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WESTERN WASHINGTON MEDICAL GROUP INC PS NPI 1376761775


NPI Information

NPI: 1376761775
Provider Name: WESTERN WASHINGTON MEDICAL GROUP, INC PS

Doing Business As: WESTERN WA MEDICAL GROUP DEPT OF ORTHOPEDICS

Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
3726 BROADWAY
SUITE 201
EVERETT, WA
ZIP 98201
Phone: (425) 317-9119
Get Directions

WESTERN WASHINGTON MEDICAL GROUP, INC PS is an orthopaedic surgery in Everett, WA. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. WESTERN WASHINGTON MEDICAL GROUP, INC PS NPI is 1376761775. 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 Dept Of Orthopedics.

The provider's business location address is:

3726 BROADWAY
SUITE 201
EVERETT, WA
ZIP 98201-788
Phone: (425) 317-9119
Fax: (425) 317-9118

The provider's authorized official is Vicki M Mcginnis .
The authorized official title is Pm System Administrator and has the following contact phone number (425) 740-4148.

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
1207X00000XOrthopaedic Surgery601474013WASHINGTONYes

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
17067648MEDICAIDWASHINGTON
2CQ2138OTHERWASHINGTONRAILROAD MEDICARE
30728350005OTHERNPI
40728350005MEDICARE NSCWASHINGTON
5115121300MEDICARE PINWASHINGTON
60036257OTHERWASHINGTONLABOR & INDUSTRY

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: 4/28/2024

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