PACIFIC NORTHWEST UROGYNECOLOGY PLLC (NPI# 1205015112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205015112 |
| Entity Type | Organization |
| Organization Name | PACIFIC NORTHWEST UROGYNECOLOGY PLLC |
| Practice Address |
903 Medical Center Dr Arlington WA 98223-1697 |
| Mailing Address |
Po Box 128 Bellevue WA 98009-0128 |
| Practice Telephone | 3603297897 |
| Practice Fax Number | 3609252898 |
| Mailing Telephone | 3603297897 |
| Mailing Fax Number | 3609252898 |
| Enumeration Date | 2007-10-26 |
| Last Update Date | 2013-08-19 |
| Authorized Official Name | DR. WILLIAM ANDRE SILVA (MEMBER) |
| Authorized Official Telephone | 2066587652 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MD00044925 | WA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TYPE 2 (GROUP/ORGANIZATIONAL) NPI | 1205015112 | 01 | |
| WA | MEDICAID RENDERING PROVIDER # | 1861413965 | 01 |
| WA | MEDICAID BILLING PROVIDER # | 1205015112 | 01 |
| WA | L&I | 0307100 | 01 |
| WA | MEDICARE PTAN FOR INDIVIDUAL (ARLINGTON, WA) | G8917674 | 01 |
| WA | MEDICARE PTAN FOR GROUP (ARLINGTON, WA) | G8917673 | 01 |
| TYPE 1 (INDIVIDUAL) NPI | 1861413965 | 01 | |
| WA | PROVIDER ONE # (LINKED TO TYPE 2 NPI) | 2025944 | 01 |
| Street Address |
903 MEDICAL CENTER DR |
| City | ARLINGTON |
| State | WA |
| Zip Code | 98223-1697 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710976014 | Cindy L Beske | Advanced Practice Midwife | 903 Medical Center Dr, Arlington, WA 98223-1697 | 2005-10-19 |
| 1386264703 | N W Eye Surgeons P C | Ophthalmology | 903 Medical Center Dr, Arlington, WA 98223-1697 | 2020-04-27 |
| 1174046536 | Jessica Lynette Hurwitz | Advanced Practice Midwife | 903 Medical Center Dr, Arlington, WA 98223 | 2017-07-18 |
| 1275876864 | Kathryn A. Sarnoski | Obstetrics & Gynecology | 903 Medical Center Dr, Arlington, WA 98223-1697 | 2013-04-01 |
| 1629215991 | David Melvin Gran | Obstetrics & Gynecology | 903 Medical Center Dr, Arlington, WA 98223-1697 | 2009-01-08 |
| 1902066228 | Natalia V Bajenova | Ophthalmology | 903 Medical Center Dr, Arlington, WA 98223 | 2008-06-10 |
| 1982788220 | Cascade Regional Eye Center Inc Ps | Clinic/Center | 903 Medical Center Dr, Arlington, WA 98223-1697 | 2006-10-24 |
| 1619066123 | Bruce J Ballon | Ophthalmology | 903 Medical Center Dr, Arlington, WA 98223-1697 | 2006-10-12 |
| 1255420782 | Bruce E Wietharn | Ophthalmology | 903 Medical Center Dr, Arlington, WA 98223-1697 | 2006-10-12 |
| 1750397253 | Amy M Loughlin | Advanced Practice Midwife | 903 Medical Center Dr, Arlington, WA 98223-1697 | 2006-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225667462 | Clark Nursing LLC | Registered Nurse | 30818 412th Dr. N.e., Arlington, WA 98223 | 2020-04-08 |
| 1952952442 | Tina Willett | Technician | 18404 19th Avenue Ne, Arlington, WA 98223 | 2019-09-25 |
| 1841841764 | Carolyn Marie Lantz | Technician | 6002 Cemetery Road, Arlington, WA 98223 | 2019-09-23 |
| 1801457643 | Maddison Post | Massage Therapist | 18725 Smokey Point Boulevard, Arlington, WA 98223 | 2019-06-24 |
| 1790341113 | Brandon Tyler Stott | Specialist/Technologist | 17023 11th Ave Ne, Arlington, WA 98223 | 2019-05-10 |
| 1881177715 | Hailey R Tanis | Massage Therapist | 3131 Smokey Point Drive #5b, Arlington, WA 98223 | 2018-09-06 |
| 1407381023 | Rest Easy Hair Clinic | Specialist | 3710 168th Street N.e. B101, Arlington, WA 98223 | 2017-04-21 |
| 1851839617 | Jamie Claire Chatters-elf | Preventive Medicine | 315 N French Avenue, Arlington, WA 98223 | 2017-02-01 |
| 1790153286 | Glenda Louise Taylor | Massage Therapist | 16404 Smokey Point Blvd #307, 307, Arlington, WA 98223 | 2015-09-14 |
| 1972990042 | Lizette Jamora Antig | Pediatrics | 875 Wesley St Ste 130, Arlington, WA 98223 | 2015-04-16 |
| Find all providers in zip 98223 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
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| 1649705112 | Gregory Morgan Rose | Specialist | 2025 Randy Snow Rd Apt 227, Arlington, TX 76011-8921 | 2017-04-21 |
| 1407381023 | Rest Easy Hair Clinic | Specialist | 3710 168th Street N.e. B101, Arlington, WA 98223 | 2017-04-21 |
| 1497201164 | Mayrena Isamar Hernandez | Specialist | 7201 Lake Jackson Dr, Arlington, TX 76002-4070 | 2016-08-31 |
| 1396192126 | Paul Aaron Petty | Specialist | 1715 N George Mason Dr Ste 503, Arlington, VA 22205-3669 | 2016-05-23 |
| 1174990535 | Angenique Miles-lewis | Specialist | 3901 W Arkansas Ln Ste 116, Arlington, TX 76016-1400 | 2015-09-01 |
| 1831575778 | Rais Ul Ghani | Specialist | 922 Winterwood Ct, Arlington, TX 76017-6139 | 2015-08-03 |
| 1760888598 | Sarah Walsh | Specialist | 1301 S Cleveland St Apt 357, Arlington, VA 22204-4872 | 2014-11-05 |
| 1962806869 | A New Weigh Center Corp | Specialist | 306 E Randol Mill Rd Ste 136, Arlington, TX 76011-5841 | 2014-10-21 |
| 1508274614 | Neurodiagnostic Consultants, L.L.C. | Specialist | 1102 Orchard Drive, Arlington, TX 76012 | 2014-08-01 |
| Find all providers in ARLINGTON | ||||
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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.