DOCTORS CLINIC APC (NPI# 1356309330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356309330 |
| Entity Type | Organization |
| Organization Name | DOCTORS CLINIC APC |
| Other Organization Name | THE DOCTORS CLINIC OF EAST BREMERTON |
| Practice Address |
2512 Wheaton Way Bremerton WA 98310-3399 |
| Mailing Address |
9621 Ridgetop Blvd Nw Silverdale WA 98383-8502 |
| Practice Telephone | 3607823600 |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2014-11-14 |
| Authorized Official Name | LINDA A. BROWN (CEO) |
| Authorized Official Telephone | 3607823600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | WA | Ambulatory Health Care Facilities | |
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities | ||
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
WA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 7041312 | 05 | |
| COAL MINE WORKERS COMP | 20337 | 01 | |
| OWCP | 337018601 | 01 | |
| CLIA | 50D0911681 | 01 | |
| WA | LABOR & INDUSTRIES | 75420 | 01 |
| WA | CVCP | 8914602 | 01 |
| WA | RAILROAD MEDICARE | CU0247 | 01 |
| WA | CRIME VICTIMS COMP | 8914602 | 01 |
| Other Name | Type Code |
|---|---|
| THE DOCTORS CLINIC OF EAST BREMERTON | Doing Business As Name - Organization |
| Street Address |
2512 WHEATON WAY |
| City | BREMERTON |
| State | WA |
| Zip Code | 98310-3399 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598756512 | Bruce D Robertson | Social Worker | 2512 Wheaton Way, Sutie B, Bremerton, WA 98310 | 2005-10-31 |
| 1528371259 | Yashaswini Yeragunta | Internal Medicine | 2512 Wheaton Way, Bremerton, WA 98310-3303 | 2010-07-22 |
| 1003014861 | Doctors Clinic A PC | Clinic/Center | 2512 Wheaton Way, Bremerton, WA 98310-3399 | 2007-07-03 |
| 1194737429 | Terry Chun | Radiology | 2512 Wheaton Way, Bremerton, WA 98310-3399 | 2006-08-13 |
| 1427075183 | Benjamin Martin C. Sy | Internal Medicine | 2512 Wheaton Way, Bremerton, WA 98310-3399 | 2006-07-17 |
| 1720014657 | Lai Wan Tan | Internal Medicine | 2512 Wheaton Way, Bremerton, WA 98310-3399 | 2006-06-23 |
| 1932143450 | Eric Richard Lindstrom | Internal Medicine | 2512 Wheaton Way, Bremerton, WA 98310-3399 | 2006-06-15 |
| 1053353292 | John David Lamberg | Internal Medicine | 2512 Wheaton Way, Bremerton, WA 98310-3303 | 2006-06-12 |
| 1427009372 | Anthony Ray Hoovler | Internal Medicine | 2512 Wheaton Way, Bremerton, WA 98310-3399 | 2006-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891333613 | Miss Mary Community Development | Voluntary or Charitable | 1630 Trenton Avenue Apt 10, Bremerton, WA 98310 | 2019-12-11 |
| 1629636055 | Puget Sound Work Injury Clinic, LLC | Clinic/Center | 812 Cherry Ct, Bremerton, WA 98310 | 2019-05-31 |
| 1538672530 | Rachel E Mittelstaedt Parsons | Dietitian, Registered | 3059 Viewcrest Dr Ne, Bremerton, WA 98310 | 2017-11-13 |
| 1356888937 | Sarah Hike | Community Health Worker | 900 Sheridan, Bremerton, WA 98310 | 2017-01-20 |
| 1073941142 | Hana Singer | Physical Therapy Assistant | 3600 Forest Dr Ne, Bremerton, WA 98310 | 2013-10-28 |
| 1447508122 | Kevin Lee Hathaway | Mechanotherapist | 3308 Veska Avenue, Bremerton, WA 98310 | 2012-08-28 |
| 1003163007 | James Hyun Soo Lee | Surgery | Cvn 76 Uss Ronald Reagan, Bremerton, WA 98310 | 2012-08-08 |
| 1487936241 | Karen S Casseday | Nurse Practitioner | 1740 Ne Riddell Rd Ste 110, Bremerton, WA 98310 | 2011-09-16 |
| 1740560572 | Lauren P Foresman | Physician Assistant | 2709 Hemlock Street, Bremerton, WA 98310 | 2011-08-24 |
| 1538390059 | Patricia L Rushon | Speech-Language Pathologist | 560 Lebo Blvd., Bremerton, WA 98310 | 2009-07-31 |
| Find all providers in zip 98310 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205127289 | Kaiser Foundation Health Plan of Washington | Clinic/Center | 555 Pacific Ave, Suite 202, Bremerton, WA 98337-1903 | 2011-04-26 |
| 1730470832 | Kaiser Foundation Health Plan of Washington | Clinic/Center | 2741 Wheaton Way, Suite A, Bremerton, WA 98310-3344 | 2011-04-22 |
| 1003014861 | Doctors Clinic A PC | Clinic/Center | 2512 Wheaton Way, Bremerton, WA 98310-3399 | 2007-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326676818 | Nocd Washington PC | Clinic/Center | 2320 130th Ave Ne Ste 110, Bellevue, WA 98005-1752 | 2020-03-30 |
| 1922635887 | Cascade Nurse Practitioners | Clinic/Center | 5409 100th St Sw Unit 39800, Lakewood, WA 98496-0970 | 2020-03-23 |
| 1942735667 | The Evergreen At Northpoint | Clinic/Center | 2111 N Northgate Way Ste 101, Seattle, WA 98133-9018 | 2017-05-01 |
| 1174061543 | Antares Wellness Pllc | Clinic/Center | 9319 7th Ave S, Seattle, WA 98108-4604 | 2017-02-06 |
| 1962852038 | Northwest Pain Relief Centers, LLC | Clinic/Center | 503 W Fir St, Suite D, Sequim, WA 98382-3210 | 2016-06-20 |
| 1851741698 | Marconi Chiropractic and Wellness | Clinic/Center | 11207 Mccutcheon Rd, Bonney Lake, WA 98391-8103 | 2016-06-13 |
| 1356738694 | Northwest Pain Relief Centers LLC | Clinic/Center | 7424 Bridgeport Way W Ste 305, Lakewood, WA 98499-8135 | 2015-04-24 |
| 1306231170 | Objective Medical Assessments Corp | Clinic/Center | 401 2nd Ave S, #110, Seattle, WA 98104-3858 | 2015-03-30 |
| 1477946754 | Rose Urgent Care and Family Practice | Clinic/Center | 650 N Devine Rd Ste B, Vancouver, WA 98661-6979 | 2015-03-11 |
| 1336549609 | Ranger Group Pllc | Clinic/Center | 16150 Ne 85th St Ste 110, Redmond, WA 98052-3541 | 2014-08-24 |
| 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.