Julie A Komarow (NPI# 1295757862, PAC ID# 8022000611) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1295757862 |
| PAC ID by PECOS | 8022000611 |
| Professional Enrollment ID | I20080521000454 |
| Full Name | Julie A Komarow |
| Organization Legal Name | SOUTH HILL FAMILY MEDICINE PC |
| Address |
10004 204th Ave E Suite 3400 Bonney Lake WA 98391-6536 |
| Phone Number | 2538485951 |
| Gender | F |
| Medical School | UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE |
| Graduation Year | 1983 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 8729980396 |
| Number of Group Practice Members | 44 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500108 | ST JOSEPH MEDICAL CENTER |
| 500129 | TACOMA GENERAL ALLENMORE HOSPITAL |
| 500088 | VALLEY MEDICAL CENTER |
| 500079 | MULTICARE GOOD SAMARITAN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 10004 204th Ave E, Suite 3400, Bonney Lake, WA 98391-6536 | 2538485951 | SOUTH HILL FAMILY MEDICINE PC |
| Organization Legal Name | SOUTH HILL FAMILY MEDICINE PC |
| Physicians | 41 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Addie J Bush | Physician Assistant | South Hill Family Medicine PC | 611 31st Ave Sw, Suite C, Puyallup, WA 98373-3723 |
| Don S Massey | Physician Assistant | South Hill Family Medicine PC | 3908 10th St Se, Puyallup, WA 98374-2188 |
| Julia A Trautschold | Family Medicine | South Hill Family Medicine PC | 3908 10th St Se, Puyallup, WA 98374-2188 |
| Katy Lyn Palmer | Nurse Practitioner | South Hill Family Medicine PC | 3908 10th St Se, Puyallup, WA 98374-2188 |
| Ericka A Gilson | Nurse Practitioner | South Hill Family Medicine PC | 3908 10th St Se, Puyallup, WA 98374-2188 |
| Kristina R Hansen | Nurse Practitioner | South Hill Family Medicine PC | 611 31st Ave Sw, Suite C, Puyallup, WA 98373-3723 |
| Brandi J Faudree | Physician Assistant | South Hill Family Medicine PC | 3908 10th St Se, Puyallup, WA 98374-2188 |
| Cynthia L Desmond | Nurse Practitioner | South Hill Family Medicine PC | 11216 Sunrise Blvd E, Suite 3 106, Puyallup, WA 98374-8848 |
| Jeremy Wade Van Gieson | Family Medicine | South Hill Family Medicine PC | 11216 Sunrise Blvd E, Suite 3 106, Puyallup, WA 98374-8848 |
| Victor Jason Harris | Physician Assistant | South Hill Family Medicine PC | 611 31st Ave Sw, Suite C, Puyallup, WA 98373-3723 |
| Street Address |
10004 204TH AVE E SUITE 3400 |
| City | BONNEY LAKE |
| State | WA |
| Zip | 98391-6536 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Conor D. Bray | Physical Therapy | Apple Physical Therapy LLC | 10004 204th Ave E, Suite 3100, Bonney Lake, WA 98391-6540 |
| Susan M Beardemphl | Physical Therapy | Apple Physical Therapy LLC | 10004 204th Ave E, Suite 3100, Bonney Lake, WA 98391-6540 |
| Payden G Houser | Physical Therapy | Apple Physical Therapy LLC | 10004 204th Ave E, Suite 3100, Bonney Lake, WA 98391-6540 |
| Jelani Naja Parker | Physical Therapy | Apple Physical Therapy LLC | 10004 204th Ave E, Suite 3100, Bonney Lake, WA 98391-6540 |
| Yvonne Yen | Internal Medicine | Multicare Health System | 10004 204th Ave E, Suite 1300, Bonney Lake, WA 98391-6537 |
| Brittany K Swint | Physical Therapy | Apple Physical Therapy LLC | 10004 204th Ave E, Suite 3100, Bonney Lake, WA 98391-6540 |
| Cheron L Wittman | Physician Assistant | Multicare Health System | 10004 204th Ave E, Suite 1300, Bonney Lake, WA 98391-6537 |
| Jessica A Hutchinson | Physical Therapy | Apple Physical Therapy LLC | 10004 204th Ave E, Suite 3100, Bonney Lake, WA 98391-6540 |
| Melissa S Bronoske | Physician Assistant | Multicare Health System | 10004 204th Ave E, Suite 1300, Bonney Lake, WA 98391-6537 |
| Kala A Gardner | Physical Therapy | Apple Physical Therapy LLC | 10004 204th Ave E, Suite 3100, Bonney Lake, WA 98391-6540 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sandra E Teter | Occupational Therapy | South Sound Physical and Hand Therapy Pllc | 9411 192nd Ave E, Bldg D Suite E, Bonney Lake, WA 98391-1864 |
| Scott A Sheridan | Chiropractic | 9925 214th Ave E, Suite C, Bonney Lake, WA 98391-3910 | |
| Coty Lee Thomas | Physical Therapy | Performance Sports and Spine Physical Therapy Ps | 21525 Hwy 410 E, Suite B, Bonney Lake, WA 98391-4101 |
| Tracey L Erickson | Physical Therapy | Performance Sports and Spine Physical Therapy Ps | 21525 Hwy 410 E, Suite B, Bonney Lake, WA 98391-4101 |
| Ryan D Willis | Physical Therapy | Performance Sports and Spine Physical Therapy Ps | 21525 Hwy 410 E, Suite B, Bonney Lake, WA 98391-4101 |
| Mythili R Ramachandran | Internal Medicine | 21509 Hwy 410 E, Suite 1, Bonney Lake, WA 98391-4104 | |
| Cody M Hoover | Podiatry | 19225 5th St E, Lake Tapps, WA 98391-5619 | |
| David L Johnson | Chiropractic | 314 182nd Ave E, Unit D, Lake Tapps, WA 98391-5704 | |
| Leesa C Echols | Emergency Medicine | Western Washington Emergency Physicians Pllc | 9550 195th Ave E, Bonney Lake, WA 98391-5969 |
| Kevin P Rooney | Emergency Medicine | Western Washington Emergency Physicians Pllc | 9550 195th Ave E, Bonney Lake, WA 98391-5969 |
| Find all physicians in zip 98391 | |||
| City | BONNEY LAKE |
| Zip Code | 98391 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | BONNEY LAKE + FAMILY MEDICINE |
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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.