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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
MD00044383 | WA | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Bellevue Wellness | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972920502 | Northwest Physical Medicine Ps | Specialist | 10655 Ne 4th St Ste 101, Bellevue, WA 98004-5022 | 2014-03-20 |
Street Address |
10655 NE 4TH ST SUITE 101 |
City | BELLEVUE |
State | WA |
Zip Code | 98004-5035 |
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 |
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 |
Find all providers in zip 98004 |
Taxonomy Code | 2081P2900X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Physical Medicine & Rehabilitation |
Specialization | Pain Medicine |
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. |
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 |
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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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.