| Northwest Observation Associates Pc | |
|
34515 9th Ave S Federal Way WA 98003-6761 | |
| (865) 693-1000 | |
| Not Available |
| Full Name | Northwest Observation Associates Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 34515 9th Ave S, Federal Way, Washington |
| Authorized Official Name and Position | Sharon Hardy (DIRECTOR PROVIDER ENROLLMENT) |
| Authorized Official Contact | 9252516901 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Observation Associates Pc 265 Brookview Centre Way Ste 400 Knoxville TN 37919-4052 Ph: (865) 693-1000 | Northwest Observation Associates Pc 34515 9th Ave S Federal Way WA 98003-6761 Ph: (865) 693-1000 |
| NPI Number | 1023539376 |
|---|---|
| Provider Enumeration Date | 06/27/2017 |
| Last Update Date | 01/10/2020 |
| Medicare PECOS PAC ID | 9032480942 |
|---|---|
| Medicare Enrollment ID | O20170810000470 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023539376 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208M00000X | Hospitalist | (* (Not Available)) | Secondary |
| Provider Name | Bradley S Howeiler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245271584 PECOS PAC ID: 7416944004 Enrollment ID: I20040427000405 |
| Provider Name | Lysa S Ward |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023053857 PECOS PAC ID: 9234126541 Enrollment ID: I20040428001201 |
| Provider Name | Kirin M Rice |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689619637 PECOS PAC ID: 5597752683 Enrollment ID: I20040429000909 |
| Provider Name | Jorge L Llera |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669428108 PECOS PAC ID: 1557350105 Enrollment ID: I20040508000458 |
| Provider Name | Fredric T Lo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003852872 PECOS PAC ID: 4183671803 Enrollment ID: I20050405000975 |
| Provider Name | James B Lee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093757981 PECOS PAC ID: 4587603659 Enrollment ID: I20050428000021 |
| Provider Name | Jeffrey M Cortazzo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912948381 PECOS PAC ID: 5092612242 Enrollment ID: I20050428000293 |
| Provider Name | Dana W Pope |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407898125 PECOS PAC ID: 1254371206 Enrollment ID: I20050509000965 |
| Provider Name | Erik Meinhard Gerdes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346281045 PECOS PAC ID: 6800849092 Enrollment ID: I20050919000874 |
| Provider Name | Laurie Tyo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902853229 PECOS PAC ID: 2365476579 Enrollment ID: I20050926001162 |
| Provider Name | Benjamin Harrison |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346210895 PECOS PAC ID: 6305808130 Enrollment ID: I20060223000610 |
| Provider Name | Kimberly T Brooker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821024415 PECOS PAC ID: 3870591209 Enrollment ID: I20061120000328 |
| Provider Name | Allister Stone |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073552394 PECOS PAC ID: 6103823968 Enrollment ID: I20070716000217 |
| Provider Name | Charles Parkhurst Buck |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831152826 PECOS PAC ID: 2567533946 Enrollment ID: I20080612000056 |
| Provider Name | Desislava Z Hite |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003888256 PECOS PAC ID: 5092889469 Enrollment ID: I20080801000550 |
| Provider Name | Melody C Denson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619924206 PECOS PAC ID: 5597660084 Enrollment ID: I20090309000130 |
| Provider Name | Nathaniel Ryan Schlicher |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811101017 PECOS PAC ID: 2062594716 Enrollment ID: I20090731000086 |
| Provider Name | Jesse H Kim |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275689549 PECOS PAC ID: 6608912993 Enrollment ID: I20090929000507 |
| Provider Name | Richard M Goodfried |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588620520 PECOS PAC ID: 5890823090 Enrollment ID: I20100510000142 |
| Provider Name | Aaron C Laird |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013231737 PECOS PAC ID: 0840321055 Enrollment ID: I20100703000027 |
| Provider Name | Stephen Derrick Fowler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881857993 PECOS PAC ID: 2961564679 Enrollment ID: I20100816000741 |
| Provider Name | Steven Makoto Kodama |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972544211 PECOS PAC ID: 6901921626 Enrollment ID: I20100917000245 |
| Provider Name | Yasmeen N Ansari |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922254978 PECOS PAC ID: 3375736614 Enrollment ID: I20101019001640 |
| Provider Name | Steven Shem Rode |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043411267 PECOS PAC ID: 6103014121 Enrollment ID: I20101217000125 |
| Provider Name | Todd Lee Davidson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639331960 PECOS PAC ID: 3072791656 Enrollment ID: I20110630000131 |
| Provider Name | Samuel Lee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417112111 PECOS PAC ID: 2961671995 Enrollment ID: I20110809000506 |
| Provider Name | Jamie A Jenkins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669660726 PECOS PAC ID: 6800088295 Enrollment ID: I20110810000604 |
| Provider Name | Mamta M Pandey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316913296 PECOS PAC ID: 6103880398 Enrollment ID: I20111202000664 |
| Provider Name | Amy M Calimlim |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336339654 PECOS PAC ID: 5496921736 Enrollment ID: I20120109000155 |
| Provider Name | Christopher Keefe Staley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821282138 PECOS PAC ID: 9931376464 Enrollment ID: I20120124000299 |
| Provider Name | Luciana F De Oliveira |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518125954 PECOS PAC ID: 2668639253 Enrollment ID: I20120524000475 |
| Provider Name | Lisa Thu Nguyen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174766919 PECOS PAC ID: 9830345966 Enrollment ID: I20120806000659 |
| Provider Name | Yung L Lee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902004948 PECOS PAC ID: 3971692963 Enrollment ID: I20120810000777 |
| Provider Name | Ryan C Harris |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649408188 PECOS PAC ID: 7911178546 Enrollment ID: I20121015000238 |
| Provider Name | Davesh Kumar Sharma |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700192366 PECOS PAC ID: 9234326505 Enrollment ID: I20121227000251 |
| Provider Name | Nicholas Shawnik |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396993499 PECOS PAC ID: 5991849994 Enrollment ID: I20130218000489 |
| Provider Name | Deborah G Kleiman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659532869 PECOS PAC ID: 8921285305 Enrollment ID: I20130314000480 |
| Provider Name | Diane Lee Scheer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811143712 PECOS PAC ID: 7517115975 Enrollment ID: I20130718000413 |
| Provider Name | Alejandro Jose Gonzalez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104137868 PECOS PAC ID: 7719129337 Enrollment ID: I20130812000426 |
| Provider Name | Eric Bruce Nussbaum |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205824729 PECOS PAC ID: 5991796468 Enrollment ID: I20140305000178 |
| Provider Name | Vanessa Weiland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235566290 PECOS PAC ID: 0345470662 Enrollment ID: I20140306002159 |
| Provider Name | Scott Edwin Young |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619022415 PECOS PAC ID: 6002030731 Enrollment ID: I20140618002459 |
| Provider Name | Rusty W. Gust |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194044701 PECOS PAC ID: 0840441747 Enrollment ID: I20140728001246 |
| Provider Name | Eric W Webster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679990089 PECOS PAC ID: 1052538717 Enrollment ID: I20140804002427 |
| Provider Name | Helios Liu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841589827 PECOS PAC ID: 3779701248 Enrollment ID: I20140825001595 |
| Provider Name | Rex R Villanueva |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417244385 PECOS PAC ID: 2466697370 Enrollment ID: I20140912001215 |
| Provider Name | Robert Alexander Britt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427345537 PECOS PAC ID: 5395964928 Enrollment ID: I20140915000753 |
| Provider Name | Michael S Martinez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104115518 PECOS PAC ID: 8921251083 Enrollment ID: I20141021000804 |
| Provider Name | Katisha Denise Eng |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740464742 PECOS PAC ID: 0042537003 Enrollment ID: I20150401000240 |
| Provider Name | Brian Jon Yan Fung |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194088559 PECOS PAC ID: 3072826403 Enrollment ID: I20150714002783 |
| Provider Name | Heather Robertson Bowman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295090827 PECOS PAC ID: 9133432404 Enrollment ID: I20150715000911 |
| Provider Name | Andrea Skye Drenguis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205128121 PECOS PAC ID: 4981823382 Enrollment ID: I20150715001575 |
| Provider Name | Hannah E Dillender |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194014506 PECOS PAC ID: 6204054752 Enrollment ID: I20150727002535 |
| Provider Name | Seth G Holt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992071203 PECOS PAC ID: 7012221781 Enrollment ID: I20150810000422 |
| Provider Name | Mark P Kling |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700846516 PECOS PAC ID: 2769663533 Enrollment ID: I20150820012059 |
| Provider Name | Rachel Ann Scott |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972866168 PECOS PAC ID: 7618198201 Enrollment ID: I20150821013824 |
| Provider Name | Jaclyn Shaffer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356629737 PECOS PAC ID: 6608182225 Enrollment ID: I20150827001872 |
| Provider Name | Jamie L Collings |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619932068 PECOS PAC ID: 4688862600 Enrollment ID: I20150914001899 |
| Provider Name | Elizabeth H Dwyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750720868 PECOS PAC ID: 3779726179 Enrollment ID: I20150929003460 |
| Provider Name | Amy D Noland |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285953240 PECOS PAC ID: 3173718194 Enrollment ID: I20151218000728 |
| Provider Name | Jonathan W Dewees |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184917619 PECOS PAC ID: 5294952677 Enrollment ID: I20160318001074 |
| Provider Name | Marshall L Rea |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548256043 PECOS PAC ID: 6901899418 Enrollment ID: I20160428002173 |
| Provider Name | Jennie L Zhu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861831760 PECOS PAC ID: 9133410020 Enrollment ID: I20160623001920 |
| Provider Name | Benjamin Wendell Voronin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376886598 PECOS PAC ID: 6103118351 Enrollment ID: I20160707002139 |
| Provider Name | Jeffrey M Papazian |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265879993 PECOS PAC ID: 7416182407 Enrollment ID: I20160712000946 |
| Provider Name | Ashley Xuan-an Tan Tran Morin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770846875 PECOS PAC ID: 2769792779 Enrollment ID: I20160726002386 |
| Provider Name | Daniel C Sheffield |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215290515 PECOS PAC ID: 7810282480 Enrollment ID: I20160822000405 |
| Provider Name | Natalie Gilbert |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033109673 PECOS PAC ID: 4981656808 Enrollment ID: I20160901002131 |
| Provider Name | Allison Marie Tomich |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073851168 PECOS PAC ID: 5193032456 Enrollment ID: I20161212002126 |
| Provider Name | Raymond Yun |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275780256 PECOS PAC ID: 2769543974 Enrollment ID: I20161221001763 |
| Provider Name | Marvin Bradley Griffin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831503788 PECOS PAC ID: 9931427929 Enrollment ID: I20170619002684 |
| Provider Name | Katherine M Colpitts |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235573445 PECOS PAC ID: 0648560409 Enrollment ID: I20170728002695 |
| Provider Name | Braden C Andersen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598292120 PECOS PAC ID: 6406127729 Enrollment ID: I20170804002107 |
| Provider Name | Mahmooda T Syed |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801107537 PECOS PAC ID: 8729223367 Enrollment ID: I20170808002332 |
| Provider Name | Karthikeyan Muthuswamy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518376151 PECOS PAC ID: 7416229356 Enrollment ID: I20170828001186 |
| Provider Name | Sydney Peter Hindley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649617358 PECOS PAC ID: 1456667393 Enrollment ID: I20170908002045 |
| Provider Name | Tolulope O Olade |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568758308 PECOS PAC ID: 8729201348 Enrollment ID: I20171019002213 |
| Provider Name | Ryder C. Olsen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205256963 PECOS PAC ID: 2961760210 Enrollment ID: I20171214002835 |
| Provider Name | Blesserene P Kazacos |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609135821 PECOS PAC ID: 5698033298 Enrollment ID: I20180102001691 |
| Provider Name | Chad S Gorbatkin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801165956 PECOS PAC ID: 1658696877 Enrollment ID: I20180105000728 |
| Provider Name | Brett Allen Matzek |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356661581 PECOS PAC ID: 2567697618 Enrollment ID: I20180105000910 |
| Provider Name | Jennifer L Hissett |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699040824 PECOS PAC ID: 7113228297 Enrollment ID: I20180117002395 |
| Provider Name | David Ying Kui Cheng |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427447523 PECOS PAC ID: 7719246644 Enrollment ID: I20180122001546 |
| Provider Name | Winston Danai Tavee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225277072 PECOS PAC ID: 8123166592 Enrollment ID: I20180213001719 |
| Provider Name | Lisa M Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952704223 PECOS PAC ID: 5698091411 Enrollment ID: I20180302002127 |
| Provider Name | Stefan George Kazacos |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942564943 PECOS PAC ID: 6800158395 Enrollment ID: I20180321001104 |
| Provider Name | Karthik Peechera Rao |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346500816 PECOS PAC ID: 3678701844 Enrollment ID: I20180404002009 |
| Provider Name | Damien Kinzler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265638035 PECOS PAC ID: 4486841285 Enrollment ID: I20180621001318 |
| Provider Name | Anuj P Jani |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013272152 PECOS PAC ID: 1355651241 Enrollment ID: I20180829003579 |
| Provider Name | Jonathan Isaac Stuart |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1336553957 PECOS PAC ID: 3375803612 Enrollment ID: I20180904003123 |
| Provider Name | Carolan Rachel Hass |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285991711 PECOS PAC ID: 3375781776 Enrollment ID: I20181218002494 |
| Provider Name | Benjamin Tucker Friedman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942695986 PECOS PAC ID: 1759692148 Enrollment ID: I20190326001088 |
| Provider Name | Jonathan Lee Drew |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710247382 PECOS PAC ID: 2961644984 Enrollment ID: I20190717000452 |
| Provider Name | Kendra M. Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083868392 PECOS PAC ID: 3577725381 Enrollment ID: I20190806001736 |
| Provider Name | Joshua R Mcallister |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912167008 PECOS PAC ID: 4688843519 Enrollment ID: I20190829003536 |
| Provider Name | Eric Copeli |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215314083 PECOS PAC ID: 4688903453 Enrollment ID: I20190904003212 |
| Provider Name | Nicholas C Hernandez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811377476 PECOS PAC ID: 3971815010 Enrollment ID: I20190920003098 |
| Provider Name | Kyle Steele Couperus |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841685708 PECOS PAC ID: 9032415567 Enrollment ID: I20191014000442 |
| Provider Name | Derek J Maclean |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861885667 PECOS PAC ID: 3072844281 Enrollment ID: I20191018000789 |
| Provider Name | Christopher Peter Wang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386081354 PECOS PAC ID: 9436429289 Enrollment ID: I20191021001816 |
| Provider Name | Jared Michael Brazg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992048631 PECOS PAC ID: 4284920331 Enrollment ID: I20191112000937 |
| Provider Name | Christopher A Luckow |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326422627 PECOS PAC ID: 1153754650 Enrollment ID: I20191212002980 |
| Provider Name | John C Maino |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902851173 PECOS PAC ID: 0547286197 Enrollment ID: I20200123001212 |
| Provider Name | Michael Wayne Lindsey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023454238 PECOS PAC ID: 3678841483 Enrollment ID: I20200205001016 |
| Provider Name | Louis Gordon Pruitt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396163713 PECOS PAC ID: 7810291747 Enrollment ID: I20200212001841 |
| Provider Name | Justine Stremick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073939898 PECOS PAC ID: 4688970494 Enrollment ID: I20200224002343 |
| Provider Name | Adam Patrick Nordstrom |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639481427 PECOS PAC ID: 9335466358 Enrollment ID: I20200228000908 |
| Provider Name | Jamie A Ott |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215381058 PECOS PAC ID: 3870840689 Enrollment ID: I20200323001920 |
| Provider Name | Ian Scott Mallett |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831622802 PECOS PAC ID: 7810265915 Enrollment ID: I20200409001846 |
| Provider Name | Ajita R Shah |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124375761 PECOS PAC ID: 0244466068 Enrollment ID: I20200518001568 |
| Provider Name | Rebecca C. Bishop |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417488792 PECOS PAC ID: 2769805613 Enrollment ID: I20200710000231 |
| Provider Name | Jesse Lee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306237250 PECOS PAC ID: 9638441777 Enrollment ID: I20200710001858 |
| Provider Name | Paul C. Schunk |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104118470 PECOS PAC ID: 4981823135 Enrollment ID: I20200713002670 |
| Provider Name | Connor J. Houghton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437681343 PECOS PAC ID: 8921373283 Enrollment ID: I20200721000555 |
| Provider Name | Loran E Hatch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932608460 PECOS PAC ID: 1850715046 Enrollment ID: I20200721002685 |
| Provider Name | Colm J. Acuff |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487605671 PECOS PAC ID: 4587558952 Enrollment ID: I20200721004103 |
| Provider Name | Amy R. Rossi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003341173 PECOS PAC ID: 9436574779 Enrollment ID: I20200804002523 |
| Provider Name | Stephen J. Weiss |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699209759 PECOS PAC ID: 0446675235 Enrollment ID: I20200811001576 |
| Provider Name | John Raymond Storey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518372416 PECOS PAC ID: 7113359563 Enrollment ID: I20201124002244 |
| Provider Name | Jacob Matthew Ernst |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013377084 PECOS PAC ID: 9638586381 Enrollment ID: I20210325001972 |
| Provider Name | Len N Tran |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386149375 PECOS PAC ID: 8022366004 Enrollment ID: I20210715001151 |
| Provider Name | Darrel W. Douglas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891114492 PECOS PAC ID: 6901147792 Enrollment ID: I20210716000579 |
| Provider Name | Lucas Christopher Butler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851826598 PECOS PAC ID: 2668740572 Enrollment ID: I20210729002847 |
| Provider Name | Daniel J Shouldice |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043695539 PECOS PAC ID: 7517361041 Enrollment ID: I20210805002864 |
| Provider Name | Katie L. Cole |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679070874 PECOS PAC ID: 5395149660 Enrollment ID: I20210809002147 |
| Provider Name | Brandon K. Duffy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750879763 PECOS PAC ID: 4981000676 Enrollment ID: I20210903001221 |
| Provider Name | Joe M. Bennett |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053769893 PECOS PAC ID: 2466745047 Enrollment ID: I20210910002230 |
| Provider Name | Carissa L Chalut |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801201413 PECOS PAC ID: 6608120217 Enrollment ID: I20210920000004 |
| Provider Name | Noah F. Kugielsky |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558711366 PECOS PAC ID: 7810220563 Enrollment ID: I20210929002751 |
| Provider Name | Courtney Mckee Francisco |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407241169 PECOS PAC ID: 2668784745 Enrollment ID: I20211103001326 |
| Provider Name | Sam C Lu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164803284 PECOS PAC ID: 0042559585 Enrollment ID: I20211202001350 |
| Provider Name | Emily Sanchez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659723278 PECOS PAC ID: 1557656758 Enrollment ID: I20220207001654 |
| Provider Name | Ryan M Doucette |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972006757 PECOS PAC ID: 0941559116 Enrollment ID: I20220221002034 |
| Provider Name | Matthew P Nilan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003176223 PECOS PAC ID: 5496069494 Enrollment ID: I20220224002645 |
| Provider Name | Georgi Grekoff |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538540828 PECOS PAC ID: 5294028817 Enrollment ID: I20220330000998 |
| Provider Name | Ryan Van Nostrand |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447647706 PECOS PAC ID: 0547563165 Enrollment ID: I20220404002389 |
| Provider Name | Weston M Tardy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730684606 PECOS PAC ID: 4082031331 Enrollment ID: I20220414002463 |
| Provider Name | Ann Bowers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285658625 PECOS PAC ID: 9638082019 Enrollment ID: I20220504002475 |
| Provider Name | Nicholas S Fling |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801355748 PECOS PAC ID: 3072841360 Enrollment ID: I20220609000913 |
| Provider Name | Curtiss J Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548751571 PECOS PAC ID: 3476943952 Enrollment ID: I20220616000367 |
| Provider Name | Meghan Webber |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154825347 PECOS PAC ID: 5193126621 Enrollment ID: I20220621001745 |
| Provider Name | Bennett B King |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609372176 PECOS PAC ID: 8123376191 Enrollment ID: I20220728003232 |
| Provider Name | Kara Purdy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023401338 PECOS PAC ID: 9032416920 Enrollment ID: I20221004002415 |
| Provider Name | Patrick Bedard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396246823 PECOS PAC ID: 2961879374 Enrollment ID: I20221027001524 |
| Provider Name | Sophia Yeong Liu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235585795 PECOS PAC ID: 7517338932 Enrollment ID: I20230123002744 |
| Provider Name | Julian Sebastian Trent |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932602737 PECOS PAC ID: 0143694125 Enrollment ID: I20230314001120 |
| Provider Name | Kristin Rodriguez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205880598 PECOS PAC ID: 1759318298 Enrollment ID: I20230412001527 |
| Provider Name | Scott Szymanski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518422302 PECOS PAC ID: 2769805845 Enrollment ID: I20230427000570 |
| Provider Name | Timothy Kim |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972069276 PECOS PAC ID: 4183036395 Enrollment ID: I20230518002221 |
| Provider Name | William Perkins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548827447 PECOS PAC ID: 7810370665 Enrollment ID: I20230629002760 |
| Provider Name | Vicky Yu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457988776 PECOS PAC ID: 6507225646 Enrollment ID: I20230706004144 |
| Provider Name | Brandon Golden |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023631348 PECOS PAC ID: 6204259138 Enrollment ID: I20230726001540 |
| Provider Name | Eli Besser |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659843738 PECOS PAC ID: 5092182378 Enrollment ID: I20230726003503 |
| Provider Name | Michael Mcgary |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104446319 PECOS PAC ID: 4880017912 Enrollment ID: I20230727001173 |
| Provider Name | Tyler Owens |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740600576 PECOS PAC ID: 5294953857 Enrollment ID: I20230809002129 |
| Provider Name | Thomas Herrmann |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447889472 PECOS PAC ID: 6204250350 Enrollment ID: I20230811001323 |
| Provider Name | Ramya Venigalla |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982053567 PECOS PAC ID: 8820385156 Enrollment ID: I20230830001641 |
| Provider Name | Rosemary Mallonee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720615461 PECOS PAC ID: 5597189530 Enrollment ID: I20230830004242 |
| Provider Name | Michael B Tom |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699216663 PECOS PAC ID: 9133458276 Enrollment ID: I20230910000137 |
| Provider Name | Sarah Haley-wien |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538242292 PECOS PAC ID: 8325144892 Enrollment ID: I20230914001179 |
| Provider Name | Braxton-jesse Lee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912404393 PECOS PAC ID: 5799149100 Enrollment ID: I20230918002193 |
| Provider Name | Mohammad Alzawad |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972956746 PECOS PAC ID: 8527392877 Enrollment ID: I20231014000604 |
| Provider Name | Sarah Mongold |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295361459 PECOS PAC ID: 7012364417 Enrollment ID: I20231107000807 |
| Provider Name | Tarakarama Dutt Musunuri |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093341059 PECOS PAC ID: 7719339886 Enrollment ID: I20240115001322 |
| Provider Name | Stephen Gene Chong |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922664366 PECOS PAC ID: 5799138400 Enrollment ID: I20240130001245 |
| Provider Name | Michael Bennett |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184081036 PECOS PAC ID: 6709170558 Enrollment ID: I20240210000655 |
| Provider Name | Shane Goller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487188652 PECOS PAC ID: 1759702467 Enrollment ID: I20240221000248 |
Pacific Medical Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 31833 Gateway Center Blvd S, Federal Way, WA 98003 Phone: 253-214-1920 | |
Adult Health And Wellness, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 33650 6th Ave S, Suite 100, Federal Way, WA 98003 Phone: 253-942-3306 Fax: 253-815-8805 | |
One Medical Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1414 S. 324th Street, Federal Way, WA 98003 Phone: 253-220-3121 | |
Sound Internal And Aesthetic Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 34716 1st Ave S, Federal Way, WA 98003 Phone: 253-517-7058 | |
Auburn Regional Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 34520 16th Ave S, Federal Way, WA 98003 Phone: 253-656-0223 Fax: 253-872-7900 | |
Myomedi Chiropractic Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 31260 Pacific Hwy S Ste 9, Federal Way, WA 98003 Phone: 253-528-0172 Fax: 253-528-0173 |