KING COUNTY PUBLIC HOSPITAL DISTRICT NO 2


Address: 12040 Ne 128th St, Ms 105, Kirkland, WA 98034-3013
Phone: 4258992560

KING COUNTY PUBLIC HOSPITAL DISTRICT NO 2 (NPI# 1467542639) 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) 1467542639
Entity Type Organization
Organization Name KING COUNTY PUBLIC HOSPITAL DISTRICT NO 2
Other Organization Name EVERGREENHEALTH MEDICAL GROUP PRO FEES
Practice Address 12040 Ne 128th St
Ms 105
Kirkland
WA 98034-3013
Mailing Address Po Box 34036
Seattle
WA 98124-1036
Practice Telephone 4258992560
Practice Fax Number 4258992079
Mailing Telephone 4258993292
Mailing Fax Number 4258993269
Enumeration Date 2006-10-16
Last Update Date 2015-11-19
Authorized Official Name ROBERT MALTE (CEO)
Authorized Official Telephone 4258992610
Is Organization Subpart Y
Parent Organization Name KING COUNTY PUBLIC HOSPITAL DISTRICT NO 2

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LA2200X Nurse Practitioner
Specialization: Adult Health
Physician Assistants & Advanced Practice Nursing Providers
N 103G00000X Clinical Neuropsychologist Behavioral Health & Social Service Providers
Y 207R00000X Internal Medicine Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WA MEDICARE RAILROAD CQ2437 01
WA 7141351 05
WA MEDICARE RAILROAD CG8137 01
WA 7099559 05
WA MEDICARE RAILROAD CG2833 01
WA MEDICARE RAILROAD CJ9678 01

Other Provider/Organization Names

Other Name Type Code
EvergreenHealth Medical Group Pro Fees Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1659814762 King County Public Hospital District No 2 Internal Medicine 10131 Main St, Bothell, WA 98011-3425 2016-11-21
1013450386 King County Public Hospital District No 2 Internal Medicine 10131 Main St, Bothell, WA 98011-3425 2016-11-18
1922540004 King County Public Hospital District No 2 Internal Medicine 12710 Totem Lake Blvd Ne, Kirkland, WA 98034-2907 2016-11-07
1548350713 King County Public Hospital District No 2 Internal Medicine 11521 Ne 128th St, Ste 100, Kirkland, WA 98034-4317 2006-10-16
1801986070 King County Public Hospital District No 2 Neuromusculoskeletal Medicine & OMM 12039 Ne 128th St, Ste 300, Kirkland, WA 98034-3030 2006-10-16
1891883435 King County Public Hospital District No 2 Obstetrics & Gynecology 12040 Ne 128th St, Ms 105, Kirkland, WA 98034-3013 2006-10-10
1265527584 King County Public Hospital District No 2 Psychiatry & Neurology 12039 Ne 128th St, Ste 300, Kirkland, WA 98034-3030 2006-10-03
1750482949 King County Public Hospital District No 2 Internal Medicine 11521 Ne 128th St, Ste 130, Kirkland, WA 98034-4317 2006-09-26
1902907165 King County Public Hospital District No 2 Physical Medicine & Rehabilitation 1909 214th St Se, Suite 110, Bothell, WA 98021-8486 2006-09-26

Office Location

Street Address 12040 NE 128TH ST
MS 105
City KIRKLAND
State WA
Zip Code 98034-3013

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225027428 Suman L. Tewari Obstetrics & Gynecology 12040 Ne 128th St, Ms 105, Kirkland, WA 98034-3013 2005-10-19
1528674389 Hannah Rose Narag Galvan Registered Nurse 12040 Ne 128th St, Kirkland, WA 98034-3013 2020-09-17
1942816970 Julia Anne Baura Suico Registered Nurse 12040 Ne 128th St, Kirkland, WA 98034-3013 2020-09-16
1275147688 Diana Dubinsky Registered Nurse 12040 Ne 128th St, Kirkland, WA 98034-3013 2020-09-02
1619599040 Ana-irina Bologan Registered Nurse 12040 Ne 128th St, Kirkland, WA 98034-3013 2020-05-07
1467080499 Suzanne Marie Campiche Social Worker 12040 Ne 128th St, Kirkland, WA 98034-3013 2020-03-27
1528694106 Jordan Daryoush Kamal Registered Nurse 12040 Ne 128th St, Kirkland, WA 98034-3013 2020-03-16
1689224727 Patricia Duenas Morgan Nurse Practitioner 12040 Ne 128th St, Kirkland, WA 98034-3013 2019-09-19
1700351533 Katherine Claire Newman Pharmacist 12040 Ne 128th St, Kirkland, WA 98034-3013 2018-10-08
1104337682 Kristin Bainbridge Speech-Language Pathologist 12040 Ne 128th St, Kirkland, WA 98034-3013 2017-10-24
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578116596 Rachel Bowers Behavior Technician 1335 Northeast 122nd Way, Suite 105, Kirkland, WA 98034 2019-07-18
1740841048 Kristina Louise Inghram Behavior Technician 11415 Ne 128th St., Suite 40, Kirkland, WA 98034 2019-06-26
1053978064 Matthew A. Bagnulo, Dds, Ps Dentist 11830 Ne 128th St., #202, Kirkland, WA 98034 2019-05-24
1629568928 Stephanie Michalko Optometrist 11800 Ne 128th St Ste 110, Kirkland, WA 98034 2018-05-14
1952800013 Heath Family Counseling LLC Marriage & Family Therapist 12025 115th Ave. Ne, Building D, Ste 200, Kirkland, WA 98034 2018-02-05
1891202834 Barbara Josephine Gorham Counselor 2025 115th Ave Ne, Bldg D, #200, Kirkland, WA 98034 2017-12-29
1548782915 Eleanor Hollis Wall Counselor 14340 102nd Ave Ne, Kirkland, WA 98034 2017-07-07
1457885212 Peter Schoonmaker Hospitalist 12040 Ne 128th Street, Ms105, Kirkland, WA 98034 2017-04-18
1780124370 Rebecca Managan Advanced Practice Midwife 12303 Ne 130th Ln Ste Coral225, Kirkland, WA 98034 2017-03-01
1669821104 Winter Gonzalez Counselor 11720 97th Ln Ne Apt A411, Kirkland, WA 98034 2016-06-06
Find all providers in zip 98034

Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194106039 John Pham Internal Medicine 9426 116th Ave Ne, Kirkland, WA 98033 2015-06-16
1922406867 Lois Jean Weaver Internal Medicine 11411 - 111th Pl Ne, Kirkland, WA 98033-4543 2014-12-09
1699195651 Xiaobing Wang Internal Medicine 12333 Ne 130th Ln Ste 310, Kirkland, WA 98034-7467 2014-04-17
1144653916 Alexandra Rich Internal Medicine 12040 128th St, Ms-50, Kirkland, WA 98034-3013 2013-08-15
1407295256 Lane Benes Internal Medicine 12333 Ne 130th Ln, Ste 320, Kirkland, WA 98034 2013-06-14
1821431461 Sonia Kaur Hans Internal Medicine 12333 Ne 130th Ln, #400, Kirkland, WA 98034 2013-04-13
1326277203 Christine Meyers Internal Medicine 12040 Ne 128th St # Ms -10, Kirkland, WA 98034-3013 2009-07-13
1891954780 Lucy Doyle Internal Medicine 12040 Ne 128th St # Ms -105, Kirkland, WA 98034-3013 2008-06-05
1902095128 Anslem O Opitoke Internal Medicine 1521 Ne 128th St Ste 100, Kirkland, WA 98101 2007-10-24
1275690463 Sana Isa Pratt Md Pllc Internal Medicine 10413 Ne 37th Cir Bldg 3, Suite B, Kirkland, WA 98033-7924 2007-01-03
Find all providers in KIRKLAND

Competitor

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City KIRKLAND
Zip Code 98034

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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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