UMBRELLA MEDICAL INC (NPI# 1831711738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831711738 |
| Entity Type | Organization |
| Organization Name | UMBRELLA MEDICAL INC |
| Practice Address |
3955 156th St Ne Marysville WA 98271-4831 |
| Mailing Address |
1951 E Akholt Ln Pueblo West CO 81007-1291 |
| Practice Telephone | 7196602696 |
| Enumeration Date | 2020-05-13 |
| Last Update Date | 2020-05-13 |
| Authorized Official Name | KERRY A BAUGH (ADMINISTRATOR) |
| Authorized Official Telephone | 7196602696 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BUSINESS LICENSE | PENDING | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Umbrella Medical Inc | 330 E Costilla, Colorado Springs, CO 80903 |
| Washington State Corporations | UMBRELLA MEDICAL INC | 1951 E Akholt Ln, Pueblo, CO 81007-1291 |
| Street Address |
3955 156TH ST NE |
| City | MARYSVILLE |
| State | WA |
| Zip Code | 98271-4831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598933830 | Frank J Rodell | Nurse Practitioner | 3955 156th St Ne, Marysville, WA 98271-4831 | 2008-02-20 |
| 1750917977 | Angela Meghan Howell | Counselor | 3955 156th St Ne, Marysville, WA 98271-4831 | 2020-03-19 |
| 1891264107 | Carl Townsend Glissmeyer | Physician Assistant | 3955 156th St Ne, Marysville, WA 98271-4831 | 2018-11-15 |
| 1104338144 | Vest Seattle, LLC | Nurse Practitioner | 3955 156th St Ne, Marysville, WA 98271-4831 | 2017-10-31 |
| 1942638416 | Anjali Dsouza Md Pllc | Family Medicine | 3955 156th St Ne, Marysville, WA 98271-4831 | 2013-10-21 |
| 1952644965 | Anita T Sassaman | Nurse Practitioner | 3955 156th St Ne, Marysville, WA 98271-4831 | 2013-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174155345 | Kaiser Foundation Health Plan of Washington | Pharmacy | 2335 172nd Street Ne, Marysville, WA 98271 | 2020-02-06 |
| 1124511126 | Roger Lucas, P.s. | Dentist | 3806 116th St. Ne, Marysville, WA 98271 | 2018-06-13 |
| 1679020150 | Vest Seattle, LLC | Psychiatric Hospital | 3955 156th St, Marysville, WA 98271 | 2016-09-01 |
| 1790141828 | Washington Dental Corporation, PC | Dentist | 17103 28th Dr. Ne, Suite 104, Marysville, WA 98271 | 2016-01-05 |
| 1376932533 | Mindy Wiese | Counselor | 2321 Marine Dr. Ne, Marysville, WA 98271 | 2015-01-12 |
| 1609276260 | Sara Julsrud | Counselor | 2828 Mission Hill Road, Tulalip, WA 98271 | 2014-09-01 |
| 1710395355 | Sandra Breaux | Pharmacist | 8924 Quil Ceda Blvd, Tulalip, WA 98271 | 2014-07-28 |
| 1245665207 | Delores Helen Dusterhoft | Registered Nurse | 4421 122nd Pl Ne, Marysville, WA 98271 | 2013-09-10 |
| 1295079390 | Santi Wibawantini | Marriage & Family Therapist | 2321 Marine Dr Ne, Tulalip, WA 98271 | 2012-11-15 |
| 1558690586 | Stephen Lee | Pharmacist | 8825 34th Avenue Ne, Suite A, Tulalip, WA 98271 | 2009-12-22 |
| Find all providers in zip 98271 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801162896 | Kathryn Z Gathof | Internal Medicine | 1044 Columbus Avenue, Marysville, OH 43040-8337 | 2012-03-24 |
| 1730497421 | Jasbir S Kang Md & Sanjiv Midha Md A Medical Corporation | Internal Medicine | 527 E St, Marysville, CA 95901-5529 | 2010-09-16 |
| 1346412871 | Colleen A Fink | Internal Medicine | 843 Colemans Crossing Blvd, Marysville, OH 43040 | 2008-03-25 |
| 1245256890 | Medical Care of Marysville, LLC | Internal Medicine | 773 S Walnut St, Marysville, OH 43040-1643 | 2006-07-15 |
| 1568413482 | Marie G Walsh | Internal Medicine | 1985 Gratiot Ave, Suite 2a, Marysville, MI 48040-1200 | 2006-05-15 |
| 1053378018 | Santosa Ho | Internal Medicine | 1602 4th Street, Marysville, WA 98270-5014 | 2006-04-26 |
| 1528024197 | Justin K Krueger | Internal Medicine | 140 Colemans Crossing Boulevard, Suite 210, Marysville, OH 43040-0000 | 2006-04-24 |
| 1396720561 | Orest John Sowirka | Internal Medicine | 1985 Gratiot Blvd Ste 2a, Marysville, MI 48040-2215 | 2005-12-10 |
| 1851384846 | Kevin P Henzel | Internal Medicine | 660 London Ave, Suite A, Marysville, OH 43040-1515 | 2005-08-25 |
| 1275531022 | Robert Raymond Dembosky | Internal Medicine | 1750 Busha Hwy, Marysville, MI 48040-1801 | 2005-07-13 |
| Find all providers in MARYSVILLE | ||||
| City | MARYSVILLE |
| Zip Code | 98271 |
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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.