THE EVERETT CLINIC, PLLC (NPI# 1689144388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689144388 |
| Entity Type | Organization |
| Organization Name | THE EVERETT CLINIC, PLLC |
| Practice Address |
1200 112th Ave Ne Ste C160 Bellevue WA 98004-3742 |
| Mailing Address |
Po Box 5127 Everett WA 98206-5127 |
| Practice Telephone | 4254531039 |
| Mailing Telephone | 4254531039 |
| Enumeration Date | 2018-11-26 |
| Last Update Date | 2018-11-27 |
| Authorized Official Name | ERIC SVOBODA (DIRECTOR OF REVENUE CYCLE) |
| Authorized Official Telephone | 4252583907 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 291U00000X | Clinical Medical Laboratory | Laboratories | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255950572 | The Everett Clinic, Pllc | Family Medicine | 528 Myrtle Street, Laconner, WA 98257 | 2020-04-16 |
| 1770006330 | The Everett Clinic, Pllc | Clinical Medical Laboratory | 18505 Bothell Way Ne Ste 215, Bothell, WA 98011-3717 | 2017-07-25 |
| 1861928830 | The Everett Clinic, Pllc | Clinical Medical Laboratory | 17000 140th Ave Ne Unit 101, Woodinville, WA 98072-6928 | 2017-05-11 |
| 1598205908 | The Everett Clinic, Pllc | Family Medicine | 11800 Ne 128th St Ste 560, Kirkland, WA 98034-7208 | 2017-03-03 |
| 1619575933 | The Everett Clinic, Pllc | Non-Pharmacy Dispensing Site | 1717 13th St, Everett, WA 98201-1621 | 2020-10-09 |
| 1144837345 | The Everett Clinic, Pllc | Clinical Medical Laboratory | 11019 Canyon Rd E Ste A, Puyallup, WA 98373-3001 | 2020-09-30 |
| 1629698964 | The Everett Clinic, Pllc | Family Medicine | 912 32nd St Ste A, Anacortes, WA 98221-3473 | 2020-04-16 |
| 1275074544 | The Everett Clinic, Pllc | Durable Medical Equipment & Medical Supplies | 21401 72nd Ave W, Edmonds, WA 98026-7702 | 2017-03-20 |
| 1164972527 | The Everett Clinic, Pllc | Internal Medicine | 3916 148th St Se, Mill Creek, WA 98012-4751 | 2016-10-10 |
| 1467907287 | The Everett Clinic, Pllc | Durable Medical Equipment & Medical Supplies | 21401 72nd Ave W, Edmonds, WA 98026-7702 | 2016-08-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | THE EVERETT CLINIC, PLLC | 3901 Hoyt Ave, Everett, WA 98201-4918 |
| Street Address |
1200 112TH AVE NE STE C160 |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98004-3742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518940931 | Melissa M Vantassel | Family Medicine | 1200 112th Ave Ne Ste C160, Bellevue, WA 98004-3742 | 2005-11-21 |
| 1073966966 | Ilana Adina Simon | Physician Assistant | 1200 112th Ave Ne Ste C160, Bellevue, WA 98004-3742 | 2016-07-15 |
| 1285891796 | Vanessa Hsenzhoo Tong | Family Medicine | 1200 112th Ave Ne Ste C160, Bellevue, WA 98004-3742 | 2008-05-21 |
| 1356520258 | Chi Meng Gan | Family Medicine | 1200 112th Ave Ne Ste C160, Bellevue, WA 98004 | 2007-10-26 |
| 1902929862 | Nicole Josefina Barrett | Social Worker | 1200 112th Ave Ne Ste C160, Bellevue, WA 98004-3742 | 2007-04-07 |
| 1891848263 | James A Parker Jr. | Ophthalmology | 1200 112th Ave Ne Ste C160, Bellevue, WA 98004-3742 | 2007-01-19 |
| 1962447425 | Lesley A Debrier | Family Medicine | 1200 112th Ave Ne Ste C160, Bellevue, WA 98004-3742 | 2006-06-18 |
| 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 | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851912828 | Washington Cvs Pharmacy L L C | Durable Medical Equipment & Medical Supplies | 272 116th Ave Ne, Bellevue, WA 98004-5213 | 2020-05-01 |
| 1386271575 | Tegan Scientific LLC | Durable Medical Equipment & Medical Supplies | 12206 Se 38th St, Bellevue, WA 98006-1133 | 2020-03-26 |
| 1124668025 | Northern Ohio Medical Specialists, LLC | Durable Medical Equipment & Medical Supplies | 1400 W Main St Ste E, Bellevue, OH 44811-9088 | 2020-01-09 |
| 1104474808 | Proliance Surgeons, Inc., P.s. | Durable Medical Equipment & Medical Supplies | 1231 116th Ave Ne Ste 755, Bellevue, WA 98004-3804 | 2019-08-27 |
| 1205296159 | Mori Medical Equipment | Durable Medical Equipment & Medical Supplies | 15580 Se 5th Ct, Bellevue, WA 98007-4967 | 2016-03-03 |
| 1750751590 | Washington Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 107 Bellevue Way Se, Bellevue, WA 98004-5021 | 2015-10-06 |
| 1366780090 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 2109 Towne Center Dr, Bellevue, NE 68123-6404 | 2013-01-31 |
| 1326395690 | Northern Star Group Inc | Durable Medical Equipment & Medical Supplies | 13107 Ne 20th St, Ste 5, Bellevue, WA 98005-2018 | 2012-08-06 |
| 1407113293 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 15063 Main St, Bellevue, WA 98007-5225 | 2012-04-18 |
| 1326341546 | Nebraska Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1701 Galvin Rd S, Bellevue, NE 68005-3810 | 2010-12-09 |
| Find all providers in BELLEVUE | ||||
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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.