PUBLIC HOSPITAL DISTRICT #1 OF KING COUNTY (NPI# 1871540468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871540468 |
| Entity Type | Organization |
| Organization Name | PUBLIC HOSPITAL DISTRICT #1 OF KING COUNTY |
| Other Organization Name | VMC COVINGTON PRIMARY CARE |
| Practice Address |
16850 Se 272nd St Covington WA 98042-4931 |
| Mailing Address |
3600 Lind Ave Sw Suite 100 Renton WA 98055-4934 |
| Practice Telephone | 2533951960 |
| Mailing Telephone | 4256565412 |
| Mailing Fax Number | 4256565423 |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MELISSA FARLEY (TECHNICAL COORDINATOR) |
| Authorized Official Telephone | 4259176282 |
| Authorized Official Credential | CPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
Allopathic & Osteopathic Physicians | ||
| X | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers | ||
| X | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 7060353 | 05 |
| Other Name | Type Code |
|---|---|
| VMC Covington Primary Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528015229 | Public Hospital District #1 of King County | Family Medicine | 3600 Lind Ave Sw, Suite 170, Renton, WA 98055-4934 | 2006-05-28 |
| 1700833480 | Public Hospital District #1 of King County | Physician Assistant | 27230 216th Ave Se, Ste D, Maple Valley, WA 98038-0000 | 2006-05-28 |
| 1649227380 | Public Hospital District #1 of King County | Physician Assistant | 14410 Se Petrovitsky Rd, Suite 104, Renton, WA 98058-8900 | 2006-05-28 |
| 1629025333 | Public Hospital District #1 of King County | Pediatrics | 6920 Coal Creek Pkwy Se, Ste 12, Newcastle, WA 98059-3147 | 2006-05-28 |
| 1508188566 | Public Hospital District #1 of King County | Internal Medicine | 1205 N 10th St, Ste A, Renton, WA 98057-5577 | 2010-02-18 |
| 1316273345 | Public Hospital District #1 of King County | Counselor | 400 S 43rd St, Renton, WA 98055-5714 | 2009-10-27 |
| 1427384411 | Public Hospital District #1 of King County | Clinical Neuropsychologist | 3915 Talbot Rd S, Ste 104, Renton, WA 98055-5738 | 2009-10-26 |
| 1871748111 | Public Hospital District #1 of King County | Hospitalist | 400 S 43rd St, Renton, WA 98055-5714 | 2008-12-01 |
| 1629245865 | Public Hospital District #1 of King County | Family Medicine | 10555 Se Carr Rd, Ste M, Renton, WA 98055-5820 | 2008-05-15 |
| 1447305693 | Public Hospital District #1 of King County | Neurological Surgery | 1550 N 115th St, Seattle, WA 98133-8401 | 2007-01-25 |
| Street Address |
16850 SE 272ND ST |
| City | COVINGTON |
| State | WA |
| Zip Code | 98042-4931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083600217 | Deidre Louise Feeney | Family Medicine | 16850 Se 272nd St, Covington, WA 98042-4931 | 2005-09-22 |
| 1114378429 | Tatyana Sidor | Nurse Practitioner | 16850 Se 272nd St, Ste 100, Covington, WA 98042-4931 | 2016-06-28 |
| 1043607930 | Reshad Mahmud | Internal Medicine | 16850 Se 272nd St, Covington, WA 98042-4931 | 2015-04-19 |
| 1649407016 | Dhruva Rao Gulur | Family Medicine | 16850 Se 272nd St, Covington, WA 98042-4931 | 2009-06-12 |
| 1376787481 | Callie Anne Byrd | Pediatrics | 16850 Se 272nd St, Covington, WA 98042 | 2009-04-21 |
| 1912151283 | Franciscan Medical Group | Surgery | 16850 Se 272nd St, Ste 200, Covington, WA 98042-4931 | 2008-11-12 |
| 1891956991 | Seema Rai | Family Medicine | 16850 Se 272nd St, Covington, WA 98042-4931 | 2008-06-20 |
| 1134308380 | William A Agan | Physician Assistant | 16850 Se 272nd St, Covington, WA 98042-4931 | 2007-10-24 |
| 1932393022 | Gail Ellen Messler | Family Medicine | 16850 Se 272nd St, Covington, WA 98042-4931 | 2007-08-31 |
| 1861695124 | Asmita Chaudhary | Family Medicine | 16850 Se 272nd St, Covington, WA 98042-4931 | 2007-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609483239 | Baptista Kwok Dds1 Pllc | Dentist | 17265 Se Wax Rd., #101, Covington, WA 98042 | 2020-09-28 |
| 1609489640 | Hua Wang | Massage Therapist | 27641 Covington Way Se, Ste 1, Covington, WA 98042 | 2020-08-28 |
| 1417416678 | Anatoliy Voznyarskiy | Behavior Technician | 27023 164th. Ave Se, Covington, WA 98042 | 2019-03-18 |
| 1639693393 | Michele Shilley | Registered Nurse | 24519 185th Pl Se, Covington, WA 98042 | 2017-08-02 |
| 1104281526 | Kimberly Destefano | Licensed Practical Nurse | 27446 151st Pl Se, Kent, WA 98042 | 2015-12-30 |
| 1508243403 | Dora Arralde | Registered Nurse | 14620 S.e. 244th St, Kent, WA 98042 | 2015-04-29 |
| 1609299486 | Mei Ing Yau | Registered Nurse | 14311 Se 243rd St, Kent, WA 98042 | 2014-01-29 |
| 1043594658 | Karen Ann Little | Specialist | 28027 140th Lane Se, Kent, WA 98042 | 2011-09-30 |
| 1326327073 | Julie A Taylor | Occupational Therapy Assistant | 15630 Se 262nd Pl, Covington, WA 98042 | 2011-08-12 |
| 1720380397 | Blanka Karasek | Pharmacist | 17023 Se 272nd St., Safeway Pharmacy, Covington, WA 98042 | 2010-12-02 |
| Find all providers in zip 98042 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952499691 | James Ray Rich | Family Medicine | 5975 Taylor Mill Road, Covington, KY 41015-2397 | 2006-10-10 |
| 1114066602 | Fabio Katureebe Banegura | Family Medicine | 4124 Highway 278 Ne, Covington, GA 30014-2494 | 2007-02-05 |
| 1942231899 | Philip Y. Chan | Family Medicine | 16850 Se 272nd St, Covington, WA 98042-4931 | 2006-07-06 |
| 1942246418 | Todd S. Bouchard | Family Medicine | 16850 Se 272nd St, Covington, WA 98042-4931 | 2006-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518599273 | Etherton, Inc | Family Medicine | 2610 Yelm Hwy Se, Olympia, WA 98501-4826 | 2020-02-10 |
| 1205494291 | Reah Ann Tobola | Family Medicine | 4602 78th Avenue Ct W, University Place, WA 98466-3036 | 2019-06-04 |
| 1760909055 | Washington State University | Family Medicine | 1455 Ne Cougar Way Bohler Complex, Pullman, WA 99164-0001 | 2017-08-28 |
| 1275057655 | Choice Family Medicine LLC | Family Medicine | 135 Thorne St, Walla Walla, WA 99362-3142 | 2017-07-27 |
| 1366826240 | Andrew Parker | Family Medicine | 3324 Bernie Rd, Camano Island, WA 98282-8217 | 2015-07-10 |
| 1538572151 | Daniel Joseph Cevetello | Family Medicine | 127 Ne Camano Dr Ste A, Camano Island, WA 98282-8732 | 2014-06-11 |
| 1417205618 | John Gary Meyer | Family Medicine | 5715 48th St W, University Place, WA 98467-3677 | 2012-08-17 |
| 1932347119 | Iris Crawford | Family Medicine | 4208 Leary Way, Seattle, WA 98107 | 2009-01-27 |
| 1497925226 | Ingeborg Espinosa Cox | Family Medicine | 325 9th Ave # 359739, Seattle, WA 98104-2420 | 2008-03-07 |
| 1174791974 | Kenneth J Ritter Md Pllc | Family Medicine | 1310 South Union, A-201, Tacoma, WA 98405 | 2008-02-14 |
| 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.