JAMES E CONGDON (NPI# 1871532481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871532481 |
| Entity Type | Individual |
| Full Name | JAMES E CONGDON |
| Credential | DO |
| Practice Address |
1717 13th St Suite 300 Everett WA 98201-1621 |
| Mailing Address |
Po Box 5127 Everett WA 98206-5127 |
| Practice Telephone | 4252975500 |
| Practice Fax Number | 4252975514 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2012-12-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
OP00000973 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | GROUP MEDICARE NUMBER | 001259300 | 01 |
| WA | 1021000 | 05 | |
| WA | STATE LICENSE NUMBER | OP00000973 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588764153 | James Congdon | Psychiatry & Neurology | 722 E Butler Pike, Ambler, PA 19002-2310 | 2006-09-24 |
| Street Address |
1717 13TH ST SUITE 300 |
| City | EVERETT |
| State | WA |
| Zip Code | 98201-1621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225037773 | Anna Sturm | Physician Assistant | 1717 13th St, Suite 401, Everett, WA 98201-1621 | 2005-07-18 |
| 1619575933 | The Everett Clinic, Pllc | Non-Pharmacy Dispensing Site | 1717 13th St, Everett, WA 98201-1621 | 2020-10-09 |
| 1063026417 | Susan Johannsen | Psychologist | 1717 13th St, Everett, WA 98201-1621 | 2020-09-02 |
| 1023630803 | Grant Lovell | Radiologic Technologist | 1717 13th St, Everett, WA 98201-1621 | 2020-05-14 |
| 1093372344 | Dorothy Colleen Todd | Nurse Practitioner | 1717 13th St, Everett, WA 98201-1621 | 2019-05-22 |
| 1124584198 | Zaynah Ali | Pharmacist | 1717 13th St, Everett, WA 98201-1621 | 2019-02-14 |
| 1639650138 | Elizabeth M Poli | Nurse Practitioner | 1717 13th St, Everett, WA 98201-1621 | 2018-08-23 |
| 1770073975 | Connie Huyen Dao | Physician Assistant | 1717 13th St, Everett, WA 98201-1621 | 2018-05-14 |
| 1518482959 | Teri Kawehionalani Chiemi Schleicher | Pharmacist | 1717 13th St, Everett, WA 98201 | 2017-08-07 |
| 1861913519 | Paul Scott Hoffmann | Pharmacist | 1717 13th St, Everett, WA 98201 | 2017-07-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306471867 | Shannon Michelle Dewald | Registered Nurse | D8s 1700 13th St, Everett, WA 98201 | 2020-03-05 |
| 1578123113 | Precious Medicial Spa, LLC | Registered Nurse | 1728 W. Marine View Dr Suite 212, Everett, WA 98201 | 2019-06-17 |
| 1508429796 | Alix Deschain | Counselor | 2801 Broadway, Everett, WA 98201 | 2019-04-15 |
| 1811457534 | Khushboo Patel | Pharmacist | 1330 Rockefeller Ave Ste 150, Everett, WA 98201 | 2019-03-20 |
| 1164991188 | Grace Talbot Davis | Registered Nurse | 2601 Summit Avenue, Bldg. C, Everett, WA 98201 | 2018-11-20 |
| 1063924603 | Tracy Sisk | Counselor | 3120 Colby Ave, 502, Everett, WA 98201 | 2017-11-03 |
| 1710403126 | Michelle Durham | Counselor | 3322 Boadway Fl 2, Everett, WA 98201 | 2017-08-17 |
| 1861927949 | Melanie Schmidt | Counselor | 2610 Westmore Ave, Everett, WA 98201 | 2017-04-26 |
| 1518413327 | Joseph Madson Dmd Pllc | Clinic/Center | 3802 Colby Ave, 4th Floor, Everett, WA 98201 | 2016-08-31 |
| 1043683162 | Jennifer Adams | Counselor | 1511 26th St, Everett, WA 98201 | 2015-11-11 |
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| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649697707 | Amir Mehrvarz Sarshekeh | Internal Medicine | 1717 13th St Ste 300, Everett, WA 98201-1621 | 2014-03-26 |
| 1508053695 | Elizabeth Lynn Meyering | Internal Medicine | 1717 13th St, Suite 300, Everett, WA 98201-1621 | 2007-10-02 |
| 1013135417 | Western Washington Medical Group | Internal Medicine | 1717 13th St, Suite 300, Everett, WA 98201 | 2007-04-23 |
| 1194821256 | Luke N Walker | Internal Medicine | 1717 13th St Ste 300, Everett, WA 98201-1621 | 2006-09-16 |
| 1548371180 | Xiaowen Wang | Internal Medicine | 1717 13th St, Everett, WA 98201-1621 | 2006-08-31 |
| 1689614398 | Peter Yz Jiang | Internal Medicine | 1717 13th St, Suite 300, Everett, WA 98201-1621 | 2006-06-08 |
| 1760421374 | Mark E Coughenour | Internal Medicine | 1717 13th St, Suite 300, Everett, WA 98201-1621 | 2006-06-06 |
| 1023065919 | Western Washington Medical Group, Inc Ps | Internal Medicine | 1728 W Marine View Dr, Suite 110, Everett, WA 98201-2094 | 2006-05-27 |
| 1326094970 | Elizabeth M Miley | Internal Medicine | 1717 13th St, Suite 300, Everett, WA 98201-1621 | 2006-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477150969 | John Michael Pesando | Internal Medicine | 1066 East Blaine Street, Seattle, WA 98102-4260 | 2020-10-07 |
| 1265944003 | Langdon Leforrest Miller | Internal Medicine | 3057 Perkins Ln W, Seattle, WA 98199-2418 | 2017-11-02 |
| 1306214168 | Alvaro Perona Blazquez | Internal Medicine | 5049 38th Ave Ne, Seattle, WA 98105-3022 | 2015-09-10 |
| 1013318245 | Vivien R V B Santos | Internal Medicine | 5049 38th Avenue Ne, Seattle, WA 98105 | 2014-09-08 |
| 1154663581 | Victor Alexander Chow | Internal Medicine | 1100 Fairview Ave N # D5-390, Seattle, WA 98109-4433 | 2013-03-24 |
| 1508150111 | Robert Eugene Burdick | Internal Medicine | 2201 39th Ave E, Seattle, WA 98112-2401 | 2011-06-01 |
| 1962701110 | Toni Kay Roberts | Internal Medicine | 2720 Clare Ave Ste A, Bremerton, WA 98310-3374 | 2011-03-26 |
| 1124334792 | Wayne Russell Godfrey | Internal Medicine | 410 W Harrison St, Suite 100, Seattle, WA 98119-4033 | 2010-08-20 |
| 1407173826 | Joshua Robert Veatch | Internal Medicine | 1100 Fairview Ave N # D5-100, Seattle, WA 98109-4433 | 2010-04-24 |
| 1346562816 | Song Zhao | Internal Medicine | 515 Minor Ave Fl 1, Seattle, WA 98104-2120 | 2010-02-24 |
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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.