PROVIDENCE HEALTH & SERVICES WA (NPI# 1861623548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861623548 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE HEALTH & SERVICES WA |
| Other Organization Name | PROVIDENCE FAMILY MEDICINE WEST OLYMPIA |
| Practice Address |
1217 Cooper Point Rd Sw Suite B Olympia WA 98502-7206 |
| Mailing Address |
Po Box 34439 Seattle WA 98124-1439 |
| Practice Telephone | 3604866710 |
| Practice Fax Number | 3604866715 |
| Mailing Telephone | 4255256778 |
| Mailing Fax Number | 4255256700 |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2011-04-06 |
| Authorized Official Name | NICOLE QUINN (PAYOR CREDENTIALING MANAGER) |
| Authorized Official Telephone | 4255256715 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Providence Family Medicine West Olympia | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811226038 | Providence Health & Services Wa | Clinic/Center | 16708 Bothell Everett Highway, Suite 102, Mill Creek, WA 98012-6329 | 2009-12-17 |
| 1750520516 | Providence Health & Services Wa | Obstetrics & Gynecology | 1717 13th Street, Suite 300, Everett, WA 98201-1621 | 2009-02-18 |
| 1326585779 | Providence Health & Services Wa | Case Management | 44 W 6th Ave, Suite 218, Spokane, WA 99204-2306 | 2017-01-24 |
| 1033558457 | Providence Health & Services Wa | Pharmacy | 401 W Poplar St, Pharmacy, Walla Walla, WA 99362-2846 | 2013-06-19 |
| 1609105832 | Providence Health & Services Wa | Clinic/Center | 16708 Bothell Everett Highway, Suite 201, Mill Creek, WA 98012-6329 | 2009-12-17 |
| Street Address |
1217 COOPER POINT RD SW SUITE B |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98502-7206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801409172 | Fanny Cordero | Interpreter | 1415 4th Ave W, Olympia, WA 98502 | 2020-08-26 |
| 1235762832 | Accessible Living Physical Therapy | Clinic/Center | 3524 7th Ave Se, Olympia, WA 98502 | 2020-02-21 |
| 1548807738 | Kaiser Foundation Health Plan of Washington | Pharmacy | 1200 Cooper Point Road Sw, Suite 100, Olympia, WA 98502 | 2019-12-06 |
| 1851946388 | Katherine Ann Vitela | Registered Nurse | 4909 Green Wood Dr Sw, Olympia, WA 98502 | 2019-08-01 |
| 1538632658 | Carmen Rae Breding | Massage Therapist | 2627 Capital Mall Dr Se, Olympia, WA 98502 | 2019-01-11 |
| 1285129155 | Fook Yee Cheung | Genetic Counselor, MS | 2010 Caton Way Sw Ste 102, Olympia, WA 98502 | 2018-06-24 |
| 1942724158 | William Coburn | Specialist/Technologist | 703 Lilly Road Ne, Suite 104, Olympia, WA 98502 | 2017-07-29 |
| 1225567415 | Thierry Buckner | Counselor | 2400 Bristol Court Sw, Olympia, WA 98502 | 2017-06-09 |
| 1619406048 | Trenton Reid | Massage Therapist | 2103 Harrison Ave Nw #2642, Olympia, WA 98502 | 2017-06-08 |
| 1962807305 | Richa Mehta | Dentist | 1530 Black Lake Boulevard, Suite A103, Olympia, WA 98502 | 2014-10-28 |
| Find all providers in zip 98502 | ||||
| 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 |
|---|---|---|---|---|
| 1740898766 | Abx Medical Pllc | Internal Medicine | 2523 Simon Ln Ne, Olympia, WA 98506-3553 | 2020-07-15 |
| 1285108035 | Purcellmdical Pllc | Internal Medicine | 3025 Limited Ln Nw Ste 105, Olympia, WA 98502-2613 | 2019-01-15 |
| 1407261936 | Rebecca March | Internal Medicine | 110 Delphi Rd Nw Ste 101, Olympia, WA 98502-1778 | 2014-06-23 |
| 1730494642 | Fihn Med Group Inc | Internal Medicine | 3701 Pacific Ave Se, Suite 143, Olympia, WA 98501-2124 | 2010-08-16 |
| 1760797674 | Pergam Med Corp | Internal Medicine | 2103 Harrison Ave Nw, Suite 2692, Olympia, WA 98502-2636 | 2010-08-16 |
| 1487969390 | Jd Tauben Corp | Internal Medicine | 3209 Harrison Ave Nw, Suite 181, Olympia, WA 98502-8704 | 2010-08-16 |
| 1912224981 | Jeffery Noel Thompson | Internal Medicine | 626 8th Ave Se, Olympia, WA 98504-0001 | 2010-04-29 |
| 1275863185 | Marc Francis Stern | Internal Medicine | 413 Franklin St Ne, Olympia Union Gospel Mission, Olympia, WA 98501-6946 | 2009-12-28 |
| 1124357652 | Benjamin Medical Pllc | Internal Medicine | 1340 Allegheny Ct Se, Olympia, WA 98503-1905 | 2009-12-11 |
| 1164581781 | Michael D Herring | Internal Medicine | 410 B Black Hills Ln Sw, Olympia, WA 98502-8667 | 2006-12-08 |
| Find all providers in OLYMPIA | ||||
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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.