Randall L De Jong (NPI# 1285716761, PAC ID# 5496819534) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1285716761 |
PAC ID by PECOS | 5496819534 |
Professional Enrollment ID | I20090204000235 |
Full Name | Randall L De Jong |
Organization Legal Name | PROVIDENCE HEALTH AND SERVICES - WA |
Address |
916 Pacific Ave Everett WA 98201-4147 |
Phone Number | 4252587390 |
Gender | M |
Graduation Year | 1996 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 0648330787 |
Number of Group Practice Members | 9 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
500014 | PROVIDENCE REGIONAL MEDICAL CENTER EVERETT |
Address | Phone | Organization |
---|---|---|
916 Pacific Ave, Everett, WA 98201-4147 | 4252587390 | PROVIDENCE HEALTH AND SERVICES - WA |
Organization Legal Name | PROVIDENCE HEALTH AND SERVICES - WA |
Physicians | 20 |
Name | Specialty | Organization | Address |
---|---|---|---|
Todd S Carran | Addiction Medicine | Providence Health and Services - Wa | 916 Pacific Ave, Everett, WA 98201-4147 |
Shannon M Leach | Nurse Practitioner | Providence Health and Services - Wa | 916 Pacific Ave, Everett, WA 98201-4147 |
Cheryl M Laflore | Nurse Practitioner | Providence Health and Services - Wa | 900 Pacific Ave, Everett, WA 98201-4168 |
Anita D Rajwan | Nurse Practitioner | Providence Health and Services - Wa | 1700 13th St, Everett, WA 98201-1689 |
Kimberly A Boyce | Physician Assistant | Providence Health and Services - Wa | 1321 Colby Ave, Everett, WA 98201-1665 |
Gina Cadena Forney | Family Medicine | Providence Health and Services - Wa | 916 Pacific Ave, Everett, WA 98201-4147 |
Joy A Varady | Nurse Practitioner | Providence Health and Services - Wa | 1321 Colby Ave, Everett, WA 98201-1665 |
Paula Georgette Newman Skomski | Nurse Practitioner | Providence Health and Services - Wa | 1321 Colby Ave, Everett, WA 98201-1665 |
Kellen Ross Gumm | Physician Assistant | Providence Health and Services - Wa | 122 W 7th Ave, 110 Northwest Heart and Lung Surgical Association, Spokane, WA 99204-2301 |
William E Dickinson | Osteopathic Manipulative Medicine | Providence Health and Services - Wa | 916 Pacific Ave, Everett, WA 98201-4147 |
Street Address |
916 PACIFIC AVE |
City | EVERETT |
State | WA |
Zip | 98201-4147 |
Name | Specialty | Organization | Address |
---|---|---|---|
David J Zane | Nurse Practitioner | Bhc Fairfax Hospital Inc | 916 Pacific Ave, Fl 7, Everett, WA 98201-4147 |
Arun Arora | Psychiatry | Bhc Fairfax Hospital Inc | 916 Pacific Ave, Fl 7, Everett, WA 98201-4147 |
Polly H Richardson | Nurse Practitioner | Bhc Fairfax Hospital Inc | 916 Pacific Ave, Fl 7, Everett, WA 98201-4147 |
Rachel A Bates | Nurse Practitioner | Bhc Fairfax Hospital Inc | 916 Pacific Ave, Fl 7, Everett, WA 98201-4147 |
Todd S Carran | Addiction Medicine | Providence Health and Services - Wa | 916 Pacific Ave, Everett, WA 98201-4147 |
Shannon M Leach | Nurse Practitioner | Providence Health and Services - Wa | 916 Pacific Ave, Everett, WA 98201-4147 |
Nabilla S Porbandarwalla | Psychiatry | Bhc Fairfax Hospital Inc | 916 Pacific Ave, Fl 7, Everett, WA 98201-4147 |
Amy Erber | Nurse Practitioner | Bhc Fairfax Hospital Inc | 916 Pacific Ave, Fl 7, Everett, WA 98201-4147 |
Gina Cadena Forney | Family Medicine | Providence Health and Services - Wa | 916 Pacific Ave, Everett, WA 98201-4147 |
Osama Bankesly | Psychiatry | Bhc Fairfax Hospital Inc | 916 Pacific Ave, Fl 7, Everett, WA 98201-4147 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Margaret J Rutherford | Nurse Practitioner | Sunrise Services, Inc. | 1021 N Broadway, Sunrise Community Mental Health, Everett, WA 98201-1405 |
Kevin M Knack Jr. | Nurse Practitioner | Sunrise Services, Inc. | 1021 N Broadway, Sunrise Community Mental Health, Everett, WA 98201-1405 |
Larry S Bornstein | Psychiatry | Sunrise Services, Inc. | 1021 N Broadway, Sunrise Community Mental Health, Everett, WA 98201-1405 |
Paulette K Carter | Nurse Practitioner | Sunrise Services, Inc. | 1021 N Broadway, Sunrise Community Mental Health, Everett, WA 98201-1405 |
Margaret M Ackerman | Nurse Practitioner | Sunrise Services, Inc. | 1021 N Broadway, Sunrise Community Mental Health, Everett, WA 98201-1405 |
Nikki L Behner | Nurse Practitioner | Sunrise Services, Inc. | 1021 N Broadway, Sunrise Community Mental Health, Everett, WA 98201-1405 |
David Gordon | Family Medicine | Community Health Center of Snohomish County | 930 N Broadway, Everett, WA 98201-1409 |
Yuanzhi Angela Li | Family Medicine | Community Health Center of Snohomish County | 930 N Broadway, Everett, WA 98201-1409 |
Alan O Haakenstad | Nephrology | Community Health Center of Snohomish County | 930 N Broadway, Everett, WA 98201-1409 |
Lavonne M Searle | Nurse Practitioner | Community Health Center of Snohomish County | 930 N Broadway, Everett, WA 98201-1409 |
Find all physicians in zip 98201 |
City | EVERETT |
Zip Code | 98201 |
Specialty | NURSE PRACTITIONER |
City + Specialty | EVERETT + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Randall L De Jong.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.