| Northwest Gastroenterology Professional Llc | |
|
3111 Woburn St Ste 201 Bellingham WA 98226-6610 | |
| (360) 734-1420 | |
| (360) 733-1659 |
| Full Name | Northwest Gastroenterology Professional Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3111 Woburn St Ste 201, Bellingham, Washington |
| Authorized Official Name and Position | Cheryl L Persse (CHIEF ADMINISTRATIVE OFFICER) |
| Authorized Official Contact | 3605435054 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Gastroenterology Professional Llc 3111 Woburn St Ste 201 Bellingham WA 98226-6610 Ph: (360) 734-1420 | Northwest Gastroenterology Professional Llc 3111 Woburn St Ste 201 Bellingham WA 98226-6610 Ph: (360) 734-1420 |
| NPI Number | 1033278411 |
|---|---|
| Provider Enumeration Date | 12/08/2006 |
| Last Update Date | 05/24/2023 |
| Medicare PECOS PAC ID | 9335052265 |
|---|---|
| Medicare Enrollment ID | O20031107000129 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033278411 | NPI | - | NPPES |
| 7048408 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Kelly D Mccullough |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841256260 PECOS PAC ID: 0840230553 Enrollment ID: I20050511000821 |
| Provider Name | Todd N Witte |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1093847949 PECOS PAC ID: 1759487036 Enrollment ID: I20070502000605 |
| Provider Name | Benjamin Siemanowski |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548301120 PECOS PAC ID: 0244337285 Enrollment ID: I20070525000302 |
| Provider Name | Kristin M Page |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992966436 PECOS PAC ID: 3779658570 Enrollment ID: I20080813000426 |
| Provider Name | Jody L Bauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003904061 PECOS PAC ID: 7012033491 Enrollment ID: I20100922000899 |
| Provider Name | Alan G.y. Chang |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255398285 PECOS PAC ID: 7719963230 Enrollment ID: I20100923001467 |
| Provider Name | Christoph Reitz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1639135007 PECOS PAC ID: 8325024771 Enrollment ID: I20101117000954 |
| Provider Name | Gregory W Munson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982610937 PECOS PAC ID: 8224100953 Enrollment ID: I20110810000031 |
| Provider Name | Donald E Gullickson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275775058 PECOS PAC ID: 2062676687 Enrollment ID: I20161228001519 |
| Provider Name | Kristina Ross |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568738458 PECOS PAC ID: 9638304769 Enrollment ID: I20190710001924 |
| Provider Name | Alison Elizabeth Freeman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235454091 PECOS PAC ID: 4981904018 Enrollment ID: I20220412002356 |
| Provider Name | Jash Nettar Bansal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225484207 PECOS PAC ID: 3971898255 Enrollment ID: I20220816000940 |
| Provider Name | Rinad Tabbalat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609392059 PECOS PAC ID: 6103199666 Enrollment ID: I20230705000841 |
| Provider Name | Dylan Alexander Stanfield |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1306371125 PECOS PAC ID: 7911277116 Enrollment ID: I20230809003732 |
Harbor Integrative Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2114 James St, Bellingham, WA 98225 Phone: 360-527-5232 | |
Steadfast Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 424 W Bakerview Rd Ste 105-2186, Bellingham, WA 98226 Phone: 360-553-0135 | |
Sea Mar Chc Bellingham Sud Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3350 Airport Dr, Bellingham, WA 98226 Phone: 360-734-5458 Fax: 360-734-5298 | |
Foster Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1815 C St, K37, Bellingham, WA 98225 Phone: 360-671-6350 Fax: 360-671-9611 | |
Walk In Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2940 Squalicum Pkwy, Suite 205, Bellingham, WA 98225 Phone: 360-734-2330 Fax: 360-733-3886 | |
Sea-mar Community Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4455 Cordata Pkwy, Bellingham, WA 98226 Phone: 360-671-3225 Fax: 360-671-0000 |