RICHMOND INTERNAL MEDICINE, P.S. (NPI# 1932159407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932159407 |
| Entity Type | Organization |
| Organization Name | RICHMOND INTERNAL MEDICINE, P.S. |
| Practice Address |
355 Nw Richmond Beach Rd Shoreline WA 98177-3101 |
| Practice Telephone | 2065465181 |
| Practice Fax Number | 2065466575 |
| Mailing Telephone | 2065465181 |
| Mailing Fax Number | 2065466575 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2007-11-05 |
| Authorized Official Name | DR. DAVID B JACKSON (PRESIDENT) |
| Authorized Official Telephone | 2065465181 |
| Authorized Official Credential | M.D. |
| 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 |
|---|---|---|---|
| WA | RAILROAD MEDICARE | DE7285 | 01 |
| WA | 7073752 | 05 |
| Street Address |
355 NW RICHMOND BEACH RD |
| City | SHORELINE |
| State | WA |
| Zip Code | 98177-3101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467448118 | John L Verrilli | Internal Medicine | 355 Nw Richmond Beach Rd, Shoreline, WA 98177-3101 | 2005-09-27 |
| 1164718425 | Richmond Clinic Tr | Internal Medicine | 355 Nw Richmond Beach Rd, Shoreline, WA 98177-3101 | 2011-06-24 |
| 1063647808 | Sophia Yenzhoo Tong | Internal Medicine | 355 Nw Richmond Beach Rd, Shoreline, WA 98177-3101 | 2009-05-22 |
| 1649319419 | Thomas Llewellyn Merritt | Internal Medicine | 355 Nw Richmond Beach Rd, Shoreline, WA 98177-3101 | 2007-02-06 |
| 1033218797 | Suzanne K Bladek | Nurse Practitioner | 355 Nw Richmond Beach Rd, Shoreline, WA 98177-3101 | 2006-09-21 |
| 1215907027 | Prema K Raghu | Specialist | 355 Nw Richmond Beach Rd, Shoreline, WA 98177-3101 | 2006-01-24 |
| 1144204777 | Kathryn Zufall | Internal Medicine | 355 Nw Richmond Beach Rd, Shoreline, WA 98177-3101 | 2005-12-06 |
| 1134103765 | Lynn Reilly | Internal Medicine | 355 Nw Richmond Beach Rd, Shoreline, WA 98177-3101 | 2005-12-06 |
| 1922083559 | Joel S Hagedorn | Internal Medicine | 355 Nw Richmond Beach Rd, Shoreline, WA 98177-3101 | 2005-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689227662 | Lindsey Cross | Speech-Language Pathologist | 3402 Nw 195th Pl, Shoreline, WA 98177 | 2019-07-19 |
| 1063921120 | Genevieve Louise Becker | Counselor | 132 Nw 195th St, Shoreline, WA 98177 | 2017-09-21 |
| 1134578552 | Emily F Walker | Social Worker | 1245 Nw 175th St., Shoreline, WA 98177 | 2016-06-07 |
| 1326462664 | Getachew Zewdie Demissie | Registered Nurse | 328 Nw Richmond Beach Rd, #312, Seattle, WA 98177 | 2014-02-06 |
| 1699913848 | Meghann Dalrymple | Occupational Therapist | 19235 15th Ave Ne, Shoreline, WA 98177 | 2009-01-27 |
| 1770757502 | Don M Huynh | Pharmacy Technician | 850 Nw Innis Arden Drive, Shoreline, WA 98177 | 2008-04-14 |
| 1295921609 | Esther Eileen Andrews Moore | Marriage & Family Therapist | 17250 10th Ave Nw, Shoreline, WA 98177 | 2007-09-19 |
| 1073730644 | Nancy Lynn Krecker-scott | Massage Therapist | 10525 - 3rd Ave Nw, Viewland's Elementary School, Seattle Public School Dis, Seattle, WA 98177 | 2007-04-18 |
| 1447321914 | Francis Arden Pinault | Acupuncturist | 646 Nw Richmond Beach Rd, Shoreline, WA 98177 | 2006-11-13 |
| 1053356303 | Anne H Reese | Pediatrics | 357 Nw Richmond Beach Rd, Richmond Pediatrics, Shoreline, WA 98177 | 2006-06-19 |
| Find all providers in zip 98177 | ||||
| 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 |
|---|---|---|---|---|
| 1356517213 | Reena Eshwar | Internal Medicine | 19312 Kings Garden Dr N, Shoreline, WA 98133-3838 | 2008-05-01 |
| 1336225432 | Bong Sup Kim | Internal Medicine | 15208 Aurora Ave N, Shoreline, WA 98133-6124 | 2006-10-31 |
| 1164529038 | Cheryl R Jacobs | Internal Medicine | 15214 Aurora Ave N, Shoreline, WA 98133-6143 | 2006-09-20 |
| 1912985169 | Soon H Kimm | Internal Medicine | 1306 N 175th St, Suite 103, Shoreline, WA 98133-5019 | 2006-01-06 |
| 1467448118 | John L Verrilli | Internal Medicine | 355 Nw Richmond Beach Rd, Shoreline, WA 98177-3101 | 2005-09-27 |
| 1902437403 | Rejens Medical Group, Pllc | Internal Medicine | 19312 Kings Garden Dr N, Shoreline, WA 98133 | 2020-02-03 |
| 1275042053 | Iora Health Washington Physicians, P.C. | Internal Medicine | 15214 Aurora Ave N, Shoreline, WA 98133-6143 | 2017-09-25 |
| 1851748578 | The Everett Clinic, Pllc | Internal Medicine | 1201 N 175th St, Shoreline, WA 98133-5064 | 2016-05-23 |
| 1710346986 | Bryant Thomas Karras | Internal Medicine | 1610 Ne 150th St, State of Washington, Dept of Health, Shoreline, WA 98155-7224 | 2016-02-16 |
| 1871997965 | Iora Senior Health Inc | Internal Medicine | 15214 Aurora Ave N, Shoreline, WA 98133-6143 | 2014-10-17 |
| Find all providers in SHORELINE | ||||
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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.