MARY C. MAXWELL-YOUNG (NPI# 1255484887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255484887 |
| Entity Type | Individual |
| Full Name | MARY C. MAXWELL-YOUNG |
| Credential | M.D. |
| Practice Address |
2700 152nd Ave Ne Redmond WA 98052-5543 |
| Mailing Address |
Po Box 34584 Seattle WA 98124-1584 |
| Practice Telephone | 4258835151 |
| Mailing Telephone | 5092417349 |
| Mailing Fax Number | 5092417628 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2008-05-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
MD00022306 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8102956 | 05 |
| Street Address |
2700 152ND AVE NE |
| City | REDMOND |
| State | WA |
| Zip Code | 98052-5543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235109885 | Ronald Jason Matthews | Physical Therapist | 2700 152nd Ave Ne, Redmond, WA 98052-5543 | 2006-01-25 |
| 1659540912 | Rebecca Leigh Parrish | Social Worker | 2700 152nd Ave Ne, Redmond, WA 98052-5543 | 2008-02-20 |
| 1942485222 | Heather Pearl Klug | Pharmacist | 2700 152nd Ave Ne, Redmond, WA 98052-5543 | 2008-01-04 |
| 1154505444 | Sarah Lenore Rudnick | Pediatrics | 2700 152nd Ave Ne, Redmond, WA 98052-5543 | 2007-12-21 |
| 1740461458 | Diane Michelle Baskin-thompson | Nurse Practitioner | 2700 152nd Ave Ne, Redmond, WA 98052-5543 | 2007-11-21 |
| 1376732982 | Group Health Cooperative | Substance Abuse Rehabilitation Facility | 2700 152nd Ave Ne, Redmond, WA 98052-5543 | 2007-10-19 |
| 1952591075 | Beth Kristenson | Nurse Anesthetist, Certified Registered | 2700 152nd Ave Ne, Redmond, WA 98052-5543 | 2007-07-25 |
| 1033318126 | Karen Purcell | Nurse Anesthetist, Certified Registered | 2700 152nd Ave Ne, Redmond, WA 98052-5543 | 2007-07-17 |
| 1457557019 | Robert D. Highley | Internal Medicine | 2700 152nd Ave Ne, Redmond, WA 98052-5543 | 2007-06-21 |
| 1649487836 | Connie A Innis | Radiology | 2700 152nd Ave Ne, Redmond, WA 98052-5543 | 2007-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396301255 | Saraa Abdulateef | Dentist | 16150 Ne 85th St., #212, Redmond, WA 98052 | 2019-05-16 |
| 1174186837 | Zeinab Birjandian | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 98052 | 2019-04-18 |
| 1023584026 | Washington Dental Corporation, PC | Dentist | 17126 Redmond Way, Redmond, WA 98052 | 2018-10-17 |
| 1275047599 | Simeon P Roth | Pharmacist | 8547 Avondale Road Ne, Redmond, WA 98052 | 2017-11-22 |
| 1427560267 | Rania Abou Shadi | Pharmacy | 8862 161st Avenue Ne, Suite 102, Redmond, WA 98052 | 2017-11-02 |
| 1376068981 | Mark W Debourke | Clinic/Center | 7579 Old Redmond Rd, Apt 6, Redmond, WA 98052 | 2017-08-04 |
| 1740712280 | Hyomi Cho | Dentist | 15165 Ne24 Th St, Redmond, WA 98052 | 2017-04-03 |
| 1871033878 | Redmond Ambulatory Surgery Center, LLC | Clinic/Center | 18100 Ne Union Hill Rd Ste 340, Redmond, WA 98052 | 2017-02-24 |
| 1346797933 | Bridger Griffin | Speech-Language Pathologist | 8301 16st Ave Ne, Redmond, WA 98052 | 2016-09-01 |
| 1508313123 | Austin Schieler | Pharmacist | 14480 Ne 24th Street, Redmond, WA 98052 | 2016-09-01 |
| Find all providers in zip 98052 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730330788 | Michael Patrick Mallin | Emergency Medicine | 1253 Nw Canal Blvd, Redmond, OR 97756-1334 | 2008-10-08 |
| 1306005053 | Andrew Fletcher Parker | Emergency Medicine | 1253 Nw Canal Blvd, Redmond, OR 97756-1334 | 2008-06-07 |
| 1013130327 | Salma F Gharib | Emergency Medicine | 2700 152nd Ave Ne, Redmond, WA 98052-5543 | 2007-04-11 |
| 1578698866 | Neil H. Waddington | Emergency Medicine | 2700 152nd Ave Ne, Redmond, WA 98052-5543 | 2007-02-23 |
| 1346393402 | John Randall Mercier | Emergency Medicine | 2700 152nd Ave Ne, Redmond, WA 98052-5543 | 2007-01-19 |
| 1437206000 | Warren Gibbs | Emergency Medicine | 2700 152nd Ave Ne, Redmond, WA 98052-5543 | 2007-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316422454 | Cmdpn Medical Group of Washington, P.C. | Emergency Medicine | 707 West Main Ave. Ste B1, Pmb 117, Spokane, WA 99201 | 2018-09-25 |
| 1740713627 | Anthony Warfield | Emergency Medicine | 120 Republican St, #404, Seattle, WA 98109-4745 | 2017-04-06 |
| 1083877559 | Lisa Marie Wilson | Emergency Medicine | 925 Seneca St., Mailstop H6-ed, Virginia Mason Medical Center, Seattle, WA 98101 | 2008-07-05 |
| 1467574863 | Mark Urmanski | Emergency Medicine | 3700 Martin Way E, Suite 108, Olympia, WA 98506-5052 | 2007-04-04 |
| 1790805190 | Cascade Urgent Care, Inc., Ps | Emergency Medicine | 1413 S 348th Street, L106, Federal Way, WA 98003-8373 | 2007-03-30 |
| 1508952060 | John R. Knudsen | Emergency Medicine | 6046 Portal Way, Ste 103, Ferndale, WA 98248-7829 | 2006-10-04 |
| 1376574160 | Jeffrey Philip Roger | Emergency Medicine | 2005 Nw Sammamish Road, Issaquah, WA 98027 | 2006-07-06 |
| 1750329777 | Stephani J. Amstadter | Emergency Medicine | 5920 - 100th St. Sw #31, Lakewood, WA 98499-2751 | 2006-06-03 |
| 1922059187 | Stephen E Pohl | Emergency Medicine | Hpo 1, Boone Road, Navy Hospital, Bremerton, WA 98312 | 2006-05-13 |
| 1871569012 | Steven Temerlin | Emergency Medicine | 1717 South J Street, Tacoma, WA 98405-4933 | 2006-02-27 |
| Find all providers with the same taxonomy | ||||
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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.