Genji C Kitagawa (NPI# 1093703191, PAC ID# 8628001302) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1093703191 |
| PAC ID by PECOS | 8628001302 |
| Professional Enrollment ID | I20050913001281 |
| Full Name | Genji C Kitagawa |
| Organization Legal Name | PROVIDENCE HEALTH AND SERVICES WASHINGTON |
| Address |
500 E Webster Ave Chewelah WA 99109-9523 |
| Phone Number | 5099358211 |
| Gender | M |
| Credential | DO |
| Medical School | KIRKSVILLE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 0345139929 |
| Number of Group Practice Members | 561 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 501326 | PROVIDENCE MOUNT CARMEL HOSPITAL |
| 501309 | PROVIDENCE ST JOSEPH HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 500 E Webster Ave, Chewelah, WA 99109-9523 | 5099358211 | PROVIDENCE HEALTH AND SERVICES WASHINGTON |
| 1200 E Columbia Ave, Colville, WA 99114-3354 | 5096843701 | PROVIDENCE HEALTH AND SERVICES WASHINGTON |
| 143 Garden Homes Dr, Colville, WA 99114-9229 | 5096843701 | PROVIDENCE HEALTH AND SERVICES WASHINGTON |
| 982 E Columbia Ave, Colville, WA 99114-3316 | 5096855100 | PROVIDENCE HEALTH AND SERVICES WASHINGTON |
| Organization Legal Name | PROVIDENCE HEALTH AND SERVICES WASHINGTON |
| Physicians | 1132 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah Kinnard | Nurse Practitioner | Providence Health and Services Washington | 2555 Marvin Rd Ne, Lacey, WA 98516-3138 |
| Alexander Lee Telis | Orthopedic Surgery | Providence Health and Services Washington | 820 S Mcclellan St, Suite 300, Spokane, WA 99204-2450 |
| Jodi Ann Fischer | Nurse Practitioner | Providence Health and Services Washington | 1450 Northwest Ln Se, Suite A, Lacey, WA 98503-6908 |
| Katherine Elizabeth Reynolds | Nurse Practitioner | Providence Health and Services Washington | 1212 N Pines Rd, Spokane Valley, WA 99206-4939 |
| Eugene Daniel Villacian | Nurse Practitioner | Providence Health and Services Washington | 3333 Ensign Rd Ne, Olympia, WA 98506-5012 |
| Shira Y Albert | Nurse Practitioner | Providence Health and Services Washington | 12312 E Sprague Ave, Spokane Valley, WA 99216-0720 |
| Lisa Tisch | Nurse Practitioner | Providence Health and Services Washington | 551 E Hawthorne Rd, Spokane, WA 99218-1417 |
| Natalie S Angus | Family Medicine | Providence Health and Services Washington | 931 S Market Blvd, Chehalis, WA 98532-3423 |
| Tabatha Schellenger | Nurse Practitioner | Providence Health and Services Washington | 3760 Piper St, Suite 1108, Anchorage, AK 99508-4683 |
| Callie Rose Adams | Nurse Practitioner | Providence Health and Services Washington | 212 E Central Ave, Suite 240, Spokane, WA 99208-6597 |
| Street Address |
500 E WEBSTER AVE |
| City | CHEWELAH |
| State | WA |
| Zip | 99109-9523 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jodi L Bailey | Diagnostic Radiology | Integra Imaging Ps | 500 E Webster Ave, Chewelah, WA 99109-9523 |
| Sadaf F Zaidi | Diagnostic Radiology | Integra Imaging Ps | 500 E Webster Ave, Chewelah, WA 99109-9523 |
| Julie R Kaczmark | Diagnostic Radiology | Integra Imaging Ps | 500 E Webster Ave, Chewelah, WA 99109-9523 |
| Trent A Sanders | Diagnostic Radiology | Integra Imaging Ps | 500 E Webster Ave, Chewelah, WA 99109-9523 |
| Nicole Sheehan | Physician Assistant | Integra Imaging Ps | 500 E Webster Ave, Chewelah, WA 99109-9523 |
| Scott Hoefer | Diagnostic Radiology | Integra Imaging Ps | 500 E Webster Ave, Chewelah, WA 99109-9523 |
| Jayson S Brower | Diagnostic Radiology | Integra Imaging Ps | 500 E Webster Ave, Chewelah, WA 99109-9523 |
| Irene Cruite | Diagnostic Radiology | Integra Imaging Ps | 500 E Webster Ave, Chewelah, WA 99109-9523 |
| Brian W Rich | Diagnostic Radiology | Integra Imaging Ps | 500 E Webster Ave, Chewelah, WA 99109-9523 |
| Gordon S Teel | Diagnostic Radiology | Integra Imaging Ps | 500 E Webster Ave, Chewelah, WA 99109-9523 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| J Scott S Kohlstedt | Optometry | 201 E Main Ave, Chewelah, WA 99109-5012 | |
| Bradley David Haslam | Chiropractic | 301 E Clay Ave, Suite 219, Chewelah, WA 99109-8936 | |
| Liesl K Pavlic | Internal Medicine | New Health Programs Association | 518 Clay Ave E, Chewelah, WA 99109-8947 |
| Shirley G Wagoner | Nurse Practitioner | New Health Programs Association | 518 E Clay Ave, Chewelah, WA 99109-8947 |
| Kay Gentry | Nurse Practitioner | New Health Programs Association | 518 E Clay Ave, Chewelah, WA 99109-8947 |
| Matthew P Dinsmore | Nurse Practitioner | New Health Programs Association | 518 E Clay Ave, Chewelah, WA 99109-8947 |
| John R Champion | Chiropractic | 103 E Main Ave, Chewelah, WA 99109-8960 | |
| Steven A Weatherman | Chiropractic | 306 E Main St, Chewelah, WA 99109-8962 | |
| Romeo A Pavlic | Cardiovascular Disease (cardiology) | 303 E King Ave, Chewelah, WA 99109-8998 | |
| Thomas J Boone | Family Medicine | Chewelah Associated Physicians Ps | 410 E King St, Chewelah, WA 99109-9302 |
| Find all physicians in zip 99109 | |||
| City | CHEWELAH |
| Zip Code | 99109 |
| Specialty | UROLOGY |
| City + Specialty | CHEWELAH + UROLOGY |
Please comment or provide details below to improve the information on Genji C Kitagawa.
| 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.