Michael K Koerner (NPI# 1558337493, PAC ID# 4688790678) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROLOGY.
Nation Provider ID (NPI) | 1558337493 |
PAC ID by PECOS | 4688790678 |
Professional Enrollment ID | I20100928000315 |
Full Name | Michael K Koerner |
Organization Legal Name | PROVIDENCE HEALTH AND SERVICES - WA |
Address |
1321 Colby Ave Everett WA 98201-1665 |
Phone Number | 4252613968 |
Gender | M |
Medical School | UNIVERSITY OF MICHIGAN MEDICAL SCHOOL |
Graduation Year | 1977 |
Primary Specialty | NEUROLOGY |
Group Practice PAC ID | 0648330787 |
Number of Group Practice Members | 82 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
500014 | PROVIDENCE REGIONAL MEDICAL CENTER EVERETT |
501339 | WHIDBEY GENERAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
1321 Colby Ave, Everett, WA 98201-1665 | 4252613968 | PROVIDENCE HEALTH AND SERVICES - WA |
Organization Legal Name | PROVIDENCE HEALTH AND SERVICES - WA |
Physicians | 20 |
Name | Specialty | Organization | Address |
---|---|---|---|
Todd S Carran | Addiction Medicine | Providence Health and Services - Wa | 916 Pacific Ave, Everett, WA 98201-4147 |
Randall L De Jong | Nurse Practitioner | Providence Health and Services - Wa | 916 Pacific Ave, Everett, WA 98201-4147 |
Shannon M Leach | Nurse Practitioner | Providence Health and Services - Wa | 916 Pacific Ave, Everett, WA 98201-4147 |
Cheryl M Laflore | Nurse Practitioner | Providence Health and Services - Wa | 900 Pacific Ave, Everett, WA 98201-4168 |
Anita D Rajwan | Nurse Practitioner | Providence Health and Services - Wa | 1700 13th St, Everett, WA 98201-1689 |
Kimberly A Boyce | Physician Assistant | Providence Health and Services - Wa | 1321 Colby Ave, Everett, WA 98201-1665 |
Gina Cadena Forney | Family Medicine | Providence Health and Services - Wa | 916 Pacific Ave, Everett, WA 98201-4147 |
Joy A Varady | Nurse Practitioner | Providence Health and Services - Wa | 1321 Colby Ave, Everett, WA 98201-1665 |
Paula Georgette Newman Skomski | Nurse Practitioner | Providence Health and Services - Wa | 1321 Colby Ave, Everett, WA 98201-1665 |
Kellen Ross Gumm | Physician Assistant | Providence Health and Services - Wa | 122 W 7th Ave, 110 Northwest Heart and Lung Surgical Association, Spokane, WA 99204-2301 |
Street Address |
1321 COLBY AVE |
City | EVERETT |
State | WA |
Zip | 98201-1665 |
Name | Specialty | Organization | Address |
---|---|---|---|
Tina Malm | Physician Assistant | Providence Health and Services-wa | 1321 Colby Ave, Everett, WA 98201-1665 |
Christine Welker | Physician Assistant | Providence Health and Services-wa | 1321 Colby Ave, Everett, WA 98201-1665 |
Lindsy J Alanis | Internal Medicine | Providence Health and Services-wa | 1321 Colby Ave, Everett, WA 98201-1665 |
Grace Erin Oppenheim | Nurse Practitioner | Providence Health and Services-wa | 1321 Colby Ave, Everett, WA 98201-1665 |
Michael James Oliver | Physician Assistant | Western Washington Medical Group Inc Ps | 1321 Colby Ave, Everett, WA 98201-1665 |
Karen M Tooley | Physician Assistant | Providence Health and Services-wa | 1321 Colby Ave, Everett, WA 98201-1665 |
Ya Lan Huang | Nephrology | Western Washington Medical Group Inc Ps | 1321 Colby Ave, Everett, WA 98201-1665 |
Karen S Hunter | General Surgery | Providence Health and Services-wa | 1321 Colby Ave, Everett, WA 98201-1665 |
Randy Ray Graybeal | Certified Registered Nurse Anesthetist (crna) | Providence Wa Anesthesia Services, PC | 1321 Colby Ave, Everett, WA 98201-1665 |
James P Miller | General Surgery | Providence Health and Services-wa | 1321 Colby Ave, Everett, WA 98201-1665 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Margaret J Rutherford | Nurse Practitioner | Sunrise Services, Inc. | 1021 N Broadway, Sunrise Community Mental Health, Everett, WA 98201-1405 |
Kevin M Knack Jr. | Nurse Practitioner | Sunrise Services, Inc. | 1021 N Broadway, Sunrise Community Mental Health, Everett, WA 98201-1405 |
Larry S Bornstein | Psychiatry | Sunrise Services, Inc. | 1021 N Broadway, Sunrise Community Mental Health, Everett, WA 98201-1405 |
Paulette K Carter | Nurse Practitioner | Sunrise Services, Inc. | 1021 N Broadway, Sunrise Community Mental Health, Everett, WA 98201-1405 |
Margaret M Ackerman | Nurse Practitioner | Sunrise Services, Inc. | 1021 N Broadway, Sunrise Community Mental Health, Everett, WA 98201-1405 |
Nikki L Behner | Nurse Practitioner | Sunrise Services, Inc. | 1021 N Broadway, Sunrise Community Mental Health, Everett, WA 98201-1405 |
David Gordon | Family Medicine | Community Health Center of Snohomish County | 930 N Broadway, Everett, WA 98201-1409 |
Yuanzhi Angela Li | Family Medicine | Community Health Center of Snohomish County | 930 N Broadway, Everett, WA 98201-1409 |
Alan O Haakenstad | Nephrology | Community Health Center of Snohomish County | 930 N Broadway, Everett, WA 98201-1409 |
Lavonne M Searle | Nurse Practitioner | Community Health Center of Snohomish County | 930 N Broadway, Everett, WA 98201-1409 |
Find all physicians in zip 98201 |
City | EVERETT |
Zip Code | 98201 |
Specialty | NEUROLOGY |
City + Specialty | EVERETT + NEUROLOGY |
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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.