PATRICK WILLAUER (NPI# 1205222551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205222551 |
| Entity Type | Individual |
| Full Name | PATRICK WILLAUER |
| Practice Address |
1330 Rockefeller Ave Everett WA 98201-1684 |
| Mailing Address |
Po Box 5127 Everett WA 98206-5127 |
| Practice Telephone | 4253395442 |
| Mailing Telephone | 4253395442 |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2020-09-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | MD61043079 | WA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 Atwell Rd, Cooperstown, NY 133261301 | 6075473456 | 6075476612 |
| Street Address |
1330 ROCKEFELLER AVE |
| City | EVERETT |
| State | WA |
| Zip Code | 98201-1684 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366435943 | John F Matista | Physician Assistant | 1330 Rockefeller Ave, Suite 225, Everett, WA 98201-1684 | 2005-08-29 |
| 1326598715 | Providence Regional Medical Center | Clinic/Center | 1330 Rockefeller Ave, Suite 150 Medical Offfic Building, Everett, WA 98201-1684 | 2016-10-10 |
| 1861940504 | Lindsay Cook Mertz | Physician Assistant | 1330 Rockefeller Ave, Suite 310, Everett, WA 98201-1684 | 2016-09-12 |
| 1437524352 | John Gavareski | Physician Assistant | 1330 Rockefeller Ave, Everett, WA 98201-1684 | 2015-12-03 |
| 1700261120 | Anna Chan | Pharmacist | 1330 Rockefeller Ave, Suite 150, Everett, WA 98201-1684 | 2015-07-27 |
| 1588051494 | Luis Fernando Alberton | Surgery | 1330 Rockefeller Ave, Ste 400, Everett, WA 98201-1684 | 2015-04-17 |
| 1538554761 | Patrick M Haugstad | Pharmacist | 1330 Rockefeller Ave, Suite 150, Everett, WA 98201-1684 | 2015-04-03 |
| 1770972481 | Lisa Mccabe | Nurse Practitioner | 1330 Rockefeller Ave, Suite 310, Everett, WA 98201-1684 | 2015-01-19 |
| 1851798714 | Emily Rockwell Williamson | Pharmacist | 1330 Rockefeller Ave, Suite 150, Everett, WA 98201 | 2014-11-20 |
| 1922400407 | Michael Vincent Rafer | Physician Assistant | 1330 Rockefeller Ave, Everett, WA 98201-1684 | 2014-09-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306471867 | Shannon Michelle Dewald | Registered Nurse | D8s 1700 13th St, Everett, WA 98201 | 2020-03-05 |
| 1578123113 | Precious Medicial Spa, LLC | Registered Nurse | 1728 W. Marine View Dr Suite 212, Everett, WA 98201 | 2019-06-17 |
| 1508429796 | Alix Deschain | Counselor | 2801 Broadway, Everett, WA 98201 | 2019-04-15 |
| 1811457534 | Khushboo Patel | Pharmacist | 1330 Rockefeller Ave Ste 150, Everett, WA 98201 | 2019-03-20 |
| 1164991188 | Grace Talbot Davis | Registered Nurse | 2601 Summit Avenue, Bldg. C, Everett, WA 98201 | 2018-11-20 |
| 1063924603 | Tracy Sisk | Counselor | 3120 Colby Ave, 502, Everett, WA 98201 | 2017-11-03 |
| 1710403126 | Michelle Durham | Counselor | 3322 Boadway Fl 2, Everett, WA 98201 | 2017-08-17 |
| 1861927949 | Melanie Schmidt | Counselor | 2610 Westmore Ave, Everett, WA 98201 | 2017-04-26 |
| 1518413327 | Joseph Madson Dmd Pllc | Clinic/Center | 3802 Colby Ave, 4th Floor, Everett, WA 98201 | 2016-08-31 |
| 1043683162 | Jennifer Adams | Counselor | 1511 26th St, Everett, WA 98201 | 2015-11-11 |
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| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114236791 | Providence Health & Services-wa | Surgery | 1330 Rockefeller Avenue, Suite 400, Everett, WA 98201-1676 | 2010-09-30 |
| 1801038161 | Shaina Marie Schaetzel | Surgery | 1300 Rockefeller Ave, Suite 120, Everett, WA 98201 | 2009-04-01 |
| 1225256720 | Western Washington Medical Group | Surgery | 3216 Norton Ave Ste 202, Everett, WA 98201-4290 | 2007-04-23 |
| 1336214014 | Sidney Schwab | Surgery | 3825 Shore Ave, Everett, WA 98203-1228 | 2006-11-21 |
| 1962415430 | Prabhat Kumar Bhama | Surgery | 1330 Rockefeller Ave Ste 310, Everett, WA 98201-1677 | 2006-08-14 |
| 1053328997 | John L Goodman | Surgery | 1330 Rockefeller Ave Ste 120, Everett, WA 98201-1676 | 2006-08-02 |
| 1073580395 | Bedford Surgical Associates, Inc. | Surgery | 283 Hospital Drive, Everett, PA 15537-7020 | 2006-03-06 |
| 1912984832 | Nicole Norris Debolt | Surgery | 283 Hospital Dr, Everett, PA 15537-7020 | 2005-12-30 |
| 1588051494 | Luis Fernando Alberton | Surgery | 1330 Rockefeller Ave, Ste 400, Everett, WA 98201-1684 | 2015-04-17 |
| 1457793390 | Bariatric Surgery Clinic Trust | Surgery | 12728 19th Ave Se, Suite 200, Everett, WA 98208-6526 | 2013-07-19 |
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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.