| Samaritan Clinic | |
|
1550 S Pioneer Way Ste 115 Moses Lake WA 98837-4618 | |
| (509) 793-9713 | |
| (509) 764-3244 |
| Full Name | Samaritan Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 1550 S Pioneer Way Ste 115, Moses Lake, Washington |
| Authorized Official Name and Position | Alexander Town (CEO) |
| Authorized Official Contact | 5097939600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Samaritan Clinic 1616 S Pioneer Way Moses Lake WA 98837-2487 Ph: (509) 793-9715 | Samaritan Clinic 1550 S Pioneer Way Ste 115 Moses Lake WA 98837-4618 Ph: (509) 793-9713 |
| NPI Number | 1619086766 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 10/05/2026 |
| Certification Date | 10/05/2026 |
| Medicare PECOS PAC ID | 9931095692 |
|---|---|
| Medicare Enrollment ID | O20040227000602 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619086766 | NPI | - | NPPES |
| 7109929 | Medicaid | WA | |
| 1014658 | Medicaid | WA | |
| 7063415 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (NU) | Primary |
| 207Q00000X | Family Medicine | (NU) | Secondary |
| Provider Name | Eric N Aronsohn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336229152 PECOS PAC ID: 7911801741 Enrollment ID: I20031124000332 |
| Provider Name | Eric J Bowton |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1538169446 PECOS PAC ID: 1759280399 Enrollment ID: I20040122000934 |
| Provider Name | Rajiv Goel |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1831196583 PECOS PAC ID: 5496741878 Enrollment ID: I20040421001546 |
| Provider Name | Joel R Hoekema |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770508509 PECOS PAC ID: 3678564077 Enrollment ID: I20040524000738 |
| Provider Name | Christiian T Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568454999 PECOS PAC ID: 8224018783 Enrollment ID: I20040723001020 |
| Provider Name | Kimberlee F Poole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275539256 PECOS PAC ID: 1557300084 Enrollment ID: I20050425001198 |
| Provider Name | Ben T Murrell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861418873 PECOS PAC ID: 2365474160 Enrollment ID: I20050831000948 |
| Provider Name | Harold R Goldberg |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1497779334 PECOS PAC ID: 4486669496 Enrollment ID: I20060213000516 |
| Provider Name | Tracie Marie Baretela |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699734335 PECOS PAC ID: 7315988359 Enrollment ID: I20060504000381 |
| Provider Name | Vanessa Ratcliff |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215961404 PECOS PAC ID: 7517962277 Enrollment ID: I20061002000456 |
| Provider Name | Brian N Nordstrom |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518992858 PECOS PAC ID: 1254340599 Enrollment ID: I20070920000122 |
| Provider Name | Mark a Hoover |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154361335 PECOS PAC ID: 6305759168 Enrollment ID: I20080117000269 |
| Provider Name | Eric Harrington |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124096102 PECOS PAC ID: 0547227225 Enrollment ID: I20080218000467 |
| Provider Name | Brett R Degooyer |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1568477354 PECOS PAC ID: 9234231937 Enrollment ID: I20090624000110 |
| Provider Name | John G Peterson |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1013931997 PECOS PAC ID: 2769572445 Enrollment ID: I20091027000207 |
| Provider Name | Thomas R Tuszynski |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952325474 PECOS PAC ID: 1850430380 Enrollment ID: I20091123000355 |
| Provider Name | Andrea M Carter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770595282 PECOS PAC ID: 8325171499 Enrollment ID: I20100727000645 |
| Provider Name | Trisha Wasci Kruger |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1639396930 PECOS PAC ID: 8224223334 Enrollment ID: I20101115001298 |
| Provider Name | Shie-pon Tzung |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023096252 PECOS PAC ID: 0446343669 Enrollment ID: I20101202000604 |
| Provider Name | Jennifer M Lee |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922201581 PECOS PAC ID: 8123298908 Enrollment ID: I20110906000116 |
| Provider Name | M L Dieter |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508857103 PECOS PAC ID: 2062552839 Enrollment ID: I20120105000734 |
| Provider Name | Robert E Ebel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588744312 PECOS PAC ID: 2062689946 Enrollment ID: I20120117000618 |
| Provider Name | Angela Bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932478641 PECOS PAC ID: 2466614193 Enrollment ID: I20120425000690 |
| Provider Name | Anupam Arora |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861620254 PECOS PAC ID: 3870742281 Enrollment ID: I20120928000445 |
| Provider Name | Billie J Scott |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518206390 PECOS PAC ID: 5193730158 Enrollment ID: I20130311000528 |
| Provider Name | Stephanie Moore |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093050916 PECOS PAC ID: 0749435071 Enrollment ID: I20130312000341 |
| Provider Name | Paul Evans Miller |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992744106 PECOS PAC ID: 5395744650 Enrollment ID: I20130312000419 |
| Provider Name | Naveen Rawat |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1801137716 PECOS PAC ID: 4183864986 Enrollment ID: I20130627000597 |
| Provider Name | Omar Naji |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962630392 PECOS PAC ID: 6901030279 Enrollment ID: I20130930000441 |
| Provider Name | Jonathan L Ingram |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336557867 PECOS PAC ID: 1355568528 Enrollment ID: I20140812000842 |
| Provider Name | Mihret Asressahegn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609164292 PECOS PAC ID: 8729206545 Enrollment ID: I20140820000468 |
| Provider Name | Bo J Beus |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477842268 PECOS PAC ID: 9335388354 Enrollment ID: I20140829002311 |
| Provider Name | Daniel Garrison Crosby |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588086722 PECOS PAC ID: 0244451367 Enrollment ID: I20141020002377 |
| Provider Name | Brett Hymas |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801297932 PECOS PAC ID: 6901128933 Enrollment ID: I20141202002623 |
| Provider Name | Murali Nalluri |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1669660379 PECOS PAC ID: 9931184165 Enrollment ID: I20141215000316 |
| Provider Name | Aaron M Eastman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215351713 PECOS PAC ID: 2466675756 Enrollment ID: I20141216000389 |
| Provider Name | Jason K Ferrari |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1134325756 PECOS PAC ID: 3072614486 Enrollment ID: I20150511000669 |
| Provider Name | Teresa Hutsell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710927348 PECOS PAC ID: 3870804222 Enrollment ID: I20150625002084 |
| Provider Name | Micaela Theisen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902158421 PECOS PAC ID: 9830342369 Enrollment ID: I20150820010016 |
| Provider Name | Hsien Sing Sam Hsieh |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1265745392 PECOS PAC ID: 5799093480 Enrollment ID: I20150929003181 |
| Provider Name | James L Ewell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588086664 PECOS PAC ID: 1658597711 Enrollment ID: I20151208001545 |
| Provider Name | Scott L Truman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811290760 PECOS PAC ID: 6507041449 Enrollment ID: I20160222001088 |
| Provider Name | Matthew Lockwood |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558420067 PECOS PAC ID: 8224076765 Enrollment ID: I20160405001581 |
| Provider Name | Ryan P Perry |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831548759 PECOS PAC ID: 9133410749 Enrollment ID: I20160628002553 |
| Provider Name | John Ngo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518233089 PECOS PAC ID: 3971828187 Enrollment ID: I20160823001606 |
| Provider Name | Jana Raquel Mullen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043291115 PECOS PAC ID: 8022134329 Enrollment ID: I20160830001167 |
| Provider Name | Alex Yu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548557838 PECOS PAC ID: 9739355603 Enrollment ID: I20160830001671 |
| Provider Name | John Yeung |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922356260 PECOS PAC ID: 6305098815 Enrollment ID: I20161207002633 |
| Provider Name | Amelie Peryea |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538427067 PECOS PAC ID: 7719296458 Enrollment ID: I20170306002296 |
| Provider Name | Carissa L Armstrong |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144668005 PECOS PAC ID: 4486935483 Enrollment ID: I20170619002681 |
| Provider Name | Richard a Eck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801282561 PECOS PAC ID: 1658688627 Enrollment ID: I20171027001504 |
| Provider Name | Arezou Amidi |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1992144398 PECOS PAC ID: 9830493147 Enrollment ID: I20171116002498 |
| Provider Name | Derek C Mitchell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437425535 PECOS PAC ID: 5890074702 Enrollment ID: I20180207002305 |
| Provider Name | Daniel Slack |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780098442 PECOS PAC ID: 0648497313 Enrollment ID: I20180208001233 |
| Provider Name | Elizabeth M Bonadies |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1235637414 PECOS PAC ID: 7810250982 Enrollment ID: I20180424002672 |
| Provider Name | Quinton M Hatch |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215255088 PECOS PAC ID: 9436471174 Enrollment ID: I20180614002585 |
| Provider Name | Taylor Kurt Haberman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922580877 PECOS PAC ID: 9739424052 Enrollment ID: I20181214000628 |
| Provider Name | Pranav Upendra Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861873804 PECOS PAC ID: 6103138631 Enrollment ID: I20190222000758 |
| Provider Name | Kara E Sawyer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689092561 PECOS PAC ID: 5496036576 Enrollment ID: I20190715002858 |
| Provider Name | Andrew James Nielsen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609431709 PECOS PAC ID: 6507194545 Enrollment ID: I20190828003411 |
| Provider Name | Paul B Warfield |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841206422 PECOS PAC ID: 6901908813 Enrollment ID: I20191210002292 |
| Provider Name | Charlie D Beaupied |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780047738 PECOS PAC ID: 9335430834 Enrollment ID: I20191216001740 |
| Provider Name | Jason R Furbee |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407277130 PECOS PAC ID: 4385967348 Enrollment ID: I20200306001914 |
| Provider Name | Elosia S Furbee |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124427083 PECOS PAC ID: 7810215308 Enrollment ID: I20200330003504 |
| Provider Name | Bradley Preston Goll |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770121089 PECOS PAC ID: 3476982794 Enrollment ID: I20200407001733 |
| Provider Name | Ronnie Wing |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013974369 PECOS PAC ID: 6103892013 Enrollment ID: I20200807000122 |
| Provider Name | Stephen R Noorlander |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790214500 PECOS PAC ID: 6901175611 Enrollment ID: I20200810003724 |
| Provider Name | Peters T Otlans |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1740600840 PECOS PAC ID: 1951529569 Enrollment ID: I20200821000630 |
| Provider Name | Breanne Mcintyre |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1366041188 PECOS PAC ID: 8729490339 Enrollment ID: I20201223000483 |
| Provider Name | Ryan J Ballard |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780247320 PECOS PAC ID: 3971846262 Enrollment ID: I20210114001663 |
| Provider Name | Hayley M Heesemann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003329566 PECOS PAC ID: 7315279130 Enrollment ID: I20210121000683 |
| Provider Name | Hillary N Dorsey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477159747 PECOS PAC ID: 1254746779 Enrollment ID: I20210216001102 |
| Provider Name | Stuart Steven Haigler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205892882 PECOS PAC ID: 0446274765 Enrollment ID: I20210420002630 |
| Provider Name | Calle a Gonzales |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447360359 PECOS PAC ID: 5991987919 Enrollment ID: I20210427002669 |
| Provider Name | Zachary R Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821590415 PECOS PAC ID: 5597169623 Enrollment ID: I20210811001102 |
| Provider Name | Erik a Arnits |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922534437 PECOS PAC ID: 6901177351 Enrollment ID: I20210907003419 |
| Provider Name | Jordan D Smith |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023464609 PECOS PAC ID: 9133525504 Enrollment ID: I20210909003418 |
| Provider Name | Caroline W Hannon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194220848 PECOS PAC ID: 1052668530 Enrollment ID: I20210916003239 |
| Provider Name | Jesse Isenstadt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336508266 PECOS PAC ID: 6507111374 Enrollment ID: I20210930002751 |
| Provider Name | Kati Elizabeth Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326566399 PECOS PAC ID: 2365703592 Enrollment ID: I20211214003093 |
| Provider Name | Tricia Ginger Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750043584 PECOS PAC ID: 4183018898 Enrollment ID: I20220223000751 |
| Provider Name | David Byron Hughes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699433458 PECOS PAC ID: 8224422944 Enrollment ID: I20220223001373 |
| Provider Name | Andrea Matson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487031753 PECOS PAC ID: 3173946522 Enrollment ID: I20220225000257 |
| Provider Name | James Edward Bolland |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174905475 PECOS PAC ID: 7911292487 Enrollment ID: I20220329001634 |
| Provider Name | Mark R Bennett |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871955435 PECOS PAC ID: 6608124367 Enrollment ID: I20220517001258 |
| Provider Name | Christopher Roberts |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1649701020 PECOS PAC ID: 7618247297 Enrollment ID: I20220728003428 |
| Provider Name | Varvara Ladage |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871098772 PECOS PAC ID: 2062760671 Enrollment ID: I20220804001235 |
| Provider Name | Akinbode Egbelakin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104117522 PECOS PAC ID: 3577780626 Enrollment ID: I20220804002744 |
| Provider Name | Vikram Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235792680 PECOS PAC ID: 3577895093 Enrollment ID: I20220805002276 |
| Provider Name | Sridivya Kosuri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578023065 PECOS PAC ID: 0143603985 Enrollment ID: I20220811002769 |
| Provider Name | Billy Albertson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861669384 PECOS PAC ID: 5698846533 Enrollment ID: I20221107002707 |
| Provider Name | Galen Pizzorno |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881199370 PECOS PAC ID: 4981954229 Enrollment ID: I20221202002311 |
| Provider Name | Mwaffak Bashir |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154965622 PECOS PAC ID: 2567832728 Enrollment ID: I20230104000814 |
| Provider Name | Diane Patricia Savarese |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407447220 PECOS PAC ID: 8123424876 Enrollment ID: I20230120000911 |
| Provider Name | Danielle Wallace |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114147006 PECOS PAC ID: 7618020611 Enrollment ID: I20230208002252 |
| Provider Name | Sharon Eskam |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629095310 PECOS PAC ID: 1153379367 Enrollment ID: I20230209001180 |
| Provider Name | Pamela Dae Dick |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1598947368 PECOS PAC ID: 1658743661 Enrollment ID: I20230220002040 |
| Provider Name | Muhammad F Khaliq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790168409 PECOS PAC ID: 0244546331 Enrollment ID: I20230419000662 |
| Provider Name | Kameron Reza Firouzi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437511276 PECOS PAC ID: 1951724434 Enrollment ID: I20230420002249 |
| Provider Name | Naomasa Hase |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841610961 PECOS PAC ID: 5496053464 Enrollment ID: I20230609002325 |
| Provider Name | Karl M Baird |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1689646663 PECOS PAC ID: 5193782381 Enrollment ID: I20230707001200 |
| Provider Name | James Brian Haering |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679664775 PECOS PAC ID: 5597656454 Enrollment ID: I20230707001431 |
| Provider Name | Mitchell Valente |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225543580 PECOS PAC ID: 6406115278 Enrollment ID: I20230717002288 |
| Provider Name | Zachary Tan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1013438779 PECOS PAC ID: 5799035655 Enrollment ID: I20230717003222 |
| Provider Name | Jared Wortham |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902241235 PECOS PAC ID: 1759675341 Enrollment ID: I20230822001484 |
| Provider Name | Curtis J Papenfuss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891258331 PECOS PAC ID: 2365779105 Enrollment ID: I20230823003797 |
| Provider Name | Carter Newey |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1316409006 PECOS PAC ID: 8527467059 Enrollment ID: I20230824000948 |
| Provider Name | Alexander Alide Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245851971 PECOS PAC ID: 0941621726 Enrollment ID: I20230828002913 |
| Provider Name | Joseph Hancock |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043902711 PECOS PAC ID: 3173986775 Enrollment ID: I20230830001300 |
| Provider Name | Arthie Jeyakumar |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1568818292 PECOS PAC ID: 3971983529 Enrollment ID: I20230906000452 |
| Provider Name | Emily Fairbanks |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1760164024 PECOS PAC ID: 0547624611 Enrollment ID: I20230908001362 |
| Provider Name | Cara L Rockwood |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073757605 PECOS PAC ID: 6204018088 Enrollment ID: I20231012002497 |
| Provider Name | Timothy C Leupp |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760760474 PECOS PAC ID: 3072749068 Enrollment ID: I20231031002997 |
| Provider Name | Jonathan Wade |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689146128 PECOS PAC ID: 6608114053 Enrollment ID: I20231110002420 |
| Provider Name | Brenton M Wilson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073290342 PECOS PAC ID: 8123473246 Enrollment ID: I20231117003030 |
| Provider Name | Irina Sofia Bratan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114567922 PECOS PAC ID: 9436576402 Enrollment ID: I20231122003111 |
| Provider Name | Joshua a Nunnery |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366752198 PECOS PAC ID: 9335337112 Enrollment ID: I20231222002906 |
| Provider Name | Alexis Rogers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952863086 PECOS PAC ID: 8820326663 Enrollment ID: I20240105001187 |
| Provider Name | Ignacio Fabian Gonzales |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093742595 PECOS PAC ID: 3375994627 Enrollment ID: I20240110004828 |
| Provider Name | Elizabeth Walker-lindgren |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568838019 PECOS PAC ID: 2668824814 Enrollment ID: I20240123004158 |
| Provider Name | Danish Mirza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184005332 PECOS PAC ID: 7517218118 Enrollment ID: I20240301001794 |
| Provider Name | Jackson Joseph Bell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396208070 PECOS PAC ID: 9335470673 Enrollment ID: I20240425000860 |
| Provider Name | Elizabeth Bjork |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922841717 PECOS PAC ID: 0042755449 Enrollment ID: I20240710001203 |
| Provider Name | Peter Zajac |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477110419 PECOS PAC ID: 1951847425 Enrollment ID: I20240719002437 |
| Provider Name | Robert Schatz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1437191327 PECOS PAC ID: 6305730144 Enrollment ID: I20240801003831 |
| Provider Name | Chayle Kristin Turner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821679036 PECOS PAC ID: 0749671493 Enrollment ID: I20240826001305 |
| Provider Name | Amanda Dos Santos |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134757016 PECOS PAC ID: 0446647739 Enrollment ID: I20240826002353 |
| Provider Name | Qi Ying Mcclelland |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922567205 PECOS PAC ID: 1951840370 Enrollment ID: I20240829002659 |
| Provider Name | Jeffry Gill |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477654747 PECOS PAC ID: 0941278279 Enrollment ID: I20240830000755 |
| Provider Name | William Thompson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1396748125 PECOS PAC ID: 0648247635 Enrollment ID: I20240902000083 |
| Provider Name | Emily Brestin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831766187 PECOS PAC ID: 6709326580 Enrollment ID: I20240906003426 |
| Provider Name | Abdusebur Jemal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972066637 PECOS PAC ID: 4385972884 Enrollment ID: I20240907000540 |
| Provider Name | Robert D Reynolds |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740821099 PECOS PAC ID: 0446683205 Enrollment ID: I20240917004005 |
| Provider Name | Michael John Zylstra |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437679636 PECOS PAC ID: 9133551591 Enrollment ID: I20240917004307 |
| Provider Name | Scott Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730600768 PECOS PAC ID: 4486929056 Enrollment ID: I20240930003788 |
| Provider Name | Allison a Snyder |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316263585 PECOS PAC ID: 2264843606 Enrollment ID: I20241001004494 |
| Provider Name | Amrinder Singh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861061913 PECOS PAC ID: 1355872292 Enrollment ID: I20241003000890 |
| Provider Name | Sunny Thibodeaux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427329044 PECOS PAC ID: 1850543620 Enrollment ID: I20241205002239 |
| Provider Name | Lance Fredrickson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659522308 PECOS PAC ID: 9739241233 Enrollment ID: I20250131003463 |
| Provider Name | Katie J Kist |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750763884 PECOS PAC ID: 6800191735 Enrollment ID: I20250306003160 |
| Provider Name | Rick Figurasin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053705566 PECOS PAC ID: 3678806510 Enrollment ID: I20250313003256 |
| Provider Name | Garrett Clay Wistisen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124824370 PECOS PAC ID: 7618491853 Enrollment ID: I20250409000031 |
| Provider Name | Danika Marie Burton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235753880 PECOS PAC ID: 8224406087 Enrollment ID: I20250602001270 |
| Provider Name | Jake Xavier Checketts |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1801415328 PECOS PAC ID: 7517497993 Enrollment ID: I20250619000525 |
| Provider Name | Hussam Sawass |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770019655 PECOS PAC ID: 5193123925 Enrollment ID: I20250804000343 |
| Provider Name | Joshua Gonzales |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053989970 PECOS PAC ID: 1951780634 Enrollment ID: I20250807003597 |
| Provider Name | Randon C Johnson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861611816 PECOS PAC ID: 9133282155 Enrollment ID: I20250822002837 |
| Provider Name | Jennifer Pearson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649854076 PECOS PAC ID: 7012371321 Enrollment ID: I20250828002334 |
| Provider Name | James K Griffitts |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235012931 PECOS PAC ID: 4880196922 Enrollment ID: I20250912003706 |
| Provider Name | Melissa Lawrence |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669572376 PECOS PAC ID: 6204003395 Enrollment ID: I20251111001106 |
| Provider Name | Amanda Nicole Froisland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528943636 PECOS PAC ID: 4183115850 Enrollment ID: I20251111002538 |
| Provider Name | Phillip Carron |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033591375 PECOS PAC ID: 7719293174 Enrollment ID: I20251126003988 |
| Provider Name | Danielle Heinlein-ball |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245966720 PECOS PAC ID: 0648614123 Enrollment ID: I20251216000657 |
| Provider Name | Jerod Hines |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1760726897 PECOS PAC ID: 0345469623 Enrollment ID: I20260120002213 |
| Provider Name | Saad Alvi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194983981 PECOS PAC ID: 0941374805 Enrollment ID: I20260207000328 |
| Provider Name | Michael Mensah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205218948 PECOS PAC ID: 3678876182 Enrollment ID: I20260304002786 |
| Provider Name | Sarah Campos Monell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316010853 PECOS PAC ID: 6709921166 Enrollment ID: I20260311002555 |
| Provider Name | Faisal Soliman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124404066 PECOS PAC ID: 2264765254 Enrollment ID: I20260324003299 |
| Provider Name | Bahaa Elzein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689294100 PECOS PAC ID: 4981025780 Enrollment ID: I20260501002275 |
| Provider Name | Patricia Marie Klefbeck |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1003759549 PECOS PAC ID: 3375013568 Enrollment ID: I20260528004430 |
Healthsource of Moses Lake Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 420 W 3rd Ave, Moses Lake, WA 98837 Phone: 509-765-0638 Fax: 509-765-3891 |
Moses Lake Community Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 605 S Coolidge St, Moses Lake, WA 98837 Phone: 509-764-0674 Fax: 509-764-0344 |
Omni Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1530 Pilgrim St, Moses Lake, WA 98837 Phone: 509-855-5497 Fax: 509-639-7063 |
Parkview Pediatrics Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 615 S Division St, Moses Lake, WA 98837 Phone: 509-766-9450 Fax: 509-766-1954 |
Pacific Rehabilitation Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 821 E Broadway Ave Ste 11, Moses Lake, WA 98837 Phone: 425-513-8509 Fax: 425-290-9774 |
Moses Lake Community Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 605 S Coolidge St, Moses Lake, WA 98837 Phone: 509-765-0674 Fax: 509-765-6591 |