NORTHWEST CARDIOVASCULAR (NPI# 1700902368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700902368 |
| Entity Type | Organization |
| Organization Name | NORTHWEST CARDIOVASCULAR |
| Practice Address |
1812 S J St Suite 210 Tacoma WA 98405-4964 |
| Practice Telephone | 2535728777 |
| Practice Fax Number | 2535728835 |
| Mailing Telephone | 2535728777 |
| Mailing Fax Number | 2535728835 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2007-12-17 |
| Authorized Official Name | MRS. GLENDA LEE MEDEEN (BUSINESS MANAGER) |
| Authorized Official Telephone | 2535728777 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 7129372 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | NORTHWEST CARDIOVASCULAR INSTITUTE LLP | 2222 Nw Lovejoy Ste 606, Portland, OR 97210 |
| Washington State Corporations | NORTHWEST CARDIOVASCULAR NETWORK | 1321 Colby Ave, Everett, WA 98201 |
| Street Address |
1812 S J ST SUITE 210 |
| City | TACOMA |
| State | WA |
| Zip Code | 98405-4964 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215900279 | Michael J Bateman | Family Medicine | 1812 S J St, #102, Tacoma, WA 98405-4964 | 2006-02-09 |
| 1346765773 | Mandy Chamberlain | Nurse Practitioner | 1812 S J St, Tacoma, WA 98405-4964 | 2017-08-07 |
| 1699131581 | Franciscan Medical Group | Emergency Medicine | 1812 S J St, Suite 120, Tacoma, WA 98405-4964 | 2016-01-07 |
| 1528462652 | Ashley Goodman | Advanced Practice Midwife | 1812 S J St, Ste 120, Tacoma, WA 98405-4964 | 2014-10-17 |
| 1437431947 | Jessica M Rowan | Registered Nurse | 1812 S J St, Ste 120, Tacoma, WA 98405-4964 | 2011-09-12 |
| 1891082574 | Franciscan Medical Group | Obstetrics & Gynecology | 1812 S J St, Ste 120, Tacoma, WA 98405-4964 | 2011-07-01 |
| 1982901989 | Christina Noel Martinez | Registered Nurse | 1812 S J St, Ste 120, Tacoma, WA 98405-4964 | 2011-02-28 |
| 1720390990 | Tiffany Wemhaner Sibley | Emergency Medicine | 1812 S J St, Ste 120, Tacoma, WA 98405-4964 | 2010-07-05 |
| 1740503994 | Margaret C Harrison | Physician Assistant | 1812 S J St, Ste 120, Tacoma, WA 98405-4964 | 2010-03-02 |
| 1922262203 | Heather Lee Siegel | Registered Nurse | 1812 S J St, Suite 120, Tacoma, WA 98405-4964 | 2008-07-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609486026 | Joanna Christine Hope | Physician Assistant | 2502 S Union Avenue, Tacoma, WA 98405 | 2020-08-01 |
| 1467077891 | Richard Jimenez | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 | 2020-06-11 |
| 1669008785 | Mariana Sanchez Corona | Behavior Technician | 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 | 2020-03-20 |
| 1811534845 | Jasmine Gregory | Social Worker | 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 | 2019-12-10 |
| 1548807506 | Holly Rebecca Brezynski | Student in an Organized Health Care Education/Training Program | Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 | 2019-12-09 |
| 1972064392 | Logan Brau | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way, Tacoma, WA 98405 | 2019-03-28 |
| 1629532536 | Preferred Orthotic and Prosthetic Services Inc | Prosthetic/Orthotic Supplier | 1708 Yakima Ave Ste 60, Tacoma, WA 98405 | 2019-01-24 |
| 1669945911 | Heidi Weakley | Counselor | 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 | 2019-01-09 |
| 1972074011 | Taviance Benet Laster | Behavior Technician | 1416 S 9th St, Tacoma, WA 98405 | 2018-12-16 |
| 1336618040 | Bailey Bangerter | Physician Assistant | 1901 South Union, A-233, Tacoma, WA 98405 | 2018-11-26 |
| Find all providers in zip 98405 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003011917 | Nyen V Chong | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1802 S Yakima, Ste 102, Tacoma, WA 98405-5303 | 2007-06-19 |
| 1043256779 | Wendel J Smith | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3015 N 33rd St, Tacoma, WA 98407-6420 | 2006-06-21 |
| 1720020043 | G. Gilbert Johnston | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1802 Yakima Ave Ste 102, Tacoma, WA 98405-5303 | 2006-06-12 |
| 1538471503 | Thomas Paul Templin II | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1802 Yakima Ave Ste 102, Tacoma, WA 98405-5303 | 2010-07-07 |
| 1548423940 | Susan Michelle Hecker | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1802 Yakima Ave, Suite 102, Tacoma, WA 98405-4499 | 2008-07-07 |
| 1336207042 | Keith Austin Havenstrite | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 314 Martin Luther King Jr Way, Tacoma, WA 98405-4250 | 2006-12-05 |
| 1639253313 | Bahirathan Krishnadasan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1802 Yakima Ave, Suite 102, Tacoma, WA 98405-4499 | 2006-10-25 |
| 1932212867 | Allen Graeve | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 314 Martin Luther King Jr Way, Tacoma, WA 98405-4250 | 2006-08-16 |
| 1801821756 | John Michael Luber Jr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1802 Yakima Ave Ste 102, Tacoma, WA 98405-5303 | 2006-07-11 |
| 1124062997 | Franciscan Health System | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1802 Yakima Ave, Suite 102, Tacoma, WA 98405-4499 | 2006-06-15 |
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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.