| Northwest Medical Specialties Pllc | |
| 1624 S I St Suite #305 Tacoma WA 98405-5016 | |
| (253) 428-8700 | |
| (253) 627-4285 | 
| Full Name | Northwest Medical Specialties Pllc | 
|---|---|
| Speciality | Clinic/Center | 
| Location | 1624 S I St, Tacoma, Washington | 
| Authorized Official Name and Position | Mark Nelson (COO) | 
| Authorized Official Contact | 2534288756 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Northwest Medical Specialties Pllc 1624 S I St Suite #305 Tacoma WA 98405-5016 Ph: (253) 428-8700 | Northwest Medical Specialties Pllc 1624 S I St Suite #305 Tacoma WA 98405-5016 Ph: (253) 428-8700 | 
| NPI Number | 1548261308 | 
|---|---|
| Provider Enumeration Date | 08/02/2005 | 
| Last Update Date | 09/15/2021 | 
| Medicare PECOS PAC ID | 8022903384 | 
|---|---|
| Medicare Enrollment ID | O20040217000405 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1548261308 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary | 
| Provider Name | William Ira Bensinger | 
|---|---|
| Provider Type | Practitioner - Hematology/oncology | 
| Provider Identifiers | NPI Number: 1922198886 PECOS PAC ID: 6901707074 Enrollment ID: I20040120000956 | 
| Provider Name | Thomas E Boyd | 
|---|---|
| Provider Type | Practitioner - Hematology/oncology | 
| Provider Identifiers | NPI Number: 1518049642 PECOS PAC ID: 4486544236 Enrollment ID: I20040317000173 | 
| Provider Name | Andrea L Veatch | 
|---|---|
| Provider Type | Practitioner - Medical Oncology | 
| Provider Identifiers | NPI Number: 1952398158 PECOS PAC ID: 9234128273 Enrollment ID: I20040506001109 | 
| Provider Name | Francis M Senecal | 
|---|---|
| Provider Type | Practitioner - Hematology/oncology | 
| Provider Identifiers | NPI Number: 1417046236 PECOS PAC ID: 6709771967 Enrollment ID: I20040518000486 | 
| Provider Name | Debra S Morris | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1053401117 PECOS PAC ID: 6507856754 Enrollment ID: I20040518000637 | 
| Provider Name | Robert D Mccroskey | 
|---|---|
| Provider Type | Practitioner - Hematology/oncology | 
| Provider Identifiers | NPI Number: 1629064589 PECOS PAC ID: 8325009160 Enrollment ID: I20041025000478 | 
| Provider Name | Sibel Blau | 
|---|---|
| Provider Type | Practitioner - Hematology/oncology | 
| Provider Identifiers | NPI Number: 1962490797 PECOS PAC ID: 4688628373 Enrollment ID: I20060315000795 | 
| Provider Name | Lavanya Sundararajan | 
|---|---|
| Provider Type | Practitioner - Hematology/oncology | 
| Provider Identifiers | NPI Number: 1568553097 PECOS PAC ID: 1658432745 Enrollment ID: I20081208000483 | 
| Provider Name | Marles J Geist | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1073759486 PECOS PAC ID: 2668529744 Enrollment ID: I20090407000043 | 
| Provider Name | Ndegwa M Njuguna | 
|---|---|
| Provider Type | Practitioner - Hematology/oncology | 
| Provider Identifiers | NPI Number: 1851577522 PECOS PAC ID: 3072564079 Enrollment ID: I20090715000778 | 
| Provider Name | Mehmet F Fer | 
|---|---|
| Provider Type | Practitioner - Hematology/oncology | 
| Provider Identifiers | NPI Number: 1164506887 PECOS PAC ID: 2860527264 Enrollment ID: I20100323000784 | 
| Provider Name | Ellen M Hanisch | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1346248754 PECOS PAC ID: 9436273091 Enrollment ID: I20100902001046 | 
| Provider Name | David E Mccune | 
|---|---|
| Provider Type | Practitioner - Hematology/oncology | 
| Provider Identifiers | NPI Number: 1457366320 PECOS PAC ID: 1951597434 Enrollment ID: I20101123000493 | 
| Provider Name | Jorge M Chaves | 
|---|---|
| Provider Type | Practitioner - Hematology/oncology | 
| Provider Identifiers | NPI Number: 1265610752 PECOS PAC ID: 5092987230 Enrollment ID: I20111011000671 | 
| Provider Name | Ludmila K Martin | 
|---|---|
| Provider Type | Practitioner - Medical Oncology | 
| Provider Identifiers | NPI Number: 1568653509 PECOS PAC ID: 8628210945 Enrollment ID: I20130815000159 | 
| Provider Name | Alicia D Soule | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1710381751 PECOS PAC ID: 4385969617 Enrollment ID: I20150209001782 | 
| Provider Name | Abra P Kelson | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1356729107 PECOS PAC ID: 7517265309 Enrollment ID: I20160412000331 | 
| Provider Name | Emily Stevens | 
|---|---|
| Provider Type | Practitioner - Hematology/oncology | 
| Provider Identifiers | NPI Number: 1669798195 PECOS PAC ID: 8527384080 Enrollment ID: I20160628000272 | 
| Provider Name | Kristin J Mellein | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1184024747 PECOS PAC ID: 3779875901 Enrollment ID: I20170504001372 | 
| Provider Name | Flora Galloway | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1205330503 PECOS PAC ID: 9436414232 Enrollment ID: I20180529000655 | 
| Provider Name | Jessica R Maike | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1841701752 PECOS PAC ID: 3779821079 Enrollment ID: I20190212002082 | 
| Provider Name | Sarah R Coughlin | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1043761992 PECOS PAC ID: 5193007532 Enrollment ID: I20191022001185 | 
| Provider Name | Mohammed N Kanaan | 
|---|---|
| Provider Type | Practitioner - Hematology/oncology | 
| Provider Identifiers | NPI Number: 1326270992 PECOS PAC ID: 3476864414 Enrollment ID: I20191115000661 | 
| Provider Name | Jessica Rae Hoover | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1699326553 PECOS PAC ID: 6608200373 Enrollment ID: I20200106001817 | 
| Provider Name | Janine A Gundel | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1790070464 PECOS PAC ID: 0143539486 Enrollment ID: I20200504002274 | 
| Provider Name | Li Zhang | 
|---|---|
| Provider Type | Practitioner - Medical Oncology | 
| Provider Identifiers | NPI Number: 1972865863 PECOS PAC ID: 7214227974 Enrollment ID: I20200727003388 | 
| Provider Name | Aliakbar R Dadla | 
|---|---|
| Provider Type | Practitioner - Medical Oncology | 
| Provider Identifiers | NPI Number: 1134474976 PECOS PAC ID: 2961721766 Enrollment ID: I20210603001538 | 
| Provider Name | Mandie Michelle Brown | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1942808506 PECOS PAC ID: 0143623348 Enrollment ID: I20210726002954 | 
| Provider Name | Manas Agastya | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1629495759 PECOS PAC ID: 1254655327 Enrollment ID: I20210805001495 | 
| Provider Name | Melissa Yan | 
|---|---|
| Provider Type | Practitioner - Hematology/oncology | 
| Provider Identifiers | NPI Number: 1922493436 PECOS PAC ID: 8628333424 Enrollment ID: I20210819003590 | 
| Provider Name | Michelle Jean Strojan | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1407489974 PECOS PAC ID: 3173912870 Enrollment ID: I20211118002372 | 
| Provider Name | Sarah Lydia Stacpoole | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1407481690 PECOS PAC ID: 4082086947 Enrollment ID: I20230202002654 | 
| Provider Name | Emma Broussard | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1306419015 PECOS PAC ID: 7315341179 Enrollment ID: I20230215001728 | 
| Provider Name | Kyungsuk Jung | 
|---|---|
| Provider Type | Practitioner - Hematology/oncology | 
| Provider Identifiers | NPI Number: 1265792196 PECOS PAC ID: 0446471171 Enrollment ID: I20230626002933 | 
| Provider Name | Amanda Isula-hillebert | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1891519930 PECOS PAC ID: 9335679315 Enrollment ID: I20250205003117 | 
| Tran Urgent Care & Wellness Centers Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 710 South, 38th Street, Suite B, Tacoma, WA 98418 Phone: 253-719-7767 Fax: 253-330-8646 | |
| Sound Ltc Of California I Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1498 Pacific Ave Ste 500, Tacoma, WA 98402 Phone: 253-682-6040 | |
| Thu V. Le, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1212 S 11th St, Suite 39, Tacoma, WA 98405 Phone: 253-627-6128 | |
| Comprehensive Postacute Care Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1724 Pointe Woodworth Dr Ne, Tacoma, WA 98422 Phone: 253-820-6757 | |
| Hc Wound Services Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6220 S Alaska St, Tacoma, WA 98408 Phone: 732-631-4358 | |
| Lincoln Pharmacy Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 821 S 38th St, Tacoma, WA 98418 Phone: 253-473-1155 Fax: 253-473-1158 | |
| Multicare Health System Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 315 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-403-1000 |