834570 | Jason Sailesh Dave | Naturopath | 2871 University St, Seattle, WA 98155 | 2009-02-20 |
| 1396918975 | Ashleigh Veronique Schultz | Counselor | 216 Ne 175th Street, Shoreline, WA 98155 | 2008-04-04 |
| Find all providers in zip 98155 | ||||
| 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 |
|---|---|---|---|---|
| 1962890657 | Bruce Amundson | Family Medicine | 18454 16th Ave Nw, Shoreline, WA 98177-3310 | 2015-01-03 |
| 1891059580 | William Richard Stubbs | Family Medicine | 20120 Ballinger Way Ne, Suite B, Shoreline, WA 98155-1117 | 2012-06-27 |
| 1598030660 | Lili Dopino Sperry | Family Medicine | Ichs 16549 Aurora Ave N, Shoreline, WA 98133 | 2012-03-21 |
| 1891929857 | John Benedict Abano | Family Medicine | 20011 Ballinger Way Ne Ste C100, Shoreline, WA 98155-1298 | 2009-05-06 |
| 1134335219 | Tamara Zina Anne Atkins | Family Medicine | 1355 N 205th Street, Shoreline, WA 98133 | 2007-05-15 |
| 1245206200 | Seth Charles Bagan | Family Medicine | 1355 N. 205th St., Shoreline, WA 98133 | 2006-02-28 |
| 1275508491 | Robert James Klem Jr. | Family Medicine | 604 Nw Richmond Beach Rd, Shoreline, WA 98177-3122 | 2006-02-21 |
| 1982697322 | Deems Okamoto | Family Medicine | 14731 Aurora Ave N, Shoreline, WA 98133-6547 | 2005-08-30 |
| 1073505020 | Brian L Fox | Family Medicine | 20120 Ballinger Way Ne, B, Shoreline, WA 98155 | 2005-08-16 |
| 1447712559 | Rejuvenation Medical Pllc | Family Medicine | 20011 Ballinger Way Ne, Shoreline, WA 98155-1286 | 2019-04-05 |
| Find all providers in SHORELINE | ||||
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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.