DR. MITCHELL PATRICK KOK (NPI# 1831175421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831175421 |
| Entity Type | Individual |
| Full Name | DR. MITCHELL PATRICK KOK |
| Credential | MD |
| Practice Address |
3417 Ensign Rd Ne Olympia WA 98506-5064 |
| Mailing Address |
19020 33rd Ave W Ste 210 Lynnwood WA 98036-4748 |
| Practice Telephone | 3604934600 |
| Practice Fax Number | 3604934603 |
| Mailing Telephone | 4255631500 |
| Mailing Fax Number | 4255631374 |
| Enumeration Date | 2005-12-16 |
| Last Update Date | 2018-11-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085N0700X |
Radiology Specialization: Neuroradiology |
MD60542557 | WA | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MD60542557 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | LNI-SOUTH SOUND RADIOLOGY | 0346189 | 01 |
| WA | LNI-RADIA | 0383910 | 01 |
| WA | 2048130 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 413 Lilly Rd Ne, Olympia, WA 985065133 | 3604919480 |
| Street Address |
3417 ENSIGN RD NE |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98506-5064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619961570 | John Christopher Edwards | Radiology | 3417 Ensign Rd Ne, Olympia, WA 98506-5064 | 2005-09-07 |
| 1659682722 | Zachary A. Winter | Radiology | 3417 Ensign Rd Ne, Olympia, WA 98506-5064 | 2010-06-23 |
| 1235364894 | Tariq Hesham Balawi | Radiology | 3417 Ensign Rd Ne, Olympia, WA 98506-5064 | 2009-05-26 |
| 1083827992 | Samuel J. Boynton | Radiology | 3417 Ensign Rd Ne, Olympia, WA 98506 | 2007-05-07 |
| 1396882106 | Chrystel Therese Venturini | Radiology | 3417 Ensign Rd Ne, Olympia, WA 98506-5064 | 2007-01-31 |
| 1841350618 | Peter Ping Hu | Radiology | 3417 Ensign Rd Ne, Olympia, WA 98506-5064 | 2006-12-11 |
| 1508933227 | Colin Poon | Radiology | 3417 Ensign Rd Ne, Olympia, WA 98506-5064 | 2006-11-29 |
| 1407931793 | Kevin Jay Roscoe | Radiology | 3417 Ensign Rd Ne, Olympia, WA 98506-5075 | 2006-10-26 |
| 1871689794 | Terence T Chan | Radiology | 3417 Ensign Rd Ne, Olympia, WA 98506-5064 | 2006-10-05 |
| 1902990500 | South Sound Radiologists, Inc., P.s. | Radiology | 3417 Ensign Rd Ne, Olympia, WA 98506-5064 | 2006-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477185460 | Chloe Harper | Technician, Other | 3443 Lilly Rd Se, Ste B, Olympia, WA 98506 | 2020-02-07 |
| 1912543539 | Jessica Marie Radakovich | Licensed Practical Nurse | 3426 Mary Elder Rd, Olympia, WA 98506 | 2019-11-19 |
| 1669014973 | Arlene Josephine Adams | Registered Nurse | 413 Lily Rd Ne, Olympia, WA 98506 | 2019-10-09 |
| 1861999120 | Debra Delores Barker | Licensed Practical Nurse | 3710 South Bay Rd Ne, Olympia, WA 98506 | 2018-04-12 |
| 1801304431 | Michelle Warner | Nurse Practitioner | 205 Lilly Rd Ne Ste A1, Olympia, WA 98506 | 2018-01-17 |
| 1396258364 | Institute for Family Development | Community/Behavioral Health | 204 Quince St. Ne, Suite 200, Olympia, WA 98506 | 2017-11-13 |
| 1083137715 | Cameron Kunkel | Specialist/Technologist | 2512 20th Ave Ne, Olympia, WA 98506 | 2017-07-25 |
| 1184144768 | Trevor Shane Kwan | Family Medicine | 525 Lilly Road Ne, Olympia, WA 98506 | 2017-06-23 |
| 1073043212 | Michael H Harburg | Behavior Technician | 3857 Martin Way Ne, Olympia, WA 98506 | 2017-06-19 |
| 1780114371 | Priscilla Kangyang Jadu | Counselor | 3857 Martin Way E., Olympia, WA 98506 | 2017-06-15 |
| Find all providers in zip 98506 | ||||
| Taxonomy Code | 2085N0700X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Neuroradiology |
| A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508933227 | Colin Poon | Radiology | 3417 Ensign Rd Ne, Olympia, WA 98506-5064 | 2006-11-29 |
| 1750361481 | Charles Hao Shen | Radiology | 3417 Ensign Rd Ne, Olympia, WA 98506-5075 | 2006-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336760586 | Whidbey Island Public Hospital District | Radiology | 7167 Ne 126th St, Kirkland, WA 98034-5717 | 2020-04-29 |
| 1609497858 | Whidbey Island Public Hospital District | Radiology | 318 W Lake Samish Dr, Bellingham, WA 98229-9313 | 2020-04-29 |
| 1295155901 | Robert Paul Deconde | Radiology | 1959 Ne Pacific St # Ss -202, Seattle, WA 98195-7117 | 2014-04-21 |
| 1932342300 | Amit Chakraborty | Radiology | 335 S. 336th St., C, Federal Way, WA 98003 | 2009-04-14 |
| 1861655284 | Richard Nguyen | Radiology | 969 Stevens Dr Ste 1c, Richland, WA 99352-3557 | 2008-07-07 |
| 1407024888 | Andrew Laurence Thompson | Radiology | 2440 Western Ave, Apt# 402, Seattle, WA 98121-1325 | 2008-02-19 |
| 1942348883 | Gary K. Stimac | Radiology | 12600 Se 38th St Ste 200, Bellevue, WA 98006-6109 | 2007-02-02 |
| 1306932165 | Roberta W. Dalley | Radiology | 1959 Ne Pacific St, U of Washington Medical Ctr, Radiology, Room Rr-215, Box 357115, Seattle, WA 98195-0001 | 2006-10-05 |
| 1578658134 | Dean Shibata | Radiology | Univ Washington Med Center, Box 357115, 1959 Ne Pacific St, Seattle, WA 98195 | 2006-10-03 |
| 1770519753 | Alan Loudon Williams | Radiology | 8463 Pointe Rd N, Blaine, WA 98230-4305 | 2006-06-23 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. MITCHELL PATRICK KOK.
| 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.