| Daiya Healthcare Pllc | |
|
11120 Ne 33rd Pl Ste 202 Bellevue WA 98004-1444 | |
| (206) 823-1004 | |
| (206) 309-3319 |
| Full Name | Daiya Healthcare Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 11120 Ne 33rd Pl Ste 202, Bellevue, Washington |
| Authorized Official Name and Position | Bhupinder Walia (CEO) |
| Authorized Official Contact | 2068231004 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Daiya Healthcare Pllc 11120 Ne 33rd Pl Ste 202 Bellevue WA 98004-1444 Ph: (206) 823-1004 | Daiya Healthcare Pllc 11120 Ne 33rd Pl Ste 202 Bellevue WA 98004-1444 Ph: (206) 823-1004 |
| NPI Number | 1477027381 |
|---|---|
| Provider Enumeration Date | 01/14/2019 |
| Last Update Date | 04/08/2021 |
| Medicare PECOS PAC ID | 6002158615 |
|---|---|
| Medicare Enrollment ID | O20190501001702 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477027381 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Tina N Christian-lenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265494587 PECOS PAC ID: 5395788624 Enrollment ID: I20050607000861 |
| Provider Name | Keith C Pasternak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477567725 PECOS PAC ID: 8123048410 Enrollment ID: I20051201000345 |
| Provider Name | Valerie Sutherland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962493684 PECOS PAC ID: 5597782292 Enrollment ID: I20080715000117 |
| Provider Name | Ronald Schubert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801817465 PECOS PAC ID: 0749335552 Enrollment ID: I20090831000499 |
| Provider Name | Masoud S Taleghani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114117330 PECOS PAC ID: 3375635550 Enrollment ID: I20091111000069 |
| Provider Name | Jeanette E Nyman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396831525 PECOS PAC ID: 3375685035 Enrollment ID: I20100119000789 |
| Provider Name | Isam Dorna |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1952362311 PECOS PAC ID: 1355302399 Enrollment ID: I20100303001100 |
| Provider Name | Victoria K Stocker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407803026 PECOS PAC ID: 7214021880 Enrollment ID: I20100319000851 |
| Provider Name | Claudia C Sloan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225224470 PECOS PAC ID: 2860524394 Enrollment ID: I20100720000401 |
| Provider Name | Benjamin S Schultze |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073715793 PECOS PAC ID: 4183707201 Enrollment ID: I20110722000239 |
| Provider Name | Bhupinder Walia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801039649 PECOS PAC ID: 8123297728 Enrollment ID: I20110817000237 |
| Provider Name | Peggy A Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467504084 PECOS PAC ID: 5395906762 Enrollment ID: I20120411000440 |
| Provider Name | Shaluk Biswas |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1295080562 PECOS PAC ID: 1850541012 Enrollment ID: I20121024000252 |
| Provider Name | George Paris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851533913 PECOS PAC ID: 3577730506 Enrollment ID: I20121031000221 |
| Provider Name | Patricia M Jergens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891831590 PECOS PAC ID: 1456592922 Enrollment ID: I20130725000362 |
| Provider Name | Valerie Jean Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730133638 PECOS PAC ID: 6204825490 Enrollment ID: I20131007000810 |
| Provider Name | Lusana Schutz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972731628 PECOS PAC ID: 7810152618 Enrollment ID: I20140120000588 |
| Provider Name | Annushka Cesan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629493416 PECOS PAC ID: 9537392170 Enrollment ID: I20140506000023 |
| Provider Name | Patricia Ann Coyman |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1285661942 PECOS PAC ID: 6709873565 Enrollment ID: I20140625000931 |
| Provider Name | Alta Langdon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356751077 PECOS PAC ID: 4486871415 Enrollment ID: I20140814001134 |
| Provider Name | Sheala Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851702641 PECOS PAC ID: 0648497693 Enrollment ID: I20140814001526 |
| Provider Name | Maninder Mahal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225325764 PECOS PAC ID: 7618109208 Enrollment ID: I20140821000047 |
| Provider Name | Emma Loftus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184037988 PECOS PAC ID: 7416177365 Enrollment ID: I20140929000303 |
| Provider Name | Jocelyn A Burgos-dago-oc |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821251372 PECOS PAC ID: 1254500960 Enrollment ID: I20151021001301 |
| Provider Name | Adiba A Syeda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992011845 PECOS PAC ID: 6406086370 Enrollment ID: I20160118000913 |
| Provider Name | Janis J Whitehead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316930795 PECOS PAC ID: 4981742491 Enrollment ID: I20160512000909 |
| Provider Name | Arthur E Bagabag |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932467206 PECOS PAC ID: 4183914716 Enrollment ID: I20160609001104 |
| Provider Name | Rejeesh Menon Manchezhathu Rajagopalamenon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720424476 PECOS PAC ID: 7810284684 Enrollment ID: I20160921002193 |
| Provider Name | Richard Daniel Ervin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902252505 PECOS PAC ID: 6608154893 Enrollment ID: I20161021001533 |
| Provider Name | Carmen C. Bowie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215485321 PECOS PAC ID: 5890083737 Enrollment ID: I20170222001599 |
| Provider Name | Christina Deoliveira |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093149346 PECOS PAC ID: 8729363296 Enrollment ID: I20170323002053 |
| Provider Name | Bolajoko R Adeniyi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104112036 PECOS PAC ID: 2466771589 Enrollment ID: I20170404000661 |
| Provider Name | Sylvia Castro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912297219 PECOS PAC ID: 4688941511 Enrollment ID: I20170525001786 |
| Provider Name | Hannah Ng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588199053 PECOS PAC ID: 9234406000 Enrollment ID: I20170526000487 |
| Provider Name | Navdeep Dhaliwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477968337 PECOS PAC ID: 9830488071 Enrollment ID: I20170628002395 |
| Provider Name | Pooja Jasmine Saini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073971693 PECOS PAC ID: 0244502763 Enrollment ID: I20170818000060 |
| Provider Name | Nhi Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205247483 PECOS PAC ID: 1153696307 Enrollment ID: I20171013002276 |
| Provider Name | Joshua B Kretchmar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629485701 PECOS PAC ID: 6507157575 Enrollment ID: I20171017000916 |
| Provider Name | Jasmit Minhas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689081812 PECOS PAC ID: 7618233495 Enrollment ID: I20171110001257 |
| Provider Name | Lorena Sprecher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609286202 PECOS PAC ID: 4789806837 Enrollment ID: I20180117003063 |
| Provider Name | Ambiga Samiappan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598012320 PECOS PAC ID: 9234442997 Enrollment ID: I20180328000696 |
| Provider Name | Patricia Medina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215439922 PECOS PAC ID: 7618231127 Enrollment ID: I20180509002989 |
| Provider Name | Daniel E Roa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801266119 PECOS PAC ID: 1951665918 Enrollment ID: I20180808000336 |
| Provider Name | Holly D Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073006045 PECOS PAC ID: 6709138514 Enrollment ID: I20181005001262 |
| Provider Name | Manh Duc Pham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518447473 PECOS PAC ID: 8820334477 Enrollment ID: I20190118000196 |
| Provider Name | Darren Trofibio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891267951 PECOS PAC ID: 1052650157 Enrollment ID: I20190307002157 |
| Provider Name | Haramandeep Singh |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1154410967 PECOS PAC ID: 8224199815 Enrollment ID: I20190502000536 |
| Provider Name | Floyd Sekeramayi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1912324559 PECOS PAC ID: 4486907490 Enrollment ID: I20190514001505 |
| Provider Name | Carol Jane Han Cha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306103684 PECOS PAC ID: 9335464742 Enrollment ID: I20190523001354 |
| Provider Name | Lindsay Marie Mcginnis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144699224 PECOS PAC ID: 1052629102 Enrollment ID: I20190529003285 |
| Provider Name | Markita Renee Wicks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619439924 PECOS PAC ID: 5395078513 Enrollment ID: I20190603002311 |
| Provider Name | Emily Dy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760774285 PECOS PAC ID: 9638402332 Enrollment ID: I20190612001833 |
| Provider Name | Tyshayna Boggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538723507 PECOS PAC ID: 0042543605 Enrollment ID: I20190613001102 |
| Provider Name | Johnny E Liner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124685045 PECOS PAC ID: 3173857208 Enrollment ID: I20190624003451 |
| Provider Name | Harmanjot Singh Gill |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114374030 PECOS PAC ID: 8921335399 Enrollment ID: I20190807002813 |
| Provider Name | Michael Chege Ngugi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326605239 PECOS PAC ID: 8527395409 Enrollment ID: I20190815001162 |
| Provider Name | Jillian Webb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669843447 PECOS PAC ID: 9234430026 Enrollment ID: I20190827003243 |
| Provider Name | Deborah A Copus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699877357 PECOS PAC ID: 8022031855 Enrollment ID: I20190905002077 |
| Provider Name | Mercy Mugo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588224711 PECOS PAC ID: 8921337502 Enrollment ID: I20190906001648 |
| Provider Name | Shikha Bharati |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760034722 PECOS PAC ID: 6204166051 Enrollment ID: I20190923000710 |
| Provider Name | Natalya S Wolter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952963449 PECOS PAC ID: 0648500322 Enrollment ID: I20190923002142 |
| Provider Name | Ousman Jaiteh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780237677 PECOS PAC ID: 8123358876 Enrollment ID: I20190924001677 |
| Provider Name | Corey P Mccart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972965069 PECOS PAC ID: 9830482587 Enrollment ID: I20190925000520 |
| Provider Name | Meridith Margaret Hallowell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679129431 PECOS PAC ID: 3476883505 Enrollment ID: I20191002002313 |
| Provider Name | Rijesh Raj Shrestha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316261670 PECOS PAC ID: 5890826721 Enrollment ID: I20191022001735 |
| Provider Name | Amare Melak Kassahun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538721881 PECOS PAC ID: 1153653001 Enrollment ID: I20191028000543 |
| Provider Name | Brittney Andrea Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437791662 PECOS PAC ID: 0143654111 Enrollment ID: I20191227001592 |
| Provider Name | Omar M Saine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679121966 PECOS PAC ID: 3678907482 Enrollment ID: I20200103001464 |
| Provider Name | Arash Mirzaie Amirabadi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750679767 PECOS PAC ID: 8325219090 Enrollment ID: I20200115001989 |
| Provider Name | Dawda Cham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093351447 PECOS PAC ID: 0345675161 Enrollment ID: I20200123002536 |
| Provider Name | Courtney Redus Rowland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649819087 PECOS PAC ID: 9638505860 Enrollment ID: I20200207000709 |
| Provider Name | Cindy Yager |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053708040 PECOS PAC ID: 3971823873 Enrollment ID: I20200210001721 |
| Provider Name | Alison Conner/donaldson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508404252 PECOS PAC ID: 6608202726 Enrollment ID: I20200210001947 |
| Provider Name | Salome Odja Dockendorf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003467127 PECOS PAC ID: 2264869098 Enrollment ID: I20200217002581 |
| Provider Name | Alisha Boxley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861950495 PECOS PAC ID: 6507293727 Enrollment ID: I20200228001543 |
| Provider Name | Joshua Njenga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871023002 PECOS PAC ID: 8729330931 Enrollment ID: I20200303001091 |
| Provider Name | Jacques Sainvil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205485638 PECOS PAC ID: 2567890775 Enrollment ID: I20200323002151 |
| Provider Name | Jacinta Chinazor Maghiro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578123824 PECOS PAC ID: 9830527910 Enrollment ID: I20200324001890 |
| Provider Name | Hargobind Khurana |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1528270410 PECOS PAC ID: 9638233356 Enrollment ID: I20200402001179 |
| Provider Name | Angelina Abrahamson Laforteza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952873515 PECOS PAC ID: 1355770637 Enrollment ID: I20200408000757 |
| Provider Name | Florence Nguku |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619531985 PECOS PAC ID: 5890125827 Enrollment ID: I20200415001693 |
| Provider Name | Eileen Newton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255547170 PECOS PAC ID: 3072943539 Enrollment ID: I20200423002297 |
| Provider Name | Destiny Rose Lett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578021481 PECOS PAC ID: 7113357500 Enrollment ID: I20200427001750 |
| Provider Name | Reah A Tobola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205494291 PECOS PAC ID: 9931539194 Enrollment ID: I20200430002825 |
| Provider Name | Adenike A Oke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932742442 PECOS PAC ID: 2466883657 Enrollment ID: I20200501001957 |
| Provider Name | Avni Pandya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417078999 PECOS PAC ID: 9537248646 Enrollment ID: I20200511003575 |
| Provider Name | Angella Clarke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851839740 PECOS PAC ID: 3779869672 Enrollment ID: I20200513000545 |
| Provider Name | Toni M Keel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841835782 PECOS PAC ID: 7719308535 Enrollment ID: I20200603002880 |
| Provider Name | Anne Hedger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679761829 PECOS PAC ID: 3274615851 Enrollment ID: I20200624003075 |
| Provider Name | Lucy Wachuka Kamau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932728466 PECOS PAC ID: 7214359819 Enrollment ID: I20200629001747 |
| Provider Name | Alexandra Petrova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588218580 PECOS PAC ID: 6103249818 Enrollment ID: I20200713003380 |
| Provider Name | Vandana Chatterjee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063767531 PECOS PAC ID: 9133432065 Enrollment ID: I20200715000757 |
| Provider Name | Balveen Kaur Purewal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356975676 PECOS PAC ID: 9032532601 Enrollment ID: I20200715000902 |
| Provider Name | Ashley Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902422918 PECOS PAC ID: 3971929357 Enrollment ID: I20200817000259 |
| Provider Name | Vanessa F Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215546494 PECOS PAC ID: 8729405402 Enrollment ID: I20200826000969 |
| Provider Name | Bryan Camus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356866255 PECOS PAC ID: 3072931146 Enrollment ID: I20200922002495 |
| Provider Name | Amanda Cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376951749 PECOS PAC ID: 3274803440 Enrollment ID: I20201022001872 |
| Provider Name | Kemble Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205292703 PECOS PAC ID: 5597062398 Enrollment ID: I20201022002195 |
| Provider Name | Redempta Rhoda Mwikya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265047245 PECOS PAC ID: 5799195095 Enrollment ID: I20201027002062 |
| Provider Name | Corneliu Volosen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033738455 PECOS PAC ID: 0042620114 Enrollment ID: I20201030000179 |
| Provider Name | Balraj Kaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003440322 PECOS PAC ID: 0941612253 Enrollment ID: I20201210000791 |
| Provider Name | Yanique Ricie N Yakam Azah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700485919 PECOS PAC ID: 7618389412 Enrollment ID: I20201221001451 |
| Provider Name | Monica Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225664386 PECOS PAC ID: 6103249727 Enrollment ID: I20210104001019 |
| Provider Name | Yekaba K Ayelegne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396251518 PECOS PAC ID: 7012277783 Enrollment ID: I20210107001215 |
| Provider Name | Samuel Hally |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982210795 PECOS PAC ID: 7012329386 Enrollment ID: I20210209002747 |
| Provider Name | Zoran Rakonjac |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1750816252 PECOS PAC ID: 3678988524 Enrollment ID: I20210226001295 |
| Provider Name | Taylor Stockton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407404668 PECOS PAC ID: 6406286467 Enrollment ID: I20210319001471 |
| Provider Name | Kalyca Seabrook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457997520 PECOS PAC ID: 5597191874 Enrollment ID: I20210325002729 |
| Provider Name | Deanna Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235316332 PECOS PAC ID: 6901214311 Enrollment ID: I20210426000424 |
| Provider Name | Nellyda M Anslow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225437734 PECOS PAC ID: 2668794157 Enrollment ID: I20210505002071 |
| Provider Name | Jessica Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811032683 PECOS PAC ID: 5294140968 Enrollment ID: I20210521001923 |
| Provider Name | Bakary Marong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073187159 PECOS PAC ID: 4789084641 Enrollment ID: I20210614003451 |
| Provider Name | Erica Lynn Hommertzheim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265015341 PECOS PAC ID: 4789086067 Enrollment ID: I20210708002659 |
| Provider Name | Cindy Lynn Dudley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346823176 PECOS PAC ID: 4688076789 Enrollment ID: I20210713000109 |
| Provider Name | Huanyi Liu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679118434 PECOS PAC ID: 7315343357 Enrollment ID: I20210831001434 |
| Provider Name | Jee Hang Tse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952946642 PECOS PAC ID: 5395142830 Enrollment ID: I20210924002895 |
| Provider Name | John Thomas Butchko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992472633 PECOS PAC ID: 0749688018 Enrollment ID: I20211018002250 |
| Provider Name | Jessica Wu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720740640 PECOS PAC ID: 4981092350 Enrollment ID: I20211104001212 |
| Provider Name | Emem L Umoh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962875039 PECOS PAC ID: 9537441803 Enrollment ID: I20220110002372 |
| Provider Name | Jane Wambui Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811651474 PECOS PAC ID: 0042605305 Enrollment ID: I20220323001605 |
| Provider Name | Tanner Rapp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144992314 PECOS PAC ID: 3173918455 Enrollment ID: I20220323002416 |
| Provider Name | Erin M Patz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902350937 PECOS PAC ID: 6305133919 Enrollment ID: I20220401000541 |
| Provider Name | Neel Ramesh Chheda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336678382 PECOS PAC ID: 0143574707 Enrollment ID: I20220413000739 |
| Provider Name | Manisha Ramdev |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417525734 PECOS PAC ID: 3971981606 Enrollment ID: I20220608000620 |
| Provider Name | Barbara J Macfarlane |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821164849 PECOS PAC ID: 3870699911 Enrollment ID: I20220716000541 |
| Provider Name | Waheed Olabode |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184197691 PECOS PAC ID: 5395127914 Enrollment ID: I20220728003685 |
| Provider Name | Ashly-jourdyn Mae Landry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811626211 PECOS PAC ID: 2062895444 Enrollment ID: I20220817003033 |
| Provider Name | Vivienne Ann Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568492486 PECOS PAC ID: 0547210403 Enrollment ID: I20220824001091 |
| Provider Name | Abdul Khokhar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225284854 PECOS PAC ID: 6103095278 Enrollment ID: I20220901002485 |
| Provider Name | Shutong Zhang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437612512 PECOS PAC ID: 8729462171 Enrollment ID: I20220902000085 |
| Provider Name | Alisha Grayson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174781553 PECOS PAC ID: 8921493677 Enrollment ID: I20220909001299 |
| Provider Name | Robert J Wamukoya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558007930 PECOS PAC ID: 8729463625 Enrollment ID: I20220913002460 |
| Provider Name | Alicia Marie Mcclintock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508502220 PECOS PAC ID: 4587031083 Enrollment ID: I20221111001183 |
| Provider Name | Rashida Ullah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205577624 PECOS PAC ID: 6103294707 Enrollment ID: I20221201000623 |
| Provider Name | Marshall John Saipher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083808182 PECOS PAC ID: 1254327182 Enrollment ID: I20221207001976 |
| Provider Name | Navreet Kaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619558442 PECOS PAC ID: 4385053511 Enrollment ID: I20230105003180 |
| Provider Name | Virgil Livingston |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1265164198 PECOS PAC ID: 9638288830 Enrollment ID: I20230106000723 |
| Provider Name | Terence Koontzy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033754296 PECOS PAC ID: 1850783713 Enrollment ID: I20230116000305 |
| Provider Name | Joshua Garrett Jennings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063126282 PECOS PAC ID: 2163893447 Enrollment ID: I20230124002801 |
| Provider Name | Naomi Warner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639703754 PECOS PAC ID: 1557733540 Enrollment ID: I20230221003101 |
| Provider Name | Jose James Doria Cerezo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689381469 PECOS PAC ID: 8123491859 Enrollment ID: I20230228002612 |
| Provider Name | Berhanu Kededa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184994105 PECOS PAC ID: 5991957011 Enrollment ID: I20230901002467 |
| Provider Name | Kaylesh Pandya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477998599 PECOS PAC ID: 0941545057 Enrollment ID: I20231111000393 |
| Provider Name | Nneka Okoh Godwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891294161 PECOS PAC ID: 4688681497 Enrollment ID: I20231222000187 |
Mediart Family Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1530 140th Ave Ne Ste 101, Bellevue, WA 98005 Phone: 425-233-8254 Fax: 425-454-7827 | |
Highland Middle School Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15027 Ne Bel Red Rd, Bellevue, WA 98007 Phone: 425-373-3135 | |
Jkw Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11504 Ne 21st St, Bellevue, WA 98004 Phone: 425-698-3033 Fax: 425-968-6357 | |
Hotel California By The Sea Bellevue, Llc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1601 114th Ave Se Ste 180, Bellevue, WA 98004 Phone: 844-766-8717 | |
Healthscan Of Washington Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6282 119th Ave Se, Bellevue, WA 98006 Phone: 206-922-9951 | |
Rediclinic Of Wa, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3905 Factoria Mall Se, Bellevue, WA 98006 Phone: 713-335-1754 | |
Kaiser Permanente Bellevue Infusion Pharmacy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11511 Ne 10th St, Bellevue, WA 98004 Phone: 425-502-3820 Fax: 425-502-3813 |