KING COUNTY PUBLIC HOSPITAL DISTRICT NO. 2 (NPI# 1033174933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033174933 |
| Entity Type | Organization |
| Organization Name | KING COUNTY PUBLIC HOSPITAL DISTRICT NO. 2 |
| Other Organization Name | EVERGREENHEALTH MEDICAL CENTER |
| Practice Address |
12040 Ne 128th St Kirkland WA 98034-3013 |
| Mailing Address |
Po Box 34738 Seattle WA 98124-1738 |
| Practice Telephone | 4258991000 |
| Mailing Telephone | 4258991000 |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2017-03-23 |
| Authorized Official Name | ROBERT MALTE (CEO) |
| Authorized Official Telephone | 4258992610 |
| Is Organization Subpart | Y |
| Parent Organization Name | KING COUNTY PUBLIC HOSPITAL DISTRICT NO. 2 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | H164 | WA | Hospitals |
| Other Name | Type Code |
|---|---|
| EvergreenHealth Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588662761 | King County Public Hospital District No. 2 | Home Health | 11800 Ne 128th St Ste 200, Kirkland, WA 98034-7211 | 2005-07-12 |
| 1548740210 | King County Public Hospital District No. 2 | Neurological Surgery | 939 Caroline St, Port Angeles, WA 98362 | 2018-08-21 |
| 1043694185 | King County Public Hospital District No. 2 | Clinic/Center | 12333 Ne 130th Ln, #420, Kirkland, WA 98034-7467 | 2015-07-18 |
| 1750612883 | King County Public Hospital District No. 2 | Family Medicine | 8980 161st Ave Ne, Suite 400, Redmond, WA 98052-7554 | 2010-01-29 |
| 1538213327 | King County Public Hospital District No. 2 | Community/Behavioral Health | 12040 Ne 128th St, Kirkland, WA 98034-3013 | 2007-01-22 |
| 1497803829 | King County Public Hospital District No. 2 | Psychiatry & Neurology | 12040 Ne 128th St, Kirkland, WA 98034-3013 | 2007-01-08 |
| 1568535136 | King County Public Hospital District No. 2 | Radiology | 12040 Ne 128th St, Kirkland, WA 98034-3013 | 2006-11-15 |
| 1285706036 | King County Public Hospital District No. 2 | Pediatrics | 12040 Ne 128th St, Kirkland, WA 98034-3013 | 2006-11-15 |
| 1285719609 | King County Public Hospital District No. 2 | Hospice, Inpatient | 12822 124th Ln Ne, Kirkland, WA 98034-7612 | 2006-10-25 |
| 1154411338 | King County Public Hospital District No. 2 | Rehabilitation Unit | 12040 Ne 128th St, Kirkland, WA 98034-3013 | 2006-10-16 |
| Street Address |
12040 NE 128TH ST |
| City | KIRKLAND |
| State | WA |
| Zip Code | 98034-3013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225027428 | Suman L. Tewari | Obstetrics & Gynecology | 12040 Ne 128th St, Ms 105, Kirkland, WA 98034-3013 | 2005-10-19 |
| 1528674389 | Hannah Rose Narag Galvan | Registered Nurse | 12040 Ne 128th St, Kirkland, WA 98034-3013 | 2020-09-17 |
| 1942816970 | Julia Anne Baura Suico | Registered Nurse | 12040 Ne 128th St, Kirkland, WA 98034-3013 | 2020-09-16 |
| 1275147688 | Diana Dubinsky | Registered Nurse | 12040 Ne 128th St, Kirkland, WA 98034-3013 | 2020-09-02 |
| 1619599040 | Ana-irina Bologan | Registered Nurse | 12040 Ne 128th St, Kirkland, WA 98034-3013 | 2020-05-07 |
| 1467080499 | Suzanne Marie Campiche | Social Worker | 12040 Ne 128th St, Kirkland, WA 98034-3013 | 2020-03-27 |
| 1528694106 | Jordan Daryoush Kamal | Registered Nurse | 12040 Ne 128th St, Kirkland, WA 98034-3013 | 2020-03-16 |
| 1689224727 | Patricia Duenas Morgan | Nurse Practitioner | 12040 Ne 128th St, Kirkland, WA 98034-3013 | 2019-09-19 |
| 1700351533 | Katherine Claire Newman | Pharmacist | 12040 Ne 128th St, Kirkland, WA 98034-3013 | 2018-10-08 |
| 1104337682 | Kristin Bainbridge | Speech-Language Pathologist | 12040 Ne 128th St, Kirkland, WA 98034-3013 | 2017-10-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578116596 | Rachel Bowers | Behavior Technician | 1335 Northeast 122nd Way, Suite 105, Kirkland, WA 98034 | 2019-07-18 |
| 1740841048 | Kristina Louise Inghram | Behavior Technician | 11415 Ne 128th St., Suite 40, Kirkland, WA 98034 | 2019-06-26 |
| 1053978064 | Matthew A. Bagnulo, Dds, Ps | Dentist | 11830 Ne 128th St., #202, Kirkland, WA 98034 | 2019-05-24 |
| 1629568928 | Stephanie Michalko | Optometrist | 11800 Ne 128th St Ste 110, Kirkland, WA 98034 | 2018-05-14 |
| 1952800013 | Heath Family Counseling LLC | Marriage & Family Therapist | 12025 115th Ave. Ne, Building D, Ste 200, Kirkland, WA 98034 | 2018-02-05 |
| 1891202834 | Barbara Josephine Gorham | Counselor | 2025 115th Ave Ne, Bldg D, #200, Kirkland, WA 98034 | 2017-12-29 |
| 1548782915 | Eleanor Hollis Wall | Counselor | 14340 102nd Ave Ne, Kirkland, WA 98034 | 2017-07-07 |
| 1457885212 | Peter Schoonmaker | Hospitalist | 12040 Ne 128th Street, Ms105, Kirkland, WA 98034 | 2017-04-18 |
| 1780124370 | Rebecca Managan | Advanced Practice Midwife | 12303 Ne 130th Ln Ste Coral225, Kirkland, WA 98034 | 2017-03-01 |
| 1669821104 | Winter Gonzalez | Counselor | 11720 97th Ln Ne Apt A411, Kirkland, WA 98034 | 2016-06-06 |
| Find all providers in zip 98034 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043743438 | Evergreen Health | General Acute Care Hospital | 12040 Ne 128th St # Ms 74, Kirkland, WA 98034-3013 | 2017-04-04 |
| 1508258765 | Evergreen Healthcare | General Acute Care Hospital | 12040 Ne 128th St, Kirkland, WA 98034-3013 | 2015-02-25 |
| 1548463474 | Public Hospital District No. 2 | General Acute Care Hospital | 12040 Ne 128th Street, Kirkland, WA 98034-3013 | 2007-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104373604 | University of Washington Medicine | General Acute Care Hospital | 525 N Bowdoin Pl, Apt 101, Seattle, WA 98103 | 2016-09-01 |
| 1043610157 | Providence | General Acute Care Hospital | 4528 Purdue Avenue Northeast, Seattle, WA 98105 | 2014-08-26 |
| 1861820680 | Lurch Surgical | General Acute Care Hospital | 2580 Lake Whatcom Blvd, Bellingham, WA 98229-2721 | 2013-10-15 |
| 1881027654 | Swedish Medical Group | General Acute Care Hospital | 600 University St Ste 1200, Seattle, WA 98101-3300 | 2013-08-15 |
| 1578902870 | Miami Valley Hospital | General Acute Care Hospital | 1800 E Shelby St, Seattle, WA 98112-2022 | 2013-06-19 |
| 1730484890 | Harborview Medical Center | General Acute Care Hospital | 5218 35th Avenue S., Seattle, WA 98118 | 2011-01-21 |
| 1336456110 | Elweda Silva | General Acute Care Hospital | 31054 1st Pl Sw, Federal Way, WA 98023 | 2010-09-01 |
| 1891012787 | Joan M. Winsor, Md | General Acute Care Hospital | 28 Wandling Rd, Winthrop, WA 98862-9714 | 2010-05-01 |
| 1144461971 | Rolland Edward Dibble | General Acute Care Hospital | 103 Rockwell Ave, Suite B-13, Port Orchard, WA 98366-5204 | 2009-03-06 |
| 1821248402 | Providence | General Acute Care Hospital | 5019 126th St Ne, Marysville, WA 98271-9062 | 2008-09-19 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.