PUBLIC HOSPITAL DISTRICT NO 2 (NPI# 1629179890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629179890 |
| Entity Type | Organization |
| Organization Name | PUBLIC HOSPITAL DISTRICT NO 2 |
| Other Organization Name | EVERGREEN MEDICAL GROUP KENMORE |
| Practice Address |
18208 66th Ave Ne Ste 200 Kenmore WA 98028-7949 |
| Mailing Address |
Po Box 34036 Seattle WA 98124-1036 |
| Practice Telephone | 4254856561 |
| Practice Fax Number | 4254884939 |
| Mailing Telephone | 4258993292 |
| Mailing Fax Number | 4258993269 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2011-01-04 |
| Authorized Official Name | ROBERT MALTE (CEO) |
| Authorized Official Telephone | 4258992610 |
| Is Organization Subpart | Y |
| Parent Organization Name | PUBLIC HOSPITAL DISTRICT NO 2 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 7073323 | 05 | |
| WA | MEDICARE RAILROAD | CQ2437 | 01 |
| WA | MEDICARE RAILROAD | CG8137 | 01 |
| WA | MEDICARE RAILROAD | CJ9678 | 01 |
| WA | MEDICARE RAILROAD | CG2833 | 01 |
| Other Name | Type Code |
|---|---|
| Evergreen Medical Group Kenmore | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891958153 | Public Hospital District No 2 | Hospice Care, Community Based | 12040 Ne 128th St # Ms -119, Kirkland, WA 98034-3013 | 2008-07-08 |
| 1922198191 | Public Hospital District No 2 | Family Medicine | 17000 140th Ave Ne, Ste 101, Woodinville, WA 98072-6928 | 2006-10-16 |
| 1578653747 | Public Hospital District No 2 | Family Medicine | 8301 161st Ave Ne, Ste 308, Redmond, WA 98052-3858 | 2006-10-16 |
| 1518057793 | Public Hospital District No 2 | Nurse Practitioner | 12303 Ne 130th Ln, # 225, Kirkland, WA 98034-3099 | 2006-10-16 |
| 1942301122 | Public Hospital District No 2 | Family Medicine | 17000 140th Ave Ne, Ste 101, Woodinville, WA 98072-6928 | 2006-09-26 |
| 1568563732 | Public Hospital District No 2 | Family Medicine | 14720 Main St Ne, Ste 109, Duvall, WA 98019-8460 | 2006-09-26 |
| 1417058694 | Public Hospital District No 2 | Family Medicine | 22850 Ne 8th St, Ste 103, Sammamish, WA 98074-7256 | 2006-09-26 |
| 1538260716 | Public Hospital District No 2 | Family Medicine | 8299 161st Ave Ne, Ste 101, Redmond, WA 98052-3860 | 2006-09-26 |
| 1013014786 | Public Hospital District No 2 | Family Medicine | 8301 161st Ave Ne, Suite 105, Redmond, WA 98052-3858 | 2006-09-17 |
| Street Address |
18208 66TH AVE NE STE 200 |
| City | KENMORE |
| State | WA |
| Zip Code | 98028-7949 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689656597 | Milton Leo Curtis | Family Medicine | 18208 66th Ave Ne, Suite 200, Kenmore, WA 98028-7949 | 2005-11-16 |
| 1154792679 | Jodie Murdoch | Naturopath | 18208 66th Ave Ne, Kenmore, WA 98028-7949 | 2015-10-09 |
| 1568444099 | Christopher J Telge | Family Medicine | 18208 66th Ave Ne, Suite 200, Kenmore, WA 98028-7949 | 2005-11-18 |
| 1710969357 | Timothy Scott Anderson | Family Medicine | 18208 66th Ave Ne, Suite 200, Kenmore, WA 98028-7949 | 2005-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275131237 | Pacifica Kenmore LLC | Alzheimer Center (Dementia Center) | 7221 Ne 182nd Street, Kenmore, WA 98028 | 2020-10-13 |
| 1487173183 | Reiko Margarete Kobayashi-wagner | Dietitian, Registered | 17512 83rd Pl Ne, C304, Kenmore, WA 98028 | 2017-09-13 |
| 1356866776 | Matthew Vaughn | Specialist/Technologist | 6741 Ne 182nd St, Unit C313, Kenmore, WA 98028 | 2017-08-07 |
| 1619407467 | Suzanne Marie Gisch | Family Medicine | 18151 68th Ave Ne, Unit 219, Kenmore, WA 98028 | 2017-06-14 |
| 1063853018 | Vinai Prakash | Podiatrist | 6610 Ne 181st St Ste 4, Kenmore, WA 98028 | 2013-07-07 |
| 1760732580 | Benjamin Dorantes Dds Pllc | Dentist | 5710 Bothell Way Ne, Ste. 5, Kenmore, WA 98028 | 2012-09-19 |
| 1538491378 | Kellie A Cheever | Massage Therapist | 8846 Ne 160th Pl, Kenmore, WA 98028 | 2010-02-04 |
| 1275867855 | Mei-hsuan Ko | Dentist | 5723 Ne Bothell Way Ste C, Kenmore, WA 98028 | 2009-09-29 |
| 1659521912 | Wayne E Carr | Psychologist | 7800 N E Bothell Way, Suite 155 B, Kenmore, WA 98028 | 2008-09-23 |
| 1366625899 | Kevin Michael Smith | Chiropractor | 7249 Ne 171st Ln, Kenmore, WA 98028 | 2007-12-06 |
| Find all providers in zip 98028 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619407467 | Suzanne Marie Gisch | Family Medicine | 18151 68th Ave Ne, Unit 219, Kenmore, WA 98028 | 2017-06-14 |
| 1033343173 | Sarah H Spillman | Family Medicine | 2780 Delaware Ave, Suite 201, Kenmore, NY 14217-2740 | 2009-05-04 |
| 1811167620 | Northshore Family Practice Pllc | Family Medicine | 6443 Ne 181st St, Kenmore, WA 98028-4831 | 2008-03-07 |
| 1447322656 | Robert Rooe Simpson | Family Medicine | 18119 65th Ave Ne, Kenmore, WA 98028-4890 | 2006-11-14 |
| 1366450744 | Thomas S Dawson | Family Medicine | 18151 68th Ave Ne Ste 100, Kenmore, WA 98028-2835 | 2006-08-03 |
| 1689656597 | Milton Leo Curtis | Family Medicine | 18208 66th Ave Ne, Suite 200, Kenmore, WA 98028-7949 | 2005-11-16 |
| 1881687358 | David A Silverstein | Family Medicine | 2914 Elmwood Ave, Kenmore, NY 14217-1332 | 2005-08-30 |
| 1457359507 | Sam Child Eggertsen | Family Medicine | 6016 Ne Bothell Way, Ste G, Kenmore, WA 98028-9403 | 2005-07-12 |
| 1740627942 | Paul Campana | Family Medicine | 2914 Elmwood Ave, Kenmore, NY 14217-1332 | 2013-05-29 |
| 1043503246 | Jonathan D Kessler | Family Medicine | 2914 Elmwood Ave, Kenmore, NY 14217-1332 | 2011-05-20 |
| Find all providers in KENMORE | ||||
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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.