KING COUNTY PUBLIC HOSPITAL DISTRICT NO 2 (NPI# 1902907165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902907165 |
| Entity Type | Organization |
| Organization Name | KING COUNTY PUBLIC HOSPITAL DISTRICT NO 2 |
| Other Organization Name | EVERGREENHEALTH MEDICAL GROUP SNOHOMISH COUNTY |
| Practice Address |
1909 214th St Se Suite 110 Bothell WA 98021-8486 |
| Mailing Address |
Po Box 34036 Seattle WA 98124-1036 |
| Practice Telephone | 4254884988 |
| Practice Fax Number | 4254884993 |
| Mailing Telephone | 4258993292 |
| Mailing Fax Number | 4258993269 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2015-11-19 |
| Authorized Official Name | ROBERT MALTE (CEO) |
| Authorized Official Telephone | 4258992610 |
| Is Organization Subpart | Y |
| Parent Organization Name | KING COUNTY PUBLIC HOSPITAL DISTRICT NO 2 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | MEDICARE RAILROAD | CJ9678 | 01 |
| WA | MEDICARE RAILROAD | CG2833 | 01 |
| WA | 7072358 | 05 | |
| WA | MEDICARE RAILROAD | CQ2437 | 01 |
| WA | MEDICARE RAILROAD | CG8137 | 01 |
| Other Name | Type Code |
|---|---|
| EvergreenHealth Medical Group Snohomish County | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659814762 | King County Public Hospital District No 2 | Internal Medicine | 10131 Main St, Bothell, WA 98011-3425 | 2016-11-21 |
| 1013450386 | King County Public Hospital District No 2 | Internal Medicine | 10131 Main St, Bothell, WA 98011-3425 | 2016-11-18 |
| 1922540004 | King County Public Hospital District No 2 | Internal Medicine | 12710 Totem Lake Blvd Ne, Kirkland, WA 98034-2907 | 2016-11-07 |
| 1548350713 | King County Public Hospital District No 2 | Internal Medicine | 11521 Ne 128th St, Ste 100, Kirkland, WA 98034-4317 | 2006-10-16 |
| 1801986070 | King County Public Hospital District No 2 | Neuromusculoskeletal Medicine & OMM | 12039 Ne 128th St, Ste 300, Kirkland, WA 98034-3030 | 2006-10-16 |
| 1467542639 | King County Public Hospital District No 2 | Nurse Practitioner | 12040 Ne 128th St, Ms 105, Kirkland, WA 98034-3013 | 2006-10-16 |
| 1891883435 | King County Public Hospital District No 2 | Obstetrics & Gynecology | 12040 Ne 128th St, Ms 105, Kirkland, WA 98034-3013 | 2006-10-10 |
| 1265527584 | King County Public Hospital District No 2 | Psychiatry & Neurology | 12039 Ne 128th St, Ste 300, Kirkland, WA 98034-3030 | 2006-10-03 |
| 1750482949 | King County Public Hospital District No 2 | Internal Medicine | 11521 Ne 128th St, Ste 130, Kirkland, WA 98034-4317 | 2006-09-26 |
| Street Address |
1909 214TH ST SE SUITE 110 |
| City | BOTHELL |
| State | WA |
| Zip Code | 98021-8486 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659353290 | James David Brown | Internal Medicine | 1909 214th St Se, Suite 110, Bothell, WA 98021-4412 | 2005-11-18 |
| 1740729920 | Gerald Ralph Johnson | Pharmacist | 1909 214th St Se, Suite 300, Bothell, WA 98021-4412 | 2017-02-21 |
| 1538606413 | Western Washington Medical Group, Inc Ps | Internal Medicine | 1909 214th St Se, Suite 211, Bothell, WA 98021-4412 | 2017-01-30 |
| 1831641166 | Kathleen Bradley | Dietitian, Registered | 1909 214th St Se, #300, Bothell, WA 98021-4412 | 2016-11-03 |
| 1588098115 | Daniella Rose Cannone | Physical Therapist | 1909 214th St Se, Suite 300, Bothell, WA 98021-4412 | 2013-08-30 |
| 1043643885 | Lauren B Jentges | Physical Therapist | 1909 214th St Se, Suite 300, Bothell, WA 98021-4412 | 2013-08-15 |
| 1649535642 | Western Washington Medical Group Inc Ps | Dietitian, Registered | 1909 214th St Se, Suite 211, Bothell, WA 98021-4412 | 2012-07-06 |
| 1518225416 | Ada Otter | Nurse Practitioner | 1909 214th St Se, Suite 300, Bothell, WA 98021-4412 | 2012-04-27 |
| 1417226788 | Laboratory Corporation of America | Clinical Medical Laboratory | 1909 214th St Se, Ste 300, Bothell, WA 98021-4412 | 2011-12-15 |
| 1760765598 | Western Washington Medical Group, Inc Ps | Internal Medicine | 1909 214th St Se, Bothell, WA 98021-4412 | 2011-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265057780 | Seyed Ali Hosseini | Medical Genetics | 4299 233rd Pl Se, Bothell, WA 98021 | 2020-06-10 |
| 1710440359 | Hiu Nam Wong | Specialist/Technologist | 23419 17th Avenue Southeast, Bothell, WA 98021 | 2019-04-10 |
| 1578029823 | Andrea Lynn Whipple | Speech-Language Pathologist | 1909 124th Street Se, Suite 204, Bothell, WA 98021 | 2019-02-12 |
| 1730656604 | Pavittar Kaur Mansahia | Registered Nurse | Northshore School District, 3330 Monte Villa Parkway, Bothell, WA 98021 | 2018-10-30 |
| 1699261636 | Kellie Joan Wilcox Moore | Naturopath | 2210 242nd St Sw, Bothell, WA 98021 | 2018-07-02 |
| 1174970495 | Tracey Comella | Behavioral Analyst | 2020 Maltby Road Suite 7 Pmb 294, Bothell, WA 98021 | 2016-05-17 |
| 1912332545 | Katherine Marie Zintel | Counselor | 1909 214th St Se Ste 204, Bothell, WA 98021 | 2013-09-13 |
| 1720332471 | Sharon Lynne Deering | Speech-Language Pathologist | 3330 Monte Villa Parkway, Northshore School District, Bothell, WA 98021 | 2012-11-02 |
| 1225302722 | Lynette Patricia Hansen | Massage Therapist | 510 222nd Street Sw, Bothell, WA 98021 | 2012-03-01 |
| 1669749891 | Susie Fox | Dietitian, Registered | 4026 224th St Se#6, Bothell, WA 98021 | 2011-11-16 |
| Find all providers in zip 98021 | ||||
| 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 |
|---|---|---|---|---|
| 1669769337 | Abimbolu S. Makinde | Family Medicine | 19110 Bothell Way Ne Ste 102, Bothell, WA 98011-2970 | 2011-07-01 |
| 1538470927 | Hoda Samia | Family Medicine | 1909 214th St Se Ste 110, Bothell, WA 98021-4412 | 2010-06-30 |
| 1356430383 | Janet Lynne Larsen | Family Medicine | 1909 214th St. Ne, Suite 110, Bothell, WA 98021 | 2006-10-11 |
| 1689627747 | Theresa A Platz | Family Medicine | 10025 Ne 186th St, Bothell, WA 98011-3839 | 2006-05-18 |
| 1811979396 | Jennifer Ann Nolan-monteleone | Family Medicine | 22010 17th Ave Se, Suite F, Bothell, WA 98021-8486 | 2005-11-18 |
| 1477553394 | Thomas M Chin | Family Medicine | 10414 Beardslee Blvd Ste 100, Bothell, WA 98011-3205 | 2005-07-21 |
| 1821096405 | Healthpoint | Family Medicine | 10414 Beardslee Blvd, Suite 100, Bothell, WA 98011 | 2005-07-08 |
| 1700315272 | Jimmie Stewart | Family Medicine | 1909 214th St Se Ste 300, Bothell, WA 98021-4418 | 2017-06-08 |
| 1629502653 | Mariana A Frias Garcia | Family Medicine | 1909 214th St Se Ste 300, Bothell, WA 98021-4418 | 2017-04-17 |
| 1902338502 | Lucas William Boyle | Family Medicine | 10414 Beardslee Blvd Ste 100, Bothell, WA 98011-3205 | 2017-04-02 |
| Find all providers in BOTHELL | ||||
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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.