MULTICARE HEALTH SYSTEM (NPI# 1700396652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700396652 |
| Entity Type | Organization |
| Organization Name | MULTICARE HEALTH SYSTEM |
| Other Organization Name | WOODCREEK PEDIATRICS BY MARY BRIDGE CHILDREN'S |
| Practice Address |
1706 S Meridian Ste 120 Puyallup WA 98371-7516 |
| Mailing Address |
315 Martin Luther King Jr Way Tacoma WA 98405-4234 |
| Practice Telephone | 2538488797 |
| Enumeration Date | 2017-10-05 |
| Last Update Date | 2017-10-05 |
| Authorized Official Name | ANNA LOOMIS (SR VP-CHIEF FINANCIAL OFFICE) |
| Authorized Official Telephone | 2534038020 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Woodcreek Pediatrics by Mary Bridge Children's | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225674963 | Multicare Health System | Psychiatry & Neurology | 4700 Point Fosdick Dr Ste 319, Gig Harbor, WA 98335-1731 | 2019-11-18 |
| 1407409741 | Multicare Health System | Pediatrics | 505 S 336th St # 210, Federal Way, WA 98003-5947 | 2019-07-16 |
| 1891267449 | Multicare Health System | Clinic/Center | 1414 N Houk Rd Ste 104, Spokane Valley, WA 99216-1097 | 2018-12-20 |
| 1386112977 | Multicare Health System | Social Worker | 9420 N Newport Hwy Ste 103, Spokane, WA 99218-1391 | 2018-11-13 |
| 1194222737 | Multicare Health System | Durable Medical Equipment & Medical Supplies | Plaza Two, 202 N Division St, #103, Auburn, WA 98001 | 2018-04-10 |
| 1730687179 | Multicare Health System | Clinic/Center | 842 S Cowley St Ste 3, Spokane, WA 99202-1234 | 2018-01-31 |
| 1801394218 | Multicare Health System | Durable Medical Equipment & Medical Supplies | 1414 N Houk Rd Ste 208, Spokane Valley, WA 99216-1097 | 2018-01-31 |
| 1831697457 | Multicare Health System | Durable Medical Equipment & Medical Supplies | 3016 E 57th Ave Ste 24, Spokane, WA 99223-7036 | 2018-01-29 |
| 1215117007 | Multicare Health System | Durable Medical Equipment & Medical Supplies | 17700 Se 272nd St Ste 160, Covington, WA 98042-4951 | 2007-11-08 |
| 1700925351 | Multicare Health System | Clinic/Center | 325 E. Pioneer, Puyallup, WA 98372-3265 | 2007-02-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | MULTICARE HEALTH SYSTEM | 315 S Mlk Jr Way, Tacoma, WA 98405 |
| Washington State Corporations | MULTICARE HEALTH SYSTEM | 315 S Mlk Jr Way, Tacoma, WA 98405 |
| Street Address |
1706 S MERIDIAN STE 120 |
| City | PUYALLUP |
| State | WA |
| Zip Code | 98371-7516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730720772 | Zachary David Willmarth | Nurse Practitioner | 1706 S Meridian Ste 120, Puyallup, WA 98371-7516 | 2019-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588141550 | Karen Lynn Sorensen | Massage Therapist | 922 Valley Ave Nw Suite 101, Puyallup, WA 98371 | 2018-07-23 |
| 1487140257 | Bradley Dupea | Specialist/Technologist | 5702 44th St Se, Puyallup, WA 98371 | 2018-07-05 |
| 1740778695 | Pedraum Heydari | Dentist | 109 N Meridian Suite A, Puyallup, WA 98371 | 2018-04-26 |
| 1487030359 | Jennifer Block | Dental Hygienist | 601 4th Ave Sw, Puyallup, WA 98371 | 2015-08-03 |
| 1023423431 | On Your Own Inc. | Registered Nurse | 1602 Peach Park Ln Nw, Puyallup, WA 98371 | 2014-06-24 |
| 1841614997 | Enrique Somera | Registered Nurse | 1107 29th St Nw, Puyallup, WA 98371 | 2014-02-10 |
| 1033540893 | Ching Ju Chuang | Dentist | 1002 N. Meridian, Suite 104a, Puyallup, WA 98371 | 2013-12-04 |
| 1104161876 | Denise L. Vanaman | Registered Nurse | 214 W. Main, Puyallup, WA 98371 | 2012-12-06 |
| 1336491018 | Tacoma School District | Physical Therapy Assistant | 1721 8th Ave. S.w., Puyallup, WA 98371 | 2012-10-05 |
| 1275882052 | Robert Francis Saxton | Health Educator | 1121 W. Stewart, Puyallup, WA 98371 | 2012-09-07 |
| Find all providers in zip 98371 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003921701 | Michael Lane Pearson | Pediatrics | 12904 94th Ave East, Puyallup, WA 98373 | 2006-08-20 |
| 1750303038 | Don R Russell | Pediatrics | 1910 S Meridian, Suite A, Puyallup, WA 98371-7531 | 2006-07-24 |
| 1851368575 | Shabnam Barnhart | Pediatrics | 1706 S. Meridian, Suite 130, Puyallup, WA 97371 | 2006-03-01 |
| 1366428369 | Roselynn Wee Sim Cuenca | Pediatrics | 1910 Meridian St S, Ste A, Puyallup, WA 98371-7531 | 2005-12-21 |
| 1407242530 | Taylor Ryan Mclain | Pediatrics | 11102 Sunrise Blvd E Ste 103, Puyallup, WA 98374 | 2015-04-15 |
| 1700298148 | Erin Colleen Donahue | Pediatrics | 1706 S. Meridian, Suite 120, Puyallup, WA 98371 | 2014-05-20 |
| 1679760755 | Suzanne Amalie Ingrao | Pediatrics | 407 14th Ave Se, Puyallup, WA 98372-3770 | 2007-10-02 |
| 1407907504 | Timothy B Jolley | Pediatrics | 1322 3rd St Se Ste 240, Puyallup, WA 98372-3771 | 2007-01-15 |
| 1578671830 | Mazen Dahan | Pediatrics | 120 14th Ave Se, Suite A, Puyallup, WA 98372 | 2006-08-28 |
| 1467472225 | Melanie A Roscoe | Pediatrics | 11102 Sunrise Blvd E, Suite 103, Puyallup, WA 98374 | 2006-07-21 |
| Find all providers in PUYALLUP | ||||
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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.