KING COUNTY PUBLIC HOSPITAL DISTRICT NO 2 (NPI# 1922540004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922540004 |
| Entity Type | Organization |
| Organization Name | KING COUNTY PUBLIC HOSPITAL DISTRICT NO 2 |
| Other Organization Name | EVERGREENHEALTH LAKESHORE TOTEM LAKE |
| Practice Address |
12710 Totem Lake Blvd Ne Kirkland WA 98034-2907 |
| Mailing Address |
10131 Main St Bothell WA 98011-3425 |
| Practice Telephone | 4258214040 |
| Practice Fax Number | 4258205060 |
| Mailing Telephone | 4254853955 |
| Mailing Fax Number | 4254851476 |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2016-11-18 |
| Authorized Official Name | ROBERT MALTE (CEO) |
| Authorized Official Telephone | 4258992610 |
| Is Organization Subpart | Y |
| Parent Organization Name | KING COUNTY PUBLIC HOSPITAL DISTRICT NO 2 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | WA | Allopathic & Osteopathic Physicians | |
| N | 213E00000X | Podiatrist | WA | Podiatric Medicine & Surgery Service Providers | |
| Y | 207Q00000X | Family Medicine | WA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| EvergreenHealth Lakeshore Totem Lake | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659814762 | King County Public Hospital District No 2 | Internal Medicine | 10131 Main St, Bothell, WA 98011-3425 | 2016-11-21 |
| 1013450386 | King County Public Hospital District No 2 | Internal Medicine | 10131 Main St, Bothell, WA 98011-3425 | 2016-11-18 |
| 1548350713 | King County Public Hospital District No 2 | Internal Medicine | 11521 Ne 128th St, Ste 100, Kirkland, WA 98034-4317 | 2006-10-16 |
| 1801986070 | King County Public Hospital District No 2 | Neuromusculoskeletal Medicine & OMM | 12039 Ne 128th St, Ste 300, Kirkland, WA 98034-3030 | 2006-10-16 |
| 1467542639 | King County Public Hospital District No 2 | Nurse Practitioner | 12040 Ne 128th St, Ms 105, Kirkland, WA 98034-3013 | 2006-10-16 |
| 1891883435 | King County Public Hospital District No 2 | Obstetrics & Gynecology | 12040 Ne 128th St, Ms 105, Kirkland, WA 98034-3013 | 2006-10-10 |
| 1265527584 | King County Public Hospital District No 2 | Psychiatry & Neurology | 12039 Ne 128th St, Ste 300, Kirkland, WA 98034-3030 | 2006-10-03 |
| 1750482949 | King County Public Hospital District No 2 | Internal Medicine | 11521 Ne 128th St, Ste 130, Kirkland, WA 98034-4317 | 2006-09-26 |
| 1902907165 | King County Public Hospital District No 2 | Physical Medicine & Rehabilitation | 1909 214th St Se, Suite 110, Bothell, WA 98021-8486 | 2006-09-26 |
| Street Address |
12710 TOTEM LAKE BLVD NE |
| City | KIRKLAND |
| State | WA |
| Zip Code | 98034-2907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073566345 | Larry E Nacht | Family Medicine | 12710 Totem Lake Blvd Ne, Kirkland, WA 98034-2907 | 2006-05-18 |
| 1144514787 | James M Lee | Family Medicine | 12710 Totem Lake Blvd Ne, Kirkland, WA 98034-2907 | 2011-05-31 |
| 1205155124 | Christopher J Gerard | Family Medicine | 12710 Totem Lake Blvd Ne, Kirkland, WA 98034-2907 | 2010-05-18 |
| 1124215520 | Georgiana Boboc | Family Medicine | 12710 Totem Lake Blvd Ne, Kirkland, WA 98034-2907 | 2007-09-28 |
| 1346345972 | Lakeshore Clinic Pllc | Internal Medicine | 12710 Totem Lake Blvd Ne, Kirkland, WA 98034-2907 | 2006-09-14 |
| 1336175033 | Alexis R David | Family Medicine | 12710 Totem Lake Blvd Ne, Kirkland, WA 98034-2907 | 2006-06-24 |
| 1891734059 | Kurt R Billett | Family Medicine | 12710 Totem Lake Blvd Ne, Kirkland, WA 98034-2907 | 2006-06-05 |
| 1639125834 | Paul E Buehrens | Family Medicine | 12710 Totem Lake Blvd Ne, Kirkland, WA 98034-2907 | 2006-05-26 |
| 1891741948 | Paul K Mayeda | Family Medicine | 12710 Totem Lake Blvd Ne, Kirkland, WA 98034-2907 | 2006-05-26 |
| 1871549634 | Debra M Chaput | Family Medicine | 12710 Totem Lake Blvd Ne, Kirkland, WA 98034-2907 | 2006-05-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578116596 | Rachel Bowers | Behavior Technician | 1335 Northeast 122nd Way, Suite 105, Kirkland, WA 98034 | 2019-07-18 |
| 1740841048 | Kristina Louise Inghram | Behavior Technician | 11415 Ne 128th St., Suite 40, Kirkland, WA 98034 | 2019-06-26 |
| 1053978064 | Matthew A. Bagnulo, Dds, Ps | Dentist | 11830 Ne 128th St., #202, Kirkland, WA 98034 | 2019-05-24 |
| 1629568928 | Stephanie Michalko | Optometrist | 11800 Ne 128th St Ste 110, Kirkland, WA 98034 | 2018-05-14 |
| 1952800013 | Heath Family Counseling LLC | Marriage & Family Therapist | 12025 115th Ave. Ne, Building D, Ste 200, Kirkland, WA 98034 | 2018-02-05 |
| 1891202834 | Barbara Josephine Gorham | Counselor | 2025 115th Ave Ne, Bldg D, #200, Kirkland, WA 98034 | 2017-12-29 |
| 1548782915 | Eleanor Hollis Wall | Counselor | 14340 102nd Ave Ne, Kirkland, WA 98034 | 2017-07-07 |
| 1457885212 | Peter Schoonmaker | Hospitalist | 12040 Ne 128th Street, Ms105, Kirkland, WA 98034 | 2017-04-18 |
| 1780124370 | Rebecca Managan | Advanced Practice Midwife | 12303 Ne 130th Ln Ste Coral225, Kirkland, WA 98034 | 2017-03-01 |
| 1669821104 | Winter Gonzalez | Counselor | 11720 97th Ln Ne Apt A411, Kirkland, WA 98034 | 2016-06-06 |
| Find all providers in zip 98034 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598205908 | The Everett Clinic, Pllc | Family Medicine | 11800 Ne 128th St Ste 560, Kirkland, WA 98034-7208 | 2017-03-03 |
| 1417132804 | Christy Chan | Family Medicine | 290 Central Way, Kirkland, WA 98033 | 2008-01-03 |
| 1841413952 | Jeffrey Alan Lane | Family Medicine | 13151 92nd Ave Ne, Kirkland, WA 98034-5902 | 2007-04-10 |
| 1053450627 | Reza Tabibi | Family Medicine | 11521 Ne 128th St Ste 100, Kirkland, WA 98034-4317 | 2007-02-06 |
| 1164585204 | Setsuko Hosoda | Family Medicine | 11800 Ne 128th St Fl 5, Kirkland, WA 98034-7208 | 2006-12-19 |
| 1073566345 | Larry E Nacht | Family Medicine | 12710 Totem Lake Blvd Ne, Kirkland, WA 98034-2907 | 2006-05-18 |
| 1275515702 | Glen Stuhring | Family Medicine | 14048 Juanita Dr Ne, Kirkland, WA 98034-9712 | 2005-11-18 |
| 1063928281 | Telehealth Medical Group | Family Medicine | 11415 Slater Ave Ne, Kirkland, WA 98033-4656 | 2017-12-26 |
| 1215387345 | Kyle Jordan | Family Medicine | 12910 Totem Lake Blvd Ne Ste 101, Kirkland, WA 98034-2901 | 2016-06-20 |
| 1831505676 | Orion B Wells | Family Medicine | 11800 Ne 128th St Ste 300, Kirkland, WA 98034-7211 | 2014-07-01 |
| Find all providers in KIRKLAND | ||||
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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.