EASTSIDE CARDIOLOGY ASSOC (NPI# 1841315744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841315744 |
| Entity Type | Organization |
| Organization Name | EASTSIDE CARDIOLOGY ASSOC |
| Practice Address |
12333 Ne 130th Lane #320 Kirkland WA 98034 |
| Practice Telephone | 4258990555 |
| Practice Fax Number | 4258991333 |
| Mailing Telephone | 4258990555 |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2010-06-29 |
| Authorized Official Name | DR. MARK VOSSLER (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 4258990555 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 600-587-501 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
600-587-501 | WA | Allopathic & Osteopathic Physicians |
| Street Address |
12333 NE 130TH LANE #320 |
| City | KIRKLAND |
| State | WA |
| Zip Code | 98034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942250535 | Vincent M Santoro | Orthopaedic Surgery | 12333 Ne 130th Lane, #400, Kirkland, WA 98034-7467 | 2006-05-12 |
| 1619287281 | Public Hospital District No. 2 | Clinic/Center | 12333 Ne 130th Lane, #320, Kirkland, WA 98034 | 2010-10-18 |
| 1730339623 | Orthopedics Intl. Lab Ps | Orthopaedic Surgery | 12333 Ne 130th Lane, Suite 400, Kirkland, WA 98034-7467 | 2008-09-26 |
| 1134309479 | Oscar Ibanez Gonzalez | Internal Medicine | 12333 Ne 130th Lane, Ste 320, Kirkland, WA 98034-3039 | 2007-11-04 |
| 1922177435 | Janet L Kennedy | Obstetrics & Gynecology | 12333 Ne 130th Lane, Suite 220, Kirkland, WA 98034 | 2006-11-07 |
| 1689743197 | Gerard S Letterie | Obstetrics & Gynecology | 12333 Ne 130th Lane, Suite 220, Kirkland, WA 98034 | 2006-11-07 |
| 1346337284 | Sylvia Mary Lank | Obstetrics & Gynecology | 12333 Ne 130th Lane, Suite 310, Kirkland, WA 98034 | 2006-10-10 |
| 1043311558 | Deborah S Gaston | Nurse Anesthetist, Certified Registered | 12333 Ne 130th Lane, Suite 500, Kirkland, WA 98034 | 2006-09-26 |
| 1447351952 | David A Boehne | Nurse Anesthetist, Certified Registered | 12333 Ne 130th Lane, Suite 500, Kirkland, WA 98034 | 2006-09-26 |
| 1699875005 | Terry Cicero | Nurse Anesthetist, Certified Registered | 12333 Ne 130th Lane, Suite 500, Kirkland, WA 98034 | 2006-09-25 |
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| 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 | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1831489871 | Xuanjing Zhou | Internal Medicine | 12333 Ne 130th Ln Ste 320, Kirkland, WA 98034-7467 | 2011-04-11 |
| 1407010648 | Ali Sharifian | Internal Medicine | 12333 Ne 130th Ln Ste 320, Kirkland, WA 98034 | 2008-07-16 |
| 1922292051 | Karlyn B Huddy | Internal Medicine | 12333 Ne 130th Ln Ste 320, Kirkland, WA 98034-7467 | 2007-08-31 |
| 1194833723 | James S Schneider | Internal Medicine | 12333 Ne 130th Lane, #320, Kirkland, WA 98034-3039 | 2006-08-25 |
| 1003924630 | Mark R Vossler | Internal Medicine | 12333 Ne 130th Lane, #320, Kirkland, WA 98034-3039 | 2006-08-25 |
| 1194736041 | Derek M Rodrigues | Internal Medicine | 12333 Ne 130th Lane, #320, Kirkland, WA 98034-3039 | 2006-08-10 |
| 1437160389 | Harry H Yu | Internal Medicine | 12333 Ne 130th Lane, #320, Kirkland, WA 98034-3039 | 2006-08-10 |
| 1013928977 | William S Getchell | Internal Medicine | 12333 Ne 130th Lane, #320, Kirkland, WA 98034-3039 | 2006-08-10 |
| 1588675458 | Rubin R Maidan | Internal Medicine | 12333 Ne 130th Lane, #320, Kirkland, WA 98034-3039 | 2006-08-10 |
| 1154332096 | Robert E Haynes | Internal Medicine | 12333 Ne 130th Lane, #320, Kirkland, WA 98034-3039 | 2006-08-09 |
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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.