EVERGREEN MEDICAL PANEL (NPI# 1700074275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700074275 |
| Entity Type | Organization |
| Organization Name | EVERGREEN MEDICAL PANEL |
| Practice Address |
2411 S 19th St Tacoma WA 98405-2954 |
| Practice Telephone | 2535724171 |
| Practice Fax Number | 2535724291 |
| Mailing Telephone | 2535724171 |
| Mailing Fax Number | 2535724291 |
| Enumeration Date | 2007-10-10 |
| Last Update Date | 2007-10-11 |
| Authorized Official Name | DR. JESSY E ANG (PSYCHIATIES) |
| Authorized Official Telephone | 2535764171 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302R00000X | Health Maintenance Organization | 0700013011 | WA | Managed Care Organizations |
| Street Address |
2411 S 19TH ST |
| City | TACOMA |
| State | WA |
| Zip Code | 98405-2954 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255544359 | Jessy Awiten Ang | Psychiatry & Neurology | 2411 S 19th St, Tacoma, WA 98405-2954 | 2007-05-07 |
| 1770053704 | Neurostimulation Wellness Center, Pllc | Psychiatry & Neurology | 2411 S 19th St, Tacoma, WA 98405-2954 | 2018-12-03 |
| 1194083956 | Paul Andrew Sueno Md Pllc | Clinic/Center | 2411 S 19th St, Tacoma, WA 98405-2954 | 2012-04-30 |
| 1396948956 | Paul A Sueno | Physical Medicine & Rehabilitation | 2411 S 19th St, Tacoma, WA 98405-2954 | 2007-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609486026 | Joanna Christine Hope | Physician Assistant | 2502 S Union Avenue, Tacoma, WA 98405 | 2020-08-01 |
| 1467077891 | Richard Jimenez | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 | 2020-06-11 |
| 1669008785 | Mariana Sanchez Corona | Behavior Technician | 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 | 2020-03-20 |
| 1811534845 | Jasmine Gregory | Social Worker | 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 | 2019-12-10 |
| 1548807506 | Holly Rebecca Brezynski | Student in an Organized Health Care Education/Training Program | Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 | 2019-12-09 |
| 1972064392 | Logan Brau | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way, Tacoma, WA 98405 | 2019-03-28 |
| 1629532536 | Preferred Orthotic and Prosthetic Services Inc | Prosthetic/Orthotic Supplier | 1708 Yakima Ave Ste 60, Tacoma, WA 98405 | 2019-01-24 |
| 1669945911 | Heidi Weakley | Counselor | 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 | 2019-01-09 |
| 1972074011 | Taviance Benet Laster | Behavior Technician | 1416 S 9th St, Tacoma, WA 98405 | 2018-12-16 |
| 1336618040 | Bailey Bangerter | Physician Assistant | 1901 South Union, A-233, Tacoma, WA 98405 | 2018-11-26 |
| Find all providers in zip 98405 | ||||
| Taxonomy Code | 302R00000X |
| Grouping | Managed Care Organizations |
| Classification | Health Maintenance Organization |
| (1) A form of health insurance in which its members prepay a premium for the HMO’s health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 20; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649415720 | Pacific Lutheran Univeristy Student Health Center | Health Maintenance Organization | Pacific Lutheran University Student Health Ctr, 12012 Park Ave South, Tacoma, WA 98447-0001 | 2008-12-03 |
| 1174917611 | Coordinated Care of Washington | Health Maintenance Organization | 1145 Broadway, Tacoma, WA 98402-3583 | 2015-03-23 |
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| 1366994196 | Blue Lotus Lumine Holistic Spa | Health Maintenance Organization | 404 1st St S, Suite H, Yelm, WA 98597-1215 | 2016-10-27 |
| 1720530694 | Savior Care LLC | Health Maintenance Organization | 14327 11th Pl W, Lynnwood, WA 98087-6085 | 2016-10-26 |
| 1780134692 | Kfkp of The Northwest | Health Maintenance Organization | 2611 Se 130th Ave, Vancouver, WA 98683-6583 | 2016-10-04 |
| 1528415502 | Kellys Healing Massage | Health Maintenance Organization | 3772 Highway 231, Springdale, WA 99173-7008 | 2016-05-19 |
| 1659737245 | Paul F. Genung D.d.s. Inc. | Health Maintenance Organization | 1904 3rd Ave Ste 1031, Seattle, WA 98101-1199 | 2016-01-12 |
| 1407233166 | Accusmile Denture and Dental Inc | Health Maintenance Organization | 7352 15th Ave Nw, Seattle, WA 98117-5401 | 2015-05-01 |
| 1073911673 | Professional Hands of Health Massage | Health Maintenance Organization | 1429 Easthills Ter, East Wenatchee, WA 98802-4624 | 2014-12-12 |
| 1134520463 | Providence Senior Home LLC | Health Maintenance Organization | 3623 W Indian Trail Rd, Spokane, WA 99208 | 2014-09-05 |
| 1710392568 | Bothell Naturopathic Medical Clinic | Health Maintenance Organization | 18920 Bothell Way Ne Ste 102, Bothell, WA 98011-1981 | 2014-06-30 |
| 1275947475 | Lagniappe Acupuncture LLC | Health Maintenance Organization | 839 Nw Sacajawea Pl, Camas, WA 98607-4104 | 2014-06-16 |
| Find all providers with the same taxonomy | ||||
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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.