Philip D Potena (NPI# 1700322807, PAC ID# 7416224423) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1700322807 |
| PAC ID by PECOS | 7416224423 |
| Professional Enrollment ID | I20190312000241 |
| Full Name | Philip D Potena |
| Organization Legal Name | LAKE WASHINGTON ANESTHESIA PLLC |
| Address |
11800 Ne 128th St Suite 100 Kirkland WA 98034-7208 |
| Phone Number | 4258994500 |
| Gender | M |
| Graduation Year | 2016 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 3678840543 |
| Number of Group Practice Members | 23 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500014 | PROVIDENCE REGIONAL MEDICAL CENTER EVERETT |
| Address | Phone | Organization |
|---|---|---|
| 1321 Colby Ave, Everett, WA 98201-1665 | 4252612000 | PROVIDENCE WA ANESTHESIA SERVICES, PC |
| 11800 Ne 128th St, Suite 100, Kirkland, WA 98034-7208 | 4258994500 | LAKE WASHINGTON ANESTHESIA PLLC |
| Organization Legal Name | LAKE WASHINGTON ANESTHESIA PLLC |
| Physicians | 16 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julie Anne Chinnock | Certified Registered Nurse Anesthetist (crna) | Lake Washington Anesthesia Pllc | 501 N 34th St, Suite 101, Seattle, WA 98103-8856 |
| Edward R Bauer | Certified Registered Nurse Anesthetist (crna) | Lake Washington Anesthesia Pllc | 11800 Ne 128th St, Suite 100, Kirkland, WA 98034-7208 |
| Stephanie Alana Marie Benjamin | Certified Registered Nurse Anesthetist (crna) | Lake Washington Anesthesia Pllc | 501 N 34th St, Suite 101, Seattle, WA 98103-8856 |
| Sarah E Lee | Certified Registered Nurse Anesthetist (crna) | Lake Washington Anesthesia Pllc | 501 N 34th St, Suite 101, Seattle, WA 98103-8856 |
| Yuni Kim | Certified Registered Nurse Anesthetist (crna) | Lake Washington Anesthesia Pllc | 11800 Ne 128th St, Suite 100, Kirkland, WA 98034-7208 |
| Matthew Donavon Petta | Certified Registered Nurse Anesthetist (crna) | Lake Washington Anesthesia Pllc | 21600 Hwy 99, Suite 260, Edmonds, WA 98026-8049 |
| Mitchell E Keszler | Certified Registered Nurse Anesthetist (crna) | Lake Washington Anesthesia Pllc | 501 N 34th St, Suite 101, Seattle, WA 98103-8856 |
| Jennifer Brooke Suarez Smith | Certified Registered Nurse Anesthetist (crna) | Lake Washington Anesthesia Pllc | 21600 Hwy 99, Suite 260, Edmonds, WA 98026-8049 |
| Christian Schmalz | Certified Registered Nurse Anesthetist (crna) | Lake Washington Anesthesia Pllc | 11800 Ne 128th St, Suite 100, Kirkland, WA 98034-7208 |
| Dennis O Johnston | Certified Registered Nurse Anesthetist (crna) | Lake Washington Anesthesia Pllc | 21600 Hwy 99, Suite 260, Edmonds, WA 98026-8049 |
| Street Address |
11800 NE 128TH ST SUITE 100 |
| City | KIRKLAND |
| State | WA |
| Zip | 98034-7208 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Courtney M King | Physical Therapy | Apple Physical Therapy LLC | 11800 Ne 128th St, Suite 400, Kirkland, WA 98034-7299 |
| David H Lee | Gastroenterology | Puget Sound Gastroenterology Pllc | 11800 Ne 128th St, Suite 100, Kirkland, WA 98034-7208 |
| Edward R Bauer | Certified Registered Nurse Anesthetist (crna) | Lake Washington Anesthesia Pllc | 11800 Ne 128th St, Suite 100, Kirkland, WA 98034-7208 |
| Amy L Thomson | Internal Medicine | Virginia Mason Medical Center | 11800 Ne 128th St, Suite 300, Kirkland, WA 98034-7211 |
| Andrew Lisitsky | Physical Therapy | Apple Physical Therapy LLC | 11800 Ne 128th St, Suite 400, Kirkland, WA 98034-7299 |
| Craig K Mccarn | Physical Therapy | Apple Physical Therapy LLC | 11800 Ne 128th St, Suite 400, Kirkland, WA 98034-7299 |
| Monika Wells | Internal Medicine | Virginia Mason Medical Center | 11800 Ne 128th St, 300 Virginia Mason Kirkland, Kirkland, WA 98034-7208 |
| Ronald E Mason | Gastroenterology | Puget Sound Gastroenterology Pllc | 11800 Ne 128th St, Suite 100, Kirkland, WA 98034-7208 |
| Maren K Kludt | Physical Therapy | Manual Therapy International Professional Services Pllc | 11800 Ne 128th St, Suite 510, Kirkland, WA 98034-7296 |
| Sue C Eng | Gastroenterology | Puget Sound Gastroenterology Pllc | 11800 Ne 128th St, Suite 100, Kirkland, WA 98034-7208 |
| 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 | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | KIRKLAND + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Philip D Potena.
| 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.