| Public Hospital District No 1 Of Mason County | |
|
901 Mt View Dr Shelton WA 98584-4401 | |
| (360) 427-9573 | |
| (360) 427-9597 |
| Full Name | Public Hospital District No 1 Of Mason County |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 901 Mt View Dr, Shelton, Washington |
| Authorized Official Name and Position | Eric Moll (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3604279573 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Public Hospital District No 1 Of Mason County Po Box 1668 Shelton WA 98584 Ph: (360) 427-9573 | Public Hospital District No 1 Of Mason County 901 Mt View Dr Shelton WA 98584-4401 Ph: (360) 427-9573 |
| NPI Number | 1760568752 |
|---|---|
| Provider Enumeration Date | 10/31/2006 |
| Last Update Date | 03/28/2025 |
| Medicare PECOS PAC ID | 0345139275 |
|---|---|
| Medicare Enrollment ID | O20040310001481 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760568752 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 282NC0060X | General Acute Care Hospital - Critical Access | 2320029693 (Washington) | Primary |
| Provider Name | Marc L Reiswig |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780610311 PECOS PAC ID: 4183528458 Enrollment ID: I20031125000154 |
| Provider Name | Andrew O Kwon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326190448 PECOS PAC ID: 8921994724 Enrollment ID: I20040227000199 |
| Provider Name | Robert K Gipe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568481547 PECOS PAC ID: 7416845052 Enrollment ID: I20040305001067 |
| Provider Name | Roy G Belville |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881640076 PECOS PAC ID: 2860480027 Enrollment ID: I20040505000833 |
| Provider Name | Jon T Peterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669553723 PECOS PAC ID: 0244218741 Enrollment ID: I20040712000279 |
| Provider Name | Sarah R Fulkerson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1831582550 PECOS PAC ID: 5395725626 Enrollment ID: I20040726000633 |
| Provider Name | Timothy J Weber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609862390 PECOS PAC ID: 7214823947 Enrollment ID: I20040810001514 |
| Provider Name | Christopher W Penoyar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184627259 PECOS PAC ID: 1658340997 Enrollment ID: I20041001001010 |
| Provider Name | Ross E Vogelgesang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518919505 PECOS PAC ID: 6901708973 Enrollment ID: I20041025001003 |
| Provider Name | Monica B Vuong |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1942209044 PECOS PAC ID: 0042268229 Enrollment ID: I20050104000847 |
| Provider Name | Eric Friedland |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265471817 PECOS PAC ID: 1951378306 Enrollment ID: I20050321000092 |
| Provider Name | Milan S Moore |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1063490290 PECOS PAC ID: 7810913829 Enrollment ID: I20051019000667 |
| Provider Name | Jenni R Aaseby |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1720133374 PECOS PAC ID: 0648291633 Enrollment ID: I20051219000480 |
| Provider Name | Carola E Bonfante |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306893284 PECOS PAC ID: 3476540972 Enrollment ID: I20060403000247 |
| Provider Name | Rebecca K Hendryx |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467494799 PECOS PAC ID: 7618971672 Enrollment ID: I20060905000378 |
| Provider Name | Tobun Cheung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508895509 PECOS PAC ID: 1557339108 Enrollment ID: I20070206000670 |
| Provider Name | Edward M Gacek |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679540793 PECOS PAC ID: 0042212342 Enrollment ID: I20070214000358 |
| Provider Name | Yong Ki Shin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851364988 PECOS PAC ID: 2769372697 Enrollment ID: I20070228000674 |
| Provider Name | John S Oglesby |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245385962 PECOS PAC ID: 2365493558 Enrollment ID: I20070522000690 |
| Provider Name | Carey R Martens |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598880833 PECOS PAC ID: 2062503782 Enrollment ID: I20070810000010 |
| Provider Name | Karen A Kuryla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801973664 PECOS PAC ID: 3274540539 Enrollment ID: I20070813000136 |
| Provider Name | Kym Walker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609987296 PECOS PAC ID: 1850488289 Enrollment ID: I20071101000614 |
| Provider Name | Angela L Tobias |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588775811 PECOS PAC ID: 1850396169 Enrollment ID: I20080404000193 |
| Provider Name | Daniela Jordanova Sorokovska |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003028705 PECOS PAC ID: 0345315776 Enrollment ID: I20080820000363 |
| Provider Name | Tony Pham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881661775 PECOS PAC ID: 8527022243 Enrollment ID: I20080826000761 |
| Provider Name | Andrew P Manista |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316084056 PECOS PAC ID: 7113019811 Enrollment ID: I20080912000370 |
| Provider Name | Allen L Millard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669468351 PECOS PAC ID: 3274695713 Enrollment ID: I20081217000700 |
| Provider Name | Sara P Holt Knox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306002639 PECOS PAC ID: 8022174713 Enrollment ID: I20090304000576 |
| Provider Name | Vincent Lee Ball |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134302995 PECOS PAC ID: 5597814863 Enrollment ID: I20090515000052 |
| Provider Name | Mark L Schlauderaff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487651667 PECOS PAC ID: 5193624294 Enrollment ID: I20090727000556 |
| Provider Name | Douglas F Lindahl |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043215916 PECOS PAC ID: 3173677150 Enrollment ID: I20090811000557 |
| Provider Name | John P Short |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861432510 PECOS PAC ID: 2163578832 Enrollment ID: I20090922000195 |
| Provider Name | Alford N Vassall |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578678579 PECOS PAC ID: 7416948062 Enrollment ID: I20091001000598 |
| Provider Name | Jerome P Zechmann |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1801965314 PECOS PAC ID: 0446145593 Enrollment ID: I20100114000553 |
| Provider Name | James A Wright |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1407863228 PECOS PAC ID: 3476695677 Enrollment ID: I20100127000182 |
| Provider Name | Zaleh Parham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134459670 PECOS PAC ID: 3476697749 Enrollment ID: I20100224000683 |
| Provider Name | John V Rice |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1255348074 PECOS PAC ID: 6901793397 Enrollment ID: I20100507000378 |
| Provider Name | Stephen Derrick Fowler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881857993 PECOS PAC ID: 2961564679 Enrollment ID: I20100816000741 |
| Provider Name | Albert Michael Keep |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558559476 PECOS PAC ID: 2163547027 Enrollment ID: I20101007000648 |
| Provider Name | Nadine B Foist |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386709863 PECOS PAC ID: 3870781404 Enrollment ID: I20101227000585 |
| Provider Name | Payal Mitesh Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528222569 PECOS PAC ID: 9133307184 Enrollment ID: I20110622000647 |
| Provider Name | John E Clayton |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1770793762 PECOS PAC ID: 2769650084 Enrollment ID: I20110712000531 |
| Provider Name | Ryan J Halpin |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1467618025 PECOS PAC ID: 0648448308 Enrollment ID: I20110722000675 |
| Provider Name | Stephen F Ou |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1205029477 PECOS PAC ID: 4385814516 Enrollment ID: I20110826000103 |
| Provider Name | Colin L Davis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104091248 PECOS PAC ID: 6608046552 Enrollment ID: I20110831000757 |
| Provider Name | Jennifer L Kummerfeldt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669751467 PECOS PAC ID: 6204002819 Enrollment ID: I20120103000751 |
| Provider Name | Joseph R Hoffman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083654107 PECOS PAC ID: 4880860162 Enrollment ID: I20120109000626 |
| Provider Name | Roseann Valentin Rayos |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790916054 PECOS PAC ID: 4486819273 Enrollment ID: I20120628000555 |
| Provider Name | David E Anderson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780909556 PECOS PAC ID: 6406090679 Enrollment ID: I20130910000741 |
| Provider Name | Karen Marie Mcgrane |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275798787 PECOS PAC ID: 5991974552 Enrollment ID: I20130924000079 |
| Provider Name | Owen L Mcgrane |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952575987 PECOS PAC ID: 4385813948 Enrollment ID: I20131126001219 |
| Provider Name | Dean Gushee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316994155 PECOS PAC ID: 4688804354 Enrollment ID: I20140224002103 |
| Provider Name | Nicole Marie Campbell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154651925 PECOS PAC ID: 2860535523 Enrollment ID: I20150630003128 |
| Provider Name | Katrina Marie Stringer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124409198 PECOS PAC ID: 8426363011 Enrollment ID: I20150811004868 |
| Provider Name | Jean Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538559745 PECOS PAC ID: 8921314162 Enrollment ID: I20150902000965 |
| Provider Name | Jenny Johnston Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407226681 PECOS PAC ID: 7810207495 Enrollment ID: I20151111000876 |
| Provider Name | Dianna Kaiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962516377 PECOS PAC ID: 4880904234 Enrollment ID: I20151114000036 |
| Provider Name | Erin Martinache |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003212770 PECOS PAC ID: 0042513145 Enrollment ID: I20160125000074 |
| Provider Name | Carlos M Dibble |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285710830 PECOS PAC ID: 2466633045 Enrollment ID: I20160427001184 |
| Provider Name | Hannah Rebecca Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841644515 PECOS PAC ID: 2163712340 Enrollment ID: I20160531000943 |
| Provider Name | In Kyu Yoo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033452073 PECOS PAC ID: 1850533233 Enrollment ID: I20160803000619 |
| Provider Name | Jess A Calohan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992813679 PECOS PAC ID: 4981998648 Enrollment ID: I20160803002978 |
| Provider Name | Bradley Clifford Christ |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1659675684 PECOS PAC ID: 2062708928 Enrollment ID: I20160901002020 |
| Provider Name | Amber Dawn Carlson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871967331 PECOS PAC ID: 8820384142 Enrollment ID: I20160912002360 |
| Provider Name | Andrea Martin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104189711 PECOS PAC ID: 3072815745 Enrollment ID: I20161104001205 |
| Provider Name | Phillip A Bilderback |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386968329 PECOS PAC ID: 9335385814 Enrollment ID: I20161117002089 |
| Provider Name | Yirgalem A Tiruneh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235540485 PECOS PAC ID: 0143500769 Enrollment ID: I20161216000946 |
| Provider Name | Michael C Eveland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427501097 PECOS PAC ID: 0749561959 Enrollment ID: I20161230001137 |
| Provider Name | David Arthur Myers |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407863467 PECOS PAC ID: 1355239849 Enrollment ID: I20170329002846 |
| Provider Name | Matthew Todd Moody |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386872869 PECOS PAC ID: 3870758139 Enrollment ID: I20170615000616 |
| Provider Name | Estelle Rutledge |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649465386 PECOS PAC ID: 9032269279 Enrollment ID: I20170615002621 |
| Provider Name | Karolyn Kay Moody |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467689000 PECOS PAC ID: 1254562226 Enrollment ID: I20170629000952 |
| Provider Name | Andrew Pelczar |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578645099 PECOS PAC ID: 9436396173 Enrollment ID: I20170707002334 |
| Provider Name | Richard Lamour |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1164695813 PECOS PAC ID: 0648411744 Enrollment ID: I20170726004296 |
| Provider Name | Jimmy Ray Wesson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407262496 PECOS PAC ID: 1951672922 Enrollment ID: I20170809002810 |
| Provider Name | Alyssa Caryn Abegg-garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578081980 PECOS PAC ID: 3779858196 Enrollment ID: I20171010002626 |
| Provider Name | Erin Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487190138 PECOS PAC ID: 1254698012 Enrollment ID: I20171204000032 |
| Provider Name | Aaron A Dorcy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679935001 PECOS PAC ID: 6002176567 Enrollment ID: I20180201002899 |
| Provider Name | Kenneth Ray Lyman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841447174 PECOS PAC ID: 0446314603 Enrollment ID: I20180509001617 |
| Provider Name | Daniel Joseph Burris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801277637 PECOS PAC ID: 5496064925 Enrollment ID: I20181004003056 |
| Provider Name | Darren Cuevas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023497310 PECOS PAC ID: 2961707393 Enrollment ID: I20181025001216 |
| Provider Name | Natalie Reynolds |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669853966 PECOS PAC ID: 9931414893 Enrollment ID: I20190124002322 |
| Provider Name | Deborah L Pavich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255602199 PECOS PAC ID: 7113266917 Enrollment ID: I20190221002242 |
| Provider Name | John Mate-kole |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558374371 PECOS PAC ID: 3577705755 Enrollment ID: I20190405001209 |
| Provider Name | Darrin James Trask |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1487997862 PECOS PAC ID: 1951524784 Enrollment ID: I20190712001697 |
| Provider Name | Hillary M Harper |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710113683 PECOS PAC ID: 8628352184 Enrollment ID: I20190718001478 |
| Provider Name | Iris R Malit |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578996518 PECOS PAC ID: 5597051557 Enrollment ID: I20190725003121 |
| Provider Name | Philip Matthew Woods |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1407210479 PECOS PAC ID: 3779819487 Enrollment ID: I20190801001252 |
| Provider Name | James R Hartline |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831463496 PECOS PAC ID: 7517294085 Enrollment ID: I20190806002396 |
| Provider Name | Amie Elise Freeman Mower |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235493784 PECOS PAC ID: 0143557900 Enrollment ID: I20190816001231 |
| Provider Name | Aref A Bin Abdulhak |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700132727 PECOS PAC ID: 5890008908 Enrollment ID: I20190822003278 |
| Provider Name | Michelle Hamilton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982084216 PECOS PAC ID: 2668730813 Enrollment ID: I20190903001360 |
| Provider Name | Alexandra Danae Rhodes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710301296 PECOS PAC ID: 4688903636 Enrollment ID: I20190917001560 |
| Provider Name | Christine L Hammer |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1821389255 PECOS PAC ID: 2860700861 Enrollment ID: I20191106000070 |
| Provider Name | Raquel L Dibble |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1881770345 PECOS PAC ID: 4981766052 Enrollment ID: I20191112003246 |
| Provider Name | Francis E Prince |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790331163 PECOS PAC ID: 1759713423 Enrollment ID: I20191118003020 |
| Provider Name | Kirsten Garza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588215636 PECOS PAC ID: 9739511403 Enrollment ID: I20191118003103 |
| Provider Name | Katie M Aldrich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003450800 PECOS PAC ID: 6406280585 Enrollment ID: I20191224000406 |
| Provider Name | Vanessa Laurel Cray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154969202 PECOS PAC ID: 1355776998 Enrollment ID: I20200108003053 |
| Provider Name | Carlos Rubio-reyes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033525852 PECOS PAC ID: 9537385109 Enrollment ID: I20200207001272 |
| Provider Name | Alisha Renee Wedding-lambert |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1366098956 PECOS PAC ID: 0547683716 Enrollment ID: I20200706003029 |
| Provider Name | Benjamin G May |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447634878 PECOS PAC ID: 3678847753 Enrollment ID: I20200708003539 |
| Provider Name | Trevor Kwan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184144768 PECOS PAC ID: 7719217165 Enrollment ID: I20200709001026 |
| Provider Name | Heung In |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215389515 PECOS PAC ID: 4385067271 Enrollment ID: I20200710001589 |
| Provider Name | Fahad Younas |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1447407465 PECOS PAC ID: 9436468964 Enrollment ID: I20200808000159 |
| Provider Name | Haroon Yousaf |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1871731364 PECOS PAC ID: 2769514611 Enrollment ID: I20200909003117 |
| Provider Name | Melissa Hartley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164950671 PECOS PAC ID: 6406111434 Enrollment ID: I20200925001914 |
| Provider Name | Jennifer A Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043611429 PECOS PAC ID: 9739300203 Enrollment ID: I20201012002830 |
| Provider Name | Lavena Morgan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760487037 PECOS PAC ID: 2668543265 Enrollment ID: I20210105001638 |
| Provider Name | Joshua J Oliver |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528488301 PECOS PAC ID: 8921361734 Enrollment ID: I20210129002399 |
| Provider Name | Jacob Ernst |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013377084 PECOS PAC ID: 9638586381 Enrollment ID: I20210325001972 |
| Provider Name | Alexander S Rorie |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508216722 PECOS PAC ID: 2567710742 Enrollment ID: I20210412002640 |
| Provider Name | Robert John Cavaliere |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1366947434 PECOS PAC ID: 6103227954 Enrollment ID: I20210630001746 |
| Provider Name | Danielle Blood |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629502737 PECOS PAC ID: 5799023594 Enrollment ID: I20210709000372 |
| Provider Name | Katie Lorraine Pauley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205409711 PECOS PAC ID: 0042614141 Enrollment ID: I20210811003869 |
| Provider Name | Catherine Shutty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134369911 PECOS PAC ID: 2668877093 Enrollment ID: I20210824001993 |
| Provider Name | Rebecca Suzanne Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265106298 PECOS PAC ID: 5294131090 Enrollment ID: I20210902000362 |
| Provider Name | Ivy Kim-aguilar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417581992 PECOS PAC ID: 3779989579 Enrollment ID: I20210902000684 |
| Provider Name | Kristyn Kalei Criss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487229654 PECOS PAC ID: 6608272273 Enrollment ID: I20210907001983 |
| Provider Name | Ezekiel D Melquist |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720320724 PECOS PAC ID: 6002214798 Enrollment ID: I20211011001824 |
| Provider Name | Megan Luther |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366105652 PECOS PAC ID: 7012305931 Enrollment ID: I20211026003259 |
| Provider Name | Christina Lynn Ross |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316555436 PECOS PAC ID: 3577952001 Enrollment ID: I20211122002727 |
| Provider Name | Amanda R Proctor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831850023 PECOS PAC ID: 7315331436 Enrollment ID: I20220304002078 |
| Provider Name | Lucas Mcguire |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528521176 PECOS PAC ID: 8921430646 Enrollment ID: I20220517000606 |
| Provider Name | Bradley John Kinney |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851662936 PECOS PAC ID: 5496189300 Enrollment ID: I20220815002817 |
| Provider Name | D'arcy M Kaaua |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871229369 PECOS PAC ID: 0941685192 Enrollment ID: I20220923001828 |
| Provider Name | David Patrick Soha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508422767 PECOS PAC ID: 4486989795 Enrollment ID: I20221004002544 |
| Provider Name | Luiz Rique Souza-filho |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548622749 PECOS PAC ID: 4486073491 Enrollment ID: I20221006001997 |
| Provider Name | Thuy Van Nguyen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750735106 PECOS PAC ID: 7517214638 Enrollment ID: I20230324001840 |
| Provider Name | Justin Anderson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1972963676 PECOS PAC ID: 6800175035 Enrollment ID: I20230818000559 |
| Provider Name | Samar Hassouneh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710183934 PECOS PAC ID: 9234307364 Enrollment ID: I20230925002572 |
| Provider Name | Dallas Thompson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447259767 PECOS PAC ID: 4082789920 Enrollment ID: I20231010002767 |
| Provider Name | Shashank Srivastava |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083025258 PECOS PAC ID: 4183926785 Enrollment ID: I20231010003197 |
| Provider Name | Christina Marie Wellman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346651098 PECOS PAC ID: 0941651608 Enrollment ID: I20240105004145 |
| Provider Name | Erica Elizabeth Schuman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801666003 PECOS PAC ID: 1951746437 Enrollment ID: I20240225000010 |
| Provider Name | Annette Rosling |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346224425 PECOS PAC ID: 3779561337 Enrollment ID: I20240412001434 |
| Provider Name | Aaron Birch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922326123 PECOS PAC ID: 1052693827 Enrollment ID: I20240424003730 |
| Provider Name | Martha J Svoboda |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336538636 PECOS PAC ID: 4880034560 Enrollment ID: I20240429000869 |
| Provider Name | Kate Przybycien |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1063268555 PECOS PAC ID: 3072953488 Enrollment ID: I20240502002059 |
| Provider Name | Zachary Chomicki |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1225805161 PECOS PAC ID: 6901247048 Enrollment ID: I20240507003710 |
| Provider Name | Stephen Kujansuu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295925477 PECOS PAC ID: 1850520990 Enrollment ID: I20240515000442 |
| Provider Name | Kathleen Garber |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366632069 PECOS PAC ID: 4082056270 Enrollment ID: I20240520001250 |
| Provider Name | Jacqueline Rubylee Gorzynski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861073074 PECOS PAC ID: 2567853088 Enrollment ID: I20240626001922 |
| Provider Name | Alyssa Sethi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447820741 PECOS PAC ID: 8123565363 Enrollment ID: I20240805004183 |
| Provider Name | Sarah Queena D. Oliveira |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184235681 PECOS PAC ID: 6608287636 Enrollment ID: I20240812003670 |
| Provider Name | Janki Lomesh Patel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285209593 PECOS PAC ID: 9032658398 Enrollment ID: I20240830000032 |
| Provider Name | Michael John Zylstra |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437679636 PECOS PAC ID: 9133551591 Enrollment ID: I20240917004307 |
| Provider Name | Tiffany Henningsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891526190 PECOS PAC ID: 9133660665 Enrollment ID: I20240924001372 |
| Provider Name | Tanveer Singh Sidhu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609549195 PECOS PAC ID: 7719410117 Enrollment ID: I20241023003708 |
| Provider Name | Alicia Pabilona |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1902279631 PECOS PAC ID: 2860926730 Enrollment ID: I20241114002576 |
Public Hospital District No 1 Of Mason County Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1701 N 13th St, Shelton, WA 98584 Phone: 360-426-2653 | |
Squaxin Island Medicaid Encounter Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 90 Se Klah Che Min Dr, Shelton, WA 98584 Phone: 360-427-9006 | |
Olympic Physicians, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 221 Professional Way, Shelton, WA 98584 Phone: 360-426-2500 Fax: 360-462-2500 | |
Public Hospital District No 1 Of Mason County Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1812 N 13th Loop Rd, Shelton, WA 98584 Phone: 360-426-3862 | |
Public Hospital District No 1 Of Mason County Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 237 Professional Way, Shelton, WA 98584 Phone: 360-426-2500 | |
Northwest Indian Treatment Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Se Whitener Rd, Shelton, WA 98584 Phone: 360-470-1474 | |
Public Hospital District No 1 Of Mason County Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 221 Professional Way, Shelton, WA 98584 Phone: 360-426-2500 |