PROVIDENCE HEALTH & SERVICES WASHINGTON (NPI# 1710161344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710161344 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE HEALTH & SERVICES WASHINGTON |
| Other Organization Name | PROVIDENCE ST PETER INTERNAL MEDI |
| Practice Address |
3425 Ensign Rd Ne Suite 220 Olympia WA 98506-5063 |
| Mailing Address |
Po Box 34439 Seattle WA 98124-1439 |
| Practice Telephone | 3604911112 |
| Mailing Telephone | 4255256778 |
| Mailing Fax Number | 4255256700 |
| Enumeration Date | 2007-12-18 |
| Last Update Date | 2010-12-22 |
| Authorized Official Name | NICOLE QUINN (PAYOR CREDENTIALING MANAGER) |
| Authorized Official Telephone | 4255256715 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Providence St Peter Internal Medi | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134656135 | Providence Health & Services Washington | Clinic/Center | 1018 Capitol Way S Ste 300, Olympia, WA 98501-1212 | 2017-05-22 |
| 1023550050 | Providence Health & Services Washington | Psychologist | 225 State Ave Ne, Olympia, WA 98501-6951 | 2016-11-08 |
| 1003367863 | Providence Health & Services Washington | Radiology | 4800 College St Se Ste E, Lacey, WA 98503-4389 | 2016-10-17 |
| 1023563897 | Providence Health & Services Washington | Clinic/Center | 1705 Se Meadowbrook Blvd, Suite 2, College Place, WA 99324-1756 | 2016-08-22 |
| 1457721250 | Providence Health & Services Washington | Clinic/Center | 1200 Basich Blvd, Aberdeen, WA 98520-1035 | 2015-10-06 |
| 1902141500 | Providence Health & Services Washington | Clinical Medical Laboratory | 820 S Mcclellan St Ste Ll10, Spokane, WA 99204-2446 | 2012-12-07 |
| 1881907715 | Providence Health & Services Washington | Internal Medicine | 62 W 7th Ave, Spokane, WA 99204-2321 | 2010-07-20 |
| 1073744850 | Providence Health & Services Washington | Rehabilitation, Substance Use Disorder Unit | 2505 Olympic Hwy N., Ste 140, Shelton, WA 98584-2978 | 2009-07-28 |
| 1770714693 | Providence Health & Services Washington | Rehabilitation, Substance Use Disorder Unit | 508 1/2 Eighth Street, Hoquiam, WA 98550-3521 | 2009-07-28 |
| 1033309604 | Providence Health & Services Washington | Family Medicine | 1450 Northwest Lane Se, Lacey, WA 98503-6908 | 2007-07-30 |
| Street Address |
3425 ENSIGN RD NE SUITE 220 |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98506-5063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588644413 | Michael Edward Werner | Dentist | 3425 Ensign Rd Ne, Suite 310, Olympia, WA 98506-5425 | 2006-01-18 |
| 1841619061 | Rodger A. Lawton, Dmd, Ps | Clinic/Center | 3425 Ensign Rd Ne, Suite 210, Olympia, WA 98506-5425 | 2014-04-15 |
| 1902162829 | Gheorghe Emanuel Plesiu | Internal Medicine | 3425 Ensign Rd Ne, Suite 220, Olympia, WA 98506-5063 | 2012-04-04 |
| 1417241282 | Austin Rubel | Dentist | 3425 Ensign Rd Ne, Suite 310, Olympia, WA 98506-5425 | 2011-06-08 |
| 1730310426 | Peter David Gauger | Dentist | 3425 Ensign Rd Ne, Suite 310, Olympia, WA 98506-5425 | 2009-07-29 |
| 1043476211 | Rodger A Lawton, Dmd, Ps | Dentist | 3425 Ensign Rd Ne, Ste 210, Olympia, WA 98506-5425 | 2008-08-06 |
| 1548474075 | Olympia Imaging Center | Clinic/Center | 3425 Ensign Rd Ne, Ste320, Olympia, WA 98506-5425 | 2007-05-10 |
| 1710013263 | Molli A Dutra | Optometrist | 3425 Ensign Rd Ne, Olympia, WA 98506-5425 | 2007-02-26 |
| 1316088602 | Leslie L Gracey | Dentist | 3425 Ensign Rd Ne, Ste 210, Olympia, WA 98506-5425 | 2007-02-09 |
| 1801946736 | Rodger Alton Lawton | Dentist | 3425 Ensign Rd Ne, Ste 210, Olympia, WA 98506-5425 | 2007-01-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477185460 | Chloe Harper | Technician, Other | 3443 Lilly Rd Se, Ste B, Olympia, WA 98506 | 2020-02-07 |
| 1912543539 | Jessica Marie Radakovich | Licensed Practical Nurse | 3426 Mary Elder Rd, Olympia, WA 98506 | 2019-11-19 |
| 1669014973 | Arlene Josephine Adams | Registered Nurse | 413 Lily Rd Ne, Olympia, WA 98506 | 2019-10-09 |
| 1861999120 | Debra Delores Barker | Licensed Practical Nurse | 3710 South Bay Rd Ne, Olympia, WA 98506 | 2018-04-12 |
| 1801304431 | Michelle Warner | Nurse Practitioner | 205 Lilly Rd Ne Ste A1, Olympia, WA 98506 | 2018-01-17 |
| 1396258364 | Institute for Family Development | Community/Behavioral Health | 204 Quince St. Ne, Suite 200, Olympia, WA 98506 | 2017-11-13 |
| 1083137715 | Cameron Kunkel | Specialist/Technologist | 2512 20th Ave Ne, Olympia, WA 98506 | 2017-07-25 |
| 1184144768 | Trevor Shane Kwan | Family Medicine | 525 Lilly Road Ne, Olympia, WA 98506 | 2017-06-23 |
| 1073043212 | Michael H Harburg | Behavior Technician | 3857 Martin Way Ne, Olympia, WA 98506 | 2017-06-19 |
| 1780114371 | Priscilla Kangyang Jadu | Counselor | 3857 Martin Way E., Olympia, WA 98506 | 2017-06-15 |
| Find all providers in zip 98506 | ||||
| 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 |
|---|---|---|---|---|
| 1740898766 | Abx Medical Pllc | Internal Medicine | 2523 Simon Ln Ne, Olympia, WA 98506-3553 | 2020-07-15 |
| 1285108035 | Purcellmdical Pllc | Internal Medicine | 3025 Limited Ln Nw Ste 105, Olympia, WA 98502-2613 | 2019-01-15 |
| 1407261936 | Rebecca March | Internal Medicine | 110 Delphi Rd Nw Ste 101, Olympia, WA 98502-1778 | 2014-06-23 |
| 1730494642 | Fihn Med Group Inc | Internal Medicine | 3701 Pacific Ave Se, Suite 143, Olympia, WA 98501-2124 | 2010-08-16 |
| 1760797674 | Pergam Med Corp | Internal Medicine | 2103 Harrison Ave Nw, Suite 2692, Olympia, WA 98502-2636 | 2010-08-16 |
| 1487969390 | Jd Tauben Corp | Internal Medicine | 3209 Harrison Ave Nw, Suite 181, Olympia, WA 98502-8704 | 2010-08-16 |
| 1912224981 | Jeffery Noel Thompson | Internal Medicine | 626 8th Ave Se, Olympia, WA 98504-0001 | 2010-04-29 |
| 1275863185 | Marc Francis Stern | Internal Medicine | 413 Franklin St Ne, Olympia Union Gospel Mission, Olympia, WA 98501-6946 | 2009-12-28 |
| 1124357652 | Benjamin Medical Pllc | Internal Medicine | 1340 Allegheny Ct Se, Olympia, WA 98503-1905 | 2009-12-11 |
| 1861623548 | Providence Health & Services Wa | Internal Medicine | 1217 Cooper Point Rd Sw, Suite B, Olympia, WA 98502-7206 | 2009-07-29 |
| Find all providers in OLYMPIA | ||||
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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.