DRX WA URGENT CARE PROVIDERS, PLLC (NPI# 1750626883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750626883 |
| Entity Type | Organization |
| Organization Name | DRX WA URGENT CARE PROVIDERS, PLLC |
| Other Organization Name | IMMEDIATE CLINIC |
| Practice Address |
13718 100th Ave Ne Kirkland WA 98034-5216 |
| Mailing Address |
9000 Holman Rd Nw Suite A1 Seattle WA 98117-3418 |
| Practice Telephone | 2067069001 |
| Enumeration Date | 2012-11-29 |
| Last Update Date | 2013-10-10 |
| Authorized Official Name | JEROMY SJOLSETH (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 2067069001 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities | ||
| N | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363A00000X | Physician Assistant | 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 |
|---|---|---|---|---|
| 1740525872 | Drx Wa Urgent Care Providers, Pllc | Emergency Medicine | 15870 1st Ave S, Suite 101, Burien, WA 98148-1213 | 2012-11-29 |
| 1649523101 | Drx Wa Urgent Care Providers, Pllc | Clinic/Center | 9000 Holman Road Nw, Suite A1, Seattle, WA 98117 | 2012-10-22 |
| 1144565219 | Drx Wa Urgent Care Providers, Pllc | Clinic/Center | 607 Se Everett Mall Way, Suite 2, Everett, WA 98208-3248 | 2012-11-30 |
| 1295070324 | Drx Wa Urgent Care Providers, Pllc | Emergency Medicine | 4725 196th St Sw, Suite 105, Lynnwood, WA 98036-5518 | 2012-11-29 |
| Street Address |
13718 100TH AVE NE |
| City | KIRKLAND |
| State | WA |
| Zip Code | 98034-5216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992021091 | Allen S Tu | Physician Assistant | 13718 100th Ave Ne, Kirkland, WA 98034-5216 | 2010-04-14 |
| 1023598000 | Jessica Shdo | Nurse Practitioner | 13718 100th Ave Ne, Kirkland, WA 98034-5216 | 2018-08-18 |
| 1528492592 | Jennifer Evelyn Trail | Physician Assistant | 13718 100th Ave Ne, Kirkland, WA 98034-5216 | 2013-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578116596 | Rachel Bowers | Behavior Technician | 1335 Northeast 122nd Way, Suite 105, Kirkland, WA 98034 | 2019-07-18 |
| 1740841048 | Kristina Louise Inghram | Behavior Technician | 11415 Ne 128th St., Suite 40, Kirkland, WA 98034 | 2019-06-26 |
| 1053978064 | Matthew A. Bagnulo, Dds, Ps | Dentist | 11830 Ne 128th St., #202, Kirkland, WA 98034 | 2019-05-24 |
| 1629568928 | Stephanie Michalko | Optometrist | 11800 Ne 128th St Ste 110, Kirkland, WA 98034 | 2018-05-14 |
| 1952800013 | Heath Family Counseling LLC | Marriage & Family Therapist | 12025 115th Ave. Ne, Building D, Ste 200, Kirkland, WA 98034 | 2018-02-05 |
| 1891202834 | Barbara Josephine Gorham | Counselor | 2025 115th Ave Ne, Bldg D, #200, Kirkland, WA 98034 | 2017-12-29 |
| 1548782915 | Eleanor Hollis Wall | Counselor | 14340 102nd Ave Ne, Kirkland, WA 98034 | 2017-07-07 |
| 1457885212 | Peter Schoonmaker | Hospitalist | 12040 Ne 128th Street, Ms105, Kirkland, WA 98034 | 2017-04-18 |
| 1780124370 | Rebecca Managan | Advanced Practice Midwife | 12303 Ne 130th Ln Ste Coral225, Kirkland, WA 98034 | 2017-03-01 |
| 1669821104 | Winter Gonzalez | Counselor | 11720 97th Ln Ne Apt A411, Kirkland, WA 98034 | 2016-06-06 |
| Find all providers in zip 98034 | ||||
| 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 |
|---|---|---|---|---|
| 1598205908 | The Everett Clinic, Pllc | Family Medicine | 11800 Ne 128th St Ste 560, Kirkland, WA 98034-7208 | 2017-03-03 |
| 1417132804 | Christy Chan | Family Medicine | 290 Central Way, Kirkland, WA 98033 | 2008-01-03 |
| 1841413952 | Jeffrey Alan Lane | Family Medicine | 13151 92nd Ave Ne, Kirkland, WA 98034-5902 | 2007-04-10 |
| 1053450627 | Reza Tabibi | Family Medicine | 11521 Ne 128th St Ste 100, Kirkland, WA 98034-4317 | 2007-02-06 |
| 1164585204 | Setsuko Hosoda | Family Medicine | 11800 Ne 128th St Fl 5, Kirkland, WA 98034-7208 | 2006-12-19 |
| 1073566345 | Larry E Nacht | Family Medicine | 12710 Totem Lake Blvd Ne, Kirkland, WA 98034-2907 | 2006-05-18 |
| 1275515702 | Glen Stuhring | Family Medicine | 14048 Juanita Dr Ne, Kirkland, WA 98034-9712 | 2005-11-18 |
| 1063928281 | Telehealth Medical Group | Family Medicine | 11415 Slater Ave Ne, Kirkland, WA 98033-4656 | 2017-12-26 |
| 1215387345 | Kyle Jordan | Family Medicine | 12910 Totem Lake Blvd Ne Ste 101, Kirkland, WA 98034-2901 | 2016-06-20 |
| 1831505676 | Orion B Wells | Family Medicine | 11800 Ne 128th St Ste 300, Kirkland, WA 98034-7211 | 2014-07-01 |
| Find all providers in KIRKLAND | ||||
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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.