NORTHWEST PHYSICAL MEDICINE PS


Address: 10655 Ne 4th St, Suite 101, Bellevue, WA 98004-5035
Phone: 4254552225

NORTHWEST PHYSICAL MEDICINE PS (NPI# 1265701965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265701965
Entity Type Organization
Organization Name NORTHWEST PHYSICAL MEDICINE PS
Other Organization Name BELLEVUE WELLNESS
Practice Address 10655 Ne 4th St
Suite 101
Bellevue
WA 98004-5035
Practice Telephone 4254552225
Mailing Telephone 4254552225
Enumeration Date 2011-12-26
Last Update Date 2012-05-30
Authorized Official Name DR. RAYMON KOONER (OWNER)
Authorized Official Telephone 4254552225
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2081P2900X Physical Medicine & Rehabilitation
Specialization: Pain Medicine
MD00044383 WA Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Bellevue Wellness Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1972920502 Northwest Physical Medicine Ps Specialist 10655 Ne 4th St Ste 101, Bellevue, WA 98004-5022 2014-03-20

Office Location

Street Address 10655 NE 4TH ST
SUITE 101
City BELLEVUE
State WA
Zip Code 98004-5035

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841391497 Eldi K. Han Internal Medicine 10655 Ne 4th St, Suite 101, Bellevue, WA 98004-5035 2006-09-26
1750754883 Bellevue Medical Center Physician Assistant 10655 Ne 4th St, Ste 101, Bellevue, WA 98004-5035 2015-11-11
1356717706 Johanna Bartel Massage Therapist 10655 Ne 4th St, Bellevue, WA 98004-5035 2015-08-19
1881006732 Erin Brassington Specialist 10655 Ne 4th St, Suite 101, Bellevue, WA 98004-5035 2014-05-27
1831444306 Barry Weiss General Practice 10655 Ne 4th St, Ste 310, Bellevue, WA 98004-5035 2012-07-19
1851617187 Autumn Webster Specialist 10655 Ne 4th St, Suite 101, Bellevue, WA 98004-5035 2010-04-12
1871715177 Bellevue Wellness Group, Ps Internal Medicine 10655 Ne 4th St, 101, Bellevue, WA 98004-5035 2007-05-03
1053404038 Raymon Kooner Chiropractor 10655 Ne 4th St, 101, Bellevue, WA 98004-5035 2006-10-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306458328 Geneva Paula Hoskins-dorsey Nurse Practitioner 11120 Ne 33rd Place, Suite 202, Bellevue, WA 98004 2020-08-20
1720553613 Christine Eyler Pediatrics Bellevue Pediatrics, C & C Medical Associates, 1940 116th Ave Ne, Ste 200, Bellevue, WA 98004 2018-10-08
1437634730 Hazelden Betty Ford Foundation Clinic/Center 1231 116th Ave. Ne Suite 410, Bellevue, WA 98004 2018-10-02
1356827828 Seattle Spine Group, Pllc Orthopaedic Surgery 1220 116th Ave Ne Ste 102, Bellevue, WA 98004 2018-07-17
1669989216 Atsuko Nakajima Acupuncturist 2223 112th Ave. Ne, Ste 201, Bellevue, WA 98004 2018-01-04
1740794718 Radka Chapin Counseling, LLC Clinic/Center 1611 116th Ave Ne Ste 119, Bellevue, WA 98004 2017-11-28
1962912105 Cuyler Ann Simmons Counselor 3805 108th Ave Ne Ste 204, Bellevue, WA 98004 2017-10-02
1639690357 Nicolas Lopez-montalvo Behavioral Analyst 3003 Northup Way Suite 200, Bellevue, WA 98004 2017-07-03
1124579537 Matthew Thomas Haley Pharmacist 107 Bellevue Way, Se, Bellevue, WA 98004 2016-10-20
1649727348 Kelsey Tanaka Nurse Practitioner 400- 108th Ave Ne, Suite 100, Bellevue, WA 98004 2016-09-10
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Taxonomy Information

Taxonomy Code 2081P2900X
Grouping Allopathic & Osteopathic Physicians
Classification Physical Medicine & Rehabilitation
Specialization Pain Medicine

Taxonomy Definition

A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871777268 Jason Gene Attaman Physical Medicine & Rehabilitation 1600 116th Ave Ne Ste 204, Bellevue, WA 98004-3056 2007-12-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1487122339 Lags Spine and Sportscare Medical Centers, Inc. Physical Medicine & Rehabilitation 11820 Ne Crestwood Dr Ste 100, Vancouver, WA 98684-5103 2018-11-08
1336511989 Pain & Wellness Institute, Pllc Physical Medicine & Rehabilitation 819 Virginia Street, Unit 1805, Seattle, WA 98101 2015-10-22
1437397361 Franciscan Medical Group Physical Medicine & Rehabilitation 1624 S. I St., Ste 205, Tacoma, WA 98405-5000 2009-01-30
1568635365 Stephen M Dechter Physical Medicine & Rehabilitation 9915 Sandifur Pkwy Ste B, Pasco, WA 99301-8941 2008-04-12
1003032186 James A Williams Jr. Physical Medicine & Rehabilitation 7401 S Pine St, Suite B, Tacoma, WA 98409-5918 2007-04-17
1326061938 Richard A Sandler Physical Medicine & Rehabilitation 21200 72nd Ave W, Edmonds, WA 98026-7700 2006-07-25
1316978281 Scott Edward Grosse Physical Medicine & Rehabilitation 801 W 5th Ave Ste 323, Spokane, WA 99204-2800 2006-07-06
1184660029 Jean You Physical Medicine & Rehabilitation 6917 W Grandridge Blvd Ste B, Kennewick, WA 99336 2006-06-21
1861486367 Chan Sun Hwang Physical Medicine & Rehabilitation 9312 S Tacoma Way Ste 115, Lakewood, WA 98499-4474 2005-09-12
1386636934 David L Heard Physical Medicine & Rehabilitation 21600 Hwy 99, Suite 255, Edmonds, WA 98026-8012 2005-08-19
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Competitor

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City BELLEVUE
Zip Code 98004

Improve Information

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Dataset Information

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.

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