PACMED CLINICS (NPI# 1588103451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588103451 |
| Entity Type | Organization |
| Organization Name | PACMED CLINICS |
| Practice Address |
1909 214th St Se Ste 300 Bothell WA 98021 |
| Mailing Address |
1909 214th St Se Ste 300 Bothell WA 98021-4418 |
| Practice Telephone | 4254127200 |
| Mailing Telephone | 4254127200 |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2019-08-12 |
| Authorized Official Name | JOLEE ANN SANKEY (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 2066214579 |
| Authorized Official Credential | DELEGATED OFFICI |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4800 College St Se, Suite A, Lacey, WA 985034389 | 3604862800 | 3604862801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841550530 | Pacmed Clinics | Clinic/Center | 220 15th Ave Se, Puyallup, WA 98372-3797 | 2012-05-29 |
| 1437202249 | Pacmed Clinics | Clinic/Center | 1101 Madison St Ste 400, Seattle, WA 98104-3599 | 2007-01-18 |
| 1629019500 | Pacmed Clinics | Clinic/Center | 12910 Totem Lake Blvd Ne Ste 101, Kirkland, WA 98034-2901 | 2006-06-09 |
| 1760012868 | Pacmed Clinics | Clinic/Center | 751 Ne Blakely Dr, Issaquah, WA 98029-6201 | 2020-01-17 |
| 1386183697 | Pacmed Clinics | Clinic/Center | 1909 214th St Se Ste 300, Bothell, WA 98021 | 2017-02-20 |
| 1124567474 | Pacmed Clinics | Clinic/Center | 1101 Madison St Ste 301, Seattle, WA 98104-3599 | 2017-02-20 |
| 1205027372 | Pacmed Clinics | Radiology | 1200 12th Ave S, Seattle, WA 98144-2712 | 2007-08-05 |
| 1013107630 | Pacmed Clinics | Clinic/Center | 31833 Gateway Center Blvd S, Federal Way, WA 98003-5616 | 2007-07-30 |
| 1922214212 | Pacmed Clinics | Internal Medicine | 10416 5th Ave Ne, Seattle, WA 98125-7402 | 2007-05-15 |
| 1013061217 | Pacmed Clinics | Internal Medicine | 1200 12th Ave S, Seattle, WA 98124 | 2007-01-23 |
| Street Address |
1909 214TH ST SE STE 300 |
| City | BOTHELL |
| State | WA |
| Zip Code | 98021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891769071 | John William Knutson | Allergy & Immunology | 1909 214th St Se Ste 300, Bothell, WA 98021-4418 | 2006-02-15 |
| 1215456439 | Julia Nadine Wilson | Physician Assistant | 1909 214th St Se Ste 300, Bothell, WA 98021-4418 | 2017-09-19 |
| 1932620747 | Johanna Leader | Physical Therapist | 1909 214th St Se Ste 300, Bothell, WA 98021-4418 | 2017-06-30 |
| 1700315272 | Jimmie Stewart | Family Medicine | 1909 214th St Se Ste 300, Bothell, WA 98021-4418 | 2017-06-08 |
| 1629502653 | Mariana A Frias Garcia | Family Medicine | 1909 214th St Se Ste 300, Bothell, WA 98021-4418 | 2017-04-17 |
| 1386183697 | Pacmed Clinics | Clinic/Center | 1909 214th St Se Ste 300, Bothell, WA 98021 | 2017-02-20 |
| 1467991810 | Shinchul Lee | Pharmacist | 1909 214th St Se Ste 300, Bothell, WA 98021-4418 | 2017-02-17 |
| 1972057966 | Ellen Forslund | Physical Therapist | 1909 214th St Se Ste 300, Bothell, WA 98021-4418 | 2016-08-08 |
| 1689022717 | Adewunmi Nuga | Internal Medicine | 1909 214th St Se Ste 300, Bothell, WA 98021-4418 | 2016-05-31 |
| 1346587003 | Stacy Michelle Story | Social Worker | 1909 214th St Se Ste 300, Bothell, WA 98021-4418 | 2013-01-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265057780 | Seyed Ali Hosseini | Medical Genetics | 4299 233rd Pl Se, Bothell, WA 98021 | 2020-06-10 |
| 1710440359 | Hiu Nam Wong | Specialist/Technologist | 23419 17th Avenue Southeast, Bothell, WA 98021 | 2019-04-10 |
| 1578029823 | Andrea Lynn Whipple | Speech-Language Pathologist | 1909 124th Street Se, Suite 204, Bothell, WA 98021 | 2019-02-12 |
| 1730656604 | Pavittar Kaur Mansahia | Registered Nurse | Northshore School District, 3330 Monte Villa Parkway, Bothell, WA 98021 | 2018-10-30 |
| 1699261636 | Kellie Joan Wilcox Moore | Naturopath | 2210 242nd St Sw, Bothell, WA 98021 | 2018-07-02 |
| 1174970495 | Tracey Comella | Behavioral Analyst | 2020 Maltby Road Suite 7 Pmb 294, Bothell, WA 98021 | 2016-05-17 |
| 1912332545 | Katherine Marie Zintel | Counselor | 1909 214th St Se Ste 204, Bothell, WA 98021 | 2013-09-13 |
| 1720332471 | Sharon Lynne Deering | Speech-Language Pathologist | 3330 Monte Villa Parkway, Northshore School District, Bothell, WA 98021 | 2012-11-02 |
| 1225302722 | Lynette Patricia Hansen | Massage Therapist | 510 222nd Street Sw, Bothell, WA 98021 | 2012-03-01 |
| 1669749891 | Susie Fox | Dietitian, Registered | 4026 224th St Se#6, Bothell, WA 98021 | 2011-11-16 |
| Find all providers in zip 98021 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205127222 | Kaiser Foundation Health Plan of Washington | Clinic/Center | 11913 Ne 195th St, Bothell, WA 98011-3147 | 2011-04-25 |
| 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.