DR. LARISA A KAUKONEN (NPI# 1114961315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114961315 |
| Entity Type | Individual |
| Full Name | DR. LARISA A KAUKONEN |
| Credential | M.D. |
| Practice Address |
12040 Ne 128th St Kirkland WA 98034-3013 |
| Mailing Address |
File 50421 Los Angeles CA 90074-0001 |
| Practice Telephone | 4258991000 |
| Mailing Telephone | 8007933529 |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2007-12-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | MD00027863 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA L & I | 184572 | 01 | |
| GROUP HEALTH | E98234 | 01 | |
| REGENCE BS | KA6997 | 01 | |
| WA | 8126674 | 05 | |
| WA CRIME VICTIM | 8938306 | 01 |
| 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 |
| Find all providers in the same location | ||||
| 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 | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518396845 | Drx Wa Urgent Care Providers Pllc | Emergency Medicine | 13131 Ne 85th St, Kirkland, WA 98033-8092 | 2013-11-07 |
| 1982772588 | James Paul Gerard | Emergency Medicine | 12040 Ne 128th St # 33, Kirkland, WA 98034-3013 | 2006-12-01 |
| 1144396839 | Ronald Cole Dobson | Emergency Medicine | 8315 Ne Juanita Dr, Kirkland, WA 98034-3528 | 2006-11-27 |
| 1013146653 | Austin M Gross | Emergency Medicine | 12040 Ne 128th St, Kirkland, WA 98034-3013 | 2009-07-02 |
| 1255407888 | James Ranjet Bhaskar | Emergency Medicine | 11800 Ne 128th St, Suite 560, Kirkland, WA 98034-7208 | 2006-11-27 |
| 1750467551 | David A Baker | Emergency Medicine | 12040 Ne 128th St # Ms 105, Kirkland, WA 98034-3013 | 2006-10-27 |
| 1922183730 | Terry J Mengert | Emergency Medicine | 12040 Ne 128th St, Kirkland, WA 98034-3013 | 2006-10-27 |
| 1417984089 | Richard Campbell | Emergency Medicine | 12040 Ne 128th St, Kirkland, WA 98034-3013 | 2006-06-27 |
| 1265468300 | Adrian M Whorton | Emergency Medicine | 12040 Ne 128th St, Kirkland, WA 98034-3013 | 2006-06-23 |
| 1619912524 | Evergreen Emergency Services, Ps | Emergency Medicine | 12040 Ne 128th St, Kirkland, WA 98034-3013 | 2006-06-17 |
| Find all providers in KIRKLAND | ||||
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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.