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WESTERN WASHINGTON MEDICAL GROUP INC PS NPI 1841418241


NPI Information

NPI: 1841418241
Provider Name: WESTERN WASHINGTON MEDICAL GROUP, INC PS

Doing Business As: WESTERN WA MEDICAL GROUP DEPT OF CARDIOLOGY

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
12728 19TH AVE SE
SUITE 200
EVERETT, WA
ZIP 98208
Phone: (425) 261-3430
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WESTERN WASHINGTON MEDICAL GROUP, INC PS is a cardiovascular disease internal medicine in Everett, WA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. WESTERN WASHINGTON MEDICAL GROUP, INC PS NPI is 1841418241. 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 Cardiology.

The provider's business location address is:

12728 19TH AVE SE
SUITE 200
EVERETT, WA
ZIP 98208-526
Phone: (425) 261-3430
Fax: (425) 261-3435

The provider's authorized official is Vicki 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 4/23/2007 and was last updated on 10/13/2016.


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
1207RC0000XInternal MedicineCardiovascular Disease601474013WASHINGTONYes

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
10067760OTHERWASHINGTONLABOR & INDUSTRIE
2115159400MEDICARE PINWASHINGTON
37081870MEDICAIDWASHINGTON
4CE7385OTHERWASHINGTONRAILROAD MEDICARE

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.