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WESTERN WASHINGTON MEDICAL GROUP INC PS NPI 1902024300


NPI Information

NPI: 1902024300
Provider Name: WESTERN WASHINGTON MEDICAL GROUP, INC PS

Doing Business As: WESTERN WA MEDICAL GROUP DEPT OF ENDOCRINOLOGY

Classification: Internal Medicine - 207RE0101X
Entity Type: Organization

Specialization: Endocrinology, Diabetes & Metabolism

Address:
1330 ROCKEFELLER AVE STE 330
EVERETT, WA
ZIP 98201
Phone: (425) 259-4413
Get Directions

WESTERN WASHINGTON MEDICAL GROUP, INC PS is an endocrinology and diabetes and metabolism internal medicine in Everett, WA. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. WESTERN WASHINGTON MEDICAL GROUP, INC PS NPI is 1902024300. 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 Endocrinology.

The provider's business location address is:

1330 ROCKEFELLER AVE STE 330
EVERETT, WA
ZIP 98201-676
Phone: (425) 259-4413
Fax: (425) 259-0133

The provider's authorized official is Vicki Mcginnis .
The authorized official title is Ceo 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
1207RE0101XInternal MedicineEndocrinology, Diabetes & Metabolism601474013WASHINGTONYes

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
17106347MEDICAIDWASHINGTON
2AB24726MEDICARE PINWASHINGTON
3DA4340OTHERWASHINGTONRAILROAD MEDICARE
40101673OTHERWASHINGTONLABOR & 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: 11/14/2023

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