WESTERN WASHINGTON MEDICAL GROUP INC PS NPI 1023065919

NPI Information

NPI: 1023065919
Provider Name: WESTERN WASHINGTON MEDICAL GROUP, INC PS
Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

Address:
1728 W MARINE VIEW DR
SUITE 110
EVERETT, WA
ZIP 98201
Phone: (425) 259-4041
Get Directions

WESTERN WASHINGTON MEDICAL GROUP, INC PS is a gastroenterology internal medicine in Everett, WA. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. WESTERN WASHINGTON MEDICAL GROUP, INC PS NPI is 1023065919. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1728 W MARINE VIEW DR
SUITE 110
EVERETT, WA
ZIP 98201-094
Phone: (425) 259-4041
Fax: (425) 252-6642

The provider's authorized official is Vicki M Mcginnis .
The authorized official title is Privacy Officer and has the following contact phone number (425) 259-4041.

The enumeration date for this NPI number is 5/27/2006 and was last updated on 3/2/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License State	Primary
1	207RH0003X	Internal Medicine	Hematology & Oncology	WASHINGTON	No
2	207RP1001X	Internal Medicine	Pulmonary Disease	WASHINGTON	No
3	207RN0300X	Internal Medicine	Nephrology	WASHINGTON	No
4	207RC0200X	Internal Medicine	Critical Care Medicine	WASHINGTON	No
5	207RC0000X	Internal Medicine	Cardiovascular Disease	WASHINGTON	No
6	208600000X	Surgery		WASHINGTON	No
7	207RR0500X	Internal Medicine	Rheumatology	WASHINGTON	No
8	207RE0101X	Internal Medicine	Endocrinology, Diabetes & Metabolism	WASHINGTON	No
9	207X00000X	Orthopaedic Surgery		WASHINGTON	No
10	208800000X	Urology		WASHINGTON	No
11	207Y00000X	Otolaryngology		WASHINGTON	No
12	207Q00000X	Family Medicine		WASHINGTON	No
13	207RG0100X	Internal Medicine	Gastroenterology	WASHINGTON	Yes
14	103T00000X	Psychologist			No
15	213E00000X	Podiatrist			No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	=========	OTHER	WASHINGTON	TIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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