Larisa A Kaukonen (NPI# 1114961315, PAC ID# 4688665805) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1114961315 |
| PAC ID by PECOS | 4688665805 |
| Professional Enrollment ID | I20040518001138 |
| Full Name | Larisa A Kaukonen |
| Organization Legal Name | EVERGREEN EMERGENCY SERVICES PS |
| Address |
12040 Ne 128th St Kirkland WA 98034-3013 |
| Phone Number | 4258991000 |
| Gender | F |
| Credential | MD |
| Graduation Year | 1987 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 4981694155 |
| Number of Group Practice Members | 22 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500124 | EVERGREEN HOSPITAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 12040 Ne 128th St, Kirkland, WA 98034-3013 | 4258991000 | EVERGREEN EMERGENCY SERVICES PS |
| Organization Legal Name | EVERGREEN EMERGENCY SERVICES PS |
| Physicians | 26 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Austin M Gross | Emergency Medicine | Evergreen Emergency Services Ps | 12040 Ne 128th St, Kirkland, WA 98034-3013 |
| Joseph P Mazzoncini Jr. | Emergency Medicine | Evergreen Emergency Services Ps | 12040 Ne 128th St, Kirkland, WA 98034-3013 |
| Richard Wroblewski | Emergency Medicine | Evergreen Emergency Services Ps | 12040 Ne 128th St, Kirkland, WA 98034-3013 |
| Dominic Connolly | Emergency Medicine | Evergreen Emergency Services Ps | 12040 Ne 128th St, Kirkland, WA 98034-3013 |
| Raul V Borromeo | Emergency Medicine | Evergreen Emergency Services Ps | 12040 Ne 128th St, Kirkland, WA 98034-3013 |
| Randall L Unger | Emergency Medicine | Evergreen Emergency Services Ps | 12040 Ne 128th St, Kirkland, WA 98034-3013 |
| Bassim M Dowidar | Emergency Medicine | Evergreen Emergency Services Ps | 12040 Ne 128th St, Kirkland, WA 98034-3013 |
| Liam T Yore | Emergency Medicine | Evergreen Emergency Services Ps | 12040 Ne 128th St, Kirkland, WA 98034-3013 |
| Sabiha K Barot | Emergency Medicine | Evergreen Emergency Services Ps | 14701 179th Ave Se, Monroe, WA 98272-1108 |
| Bradley N Younggren | Emergency Medicine | Evergreen Emergency Services Ps | 12040 Ne 128th St, Kirkland, WA 98034-3013 |
| Street Address |
12040 NE 128TH ST |
| City | KIRKLAND |
| State | WA |
| Zip | 98034-3013 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Scot Fishman | Diagnostic Radiology | Radia Inc Ps | 12040 Ne 128th St, Kirkland, WA 98034-3013 |
| Michael A Towbin | General Surgery | King County Public Hospital District No 2 | 12040 Ne 128th St, Kirkland, WA 98034-3013 |
| Mark R Vossler | Cardiovascular Disease (cardiology) | King County Public Hospital District No 2 | 12040 Ne 128th St, Kirkland, WA 98034-3013 |
| Austin M Gross | Emergency Medicine | Evergreen Emergency Services Ps | 12040 Ne 128th St, Kirkland, WA 98034-3013 |
| Michelle Hamilton | Clinical Social Worker | Providence Health and Services-wa | 12040 Ne 128th St, Suite 100, Kirkland, WA 98034-3013 |
| William S Getchell | Interventional Cardiology | King County Public Hospital District No 2 | 12040 Ne 128th St, Kirkland, WA 98034-3013 |
| Rhonda M Bass | Family Medicine | Providence Health and Services-wa | 12040 Ne 128th St, Suite 100, Kirkland, WA 98034-3013 |
| Joseph P Mazzoncini Jr. | Emergency Medicine | Evergreen Emergency Services Ps | 12040 Ne 128th St, Kirkland, WA 98034-3013 |
| Edward Lee | Family Medicine | Providence Health and Services-wa | 12040 Ne 128th St, Suite 100, Kirkland, WA 98034-3013 |
| Natalie M Hendon | Neurology | King County Public Hospital District No 2 | 12040 Ne 128th St, Kirkland, WA 98034-3013 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Austin Edward Lubereski | Chiropractic | Ryan Coogan Dc Ps | 11902 97th Ave Ne, Kirkland, WA 98034-1882 |
| Ryan Sean Coogan | Chiropractic | Ryan Coogan Dc Ps | 11902 97th Ave Ne, Kirkland, WA 98034-1882 |
| Richard A Wyckoff | Clinical Psychologist | 13606 Ne 20th St, Suite 205, Bellevue, WA 98034-2011 | |
| Olena Sergiyivna Fox | Nurse Practitioner | Bhc Fairfax Hospital Inc | 10200 Ne 132nd St, Kirkland, WA 98034-2831 |
| Sid H Siahpush | Psychiatry | Bhc Fairfax Hospital Inc | 10200 Ne 132nd St, Kirkland, WA 98034-2831 |
| Zhendong J Ma | Psychiatry | Bhc Fairfax Hospital Inc | 10200 Ne 132nd St, Kirkland, WA 98034-2831 |
| Amy O Zachara | Nurse Practitioner | Bhc Fairfax Hospital Inc | 10200 Ne 132nd St, Kirkland, WA 98034-2831 |
| Olga G Abramova | Nurse Practitioner | Bhc Fairfax Hospital Inc | 10200 Ne 132nd St, Kirkland, WA 98034-2831 |
| Syed Kamal Mustafa | Psychiatry | Bhc Fairfax Hospital Inc | 10200 Ne 132nd St, Kirkland, WA 98034-2831 |
| Garth Edward Terry | Psychiatry | Bhc Fairfax Hospital Inc | 10200 Ne 132nd St, Kirkland, WA 98034-2831 |
| Find all physicians in zip 98034 | |||
| City | KIRKLAND |
| Zip Code | 98034 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | KIRKLAND + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Larisa A Kaukonen.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.