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WESTERN WASHINGTON MEDICAL GROUP INC PS NPI 1023236528


NPI Information

NPI: 1023236528
Provider Name: WESTERN WASHINGTON MEDICAL GROUP, INC PS

Doing Business As: WESTERN WA MEDICAL GROUP, INC. DEPT OF GASTROENTEROLOGY

Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

Address:
4225 HOYT AVE STE A
EVERETT, WA
ZIP 98203
Phone: (425) 259-3122
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 1023236528. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Western Wa Medical Group, Inc. Dept Of Gastroenterology.

The provider's business location address is:

4225 HOYT AVE STE A
EVERETT, WA
ZIP 98203-351
Phone: (425) 259-3122
Fax: (425) 252-9860

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

The enumeration date for this NPI number is 4/23/2007 and was last updated on 2/23/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RG0100XInternal MedicineGastroenterology601474013WASHINGTONYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17056971MEDICAIDWASHINGTON
2115100800MEDICARE PINWASHINGTON
30050070OTHERWASHINGTONLABOR & INDUSTRIE
4CB4745OTHERWASHINGTONRAILROAD MEDICARE
5115100800MEDICARE ID-TYPE UNSPECIFIEDWASHINGTON

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.