Peggy A Smith
NORTHWESTERN HEALTHCARE MANAGEMENT SERVICES, LLC


Address: 4401 Bridgeport Way W, University Place, WA 98466-4201
Phone: 2535644157

Peggy A Smith (NPI# 1467504084, PAC ID# 5395906762) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1467504084
PAC ID by PECOS 5395906762
Professional Enrollment ID I20120411000440
Full Name Peggy A Smith
Organization Legal Name NORTHWESTERN HEALTHCARE MANAGEMENT SERVICES, LLC
Address 4401 Bridgeport Way W
University Place
WA 98466-4201
Phone Number 2535644157
Gender F
Graduation Year 2004
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 2365715026
Number of Group Practice Members 5
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
500129 TACOMA GENERAL ALLENMORE HOSPITAL

Other Locations

Address Phone Organization
1901 S Union Ave, Tacoma, WA 98405-1702 MULTICARE HEALTH SYSTEM
4401 Bridgeport Way W, University Place, WA 98466-4201 2535644157 NORTHWESTERN HEALTHCARE MANAGEMENT SERVICES, LLC

Organization Information

Organization Legal Name NORTHWESTERN HEALTHCARE MANAGEMENT SERVICES, LLC
Physicians 6

Physicians with the same organization

Name Specialty Organization Address
Glenn J Kietzer General Practice Northwestern Healthcare Management Services, LLC 4401 Bridgeport Way W, University Place, WA 98466-4201
Timothy M Kobernik Family Medicine Northwestern Healthcare Management Services, LLC 4401 Bridgeport Way W, University Place, WA 98466-4201
Malisa Marie Hammett Nurse Practitioner Northwestern Healthcare Management Services, LLC 4401 Bridgeport Way W, University Place, WA 98466-4201
Mitra Hanjani Internal Medicine Northwestern Healthcare Management Services, LLC 4401 Bridgeport Way W, University Place, WA 98466-4201
Bruce Randall Lanum Nurse Practitioner Northwestern Healthcare Management Services, LLC 4401 Bridgeport Way W, University Place, WA 98466-4201

Office Location

Street Address 4401 BRIDGEPORT WAY W
City UNIVERSITY PLACE
State WA
Zip 98466-4201

Physicians in the same location

Name Specialty Organization Address
Glenn J Kietzer General Practice Northwestern Healthcare Management Services, LLC 4401 Bridgeport Way W, University Place, WA 98466-4201
Timothy M Kobernik Family Medicine Northwestern Healthcare Management Services, LLC 4401 Bridgeport Way W, University Place, WA 98466-4201
Malisa Marie Hammett Nurse Practitioner Northwestern Healthcare Management Services, LLC 4401 Bridgeport Way W, University Place, WA 98466-4201
Mitra Hanjani Internal Medicine Northwestern Healthcare Management Services, LLC 4401 Bridgeport Way W, University Place, WA 98466-4201
Bruce Randall Lanum Nurse Practitioner Northwestern Healthcare Management Services, LLC 4401 Bridgeport Way W, University Place, WA 98466-4201

Physicians in the same zip code

Name Specialty Organization Address
Patrick G Garlock Physical Therapy 3120 Soundview Dr W, University Place, WA 98466-1612
David S Hays Optometry Vision Care Associates Pllc 8204 27th W St, University Place, WA 98466-2719
Kim P Eckroth Optometry Vision Care Associates Pllc 8204 27th W St, University Place, WA 98466-2719
Keagan Tice Physical Therapy Multicare Health System 7727 40th St W, Suite A, University Place, WA 98466-3146
Brooks F Kenderdine Physical Therapy Multicare Health System 7727 40th St W, Suite A, University Place, WA 98466-3146
Katherine Jane Beaber Physical Therapy Multicare Health System 7727 40th St W, Suite A, University Place, WA 98466-3146
David J Dramm Physical Therapy Multicare Health System 7727 40th St W, Suite A, University Place, WA 98466-3146
Kathryn Myers Physical Therapy Multicare Health System 7727 40th St W, Suite A, University Place, WA 98466-3146
Wesley Geer Physical Therapy Multicare Health System 7727 40th St W, Suite A, University Place, WA 98466-3146
Kayla M Keniston Physical Therapy Multicare Health System 7727 40th St W, Suite A, University Place, WA 98466-3146
Find all physicians in zip 98466

Competitor

Search similar physicians

City UNIVERSITY PLACE
Zip Code 98466
Specialty NURSE PRACTITIONER
City + Specialty UNIVERSITY PLACE + NURSE PRACTITIONER

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Dataset Information

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.

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