NORTHWEST MEDICAL GROUP PLLC NPI 1154006492

NPI Information

  • NPI: 1154006492
  • Provider Name: NORTHWEST MEDICAL GROUP PLLC
  • Classification: Preventive Medicine - 2083X0100X
  • Specialization: Occupational Medicine
  • Entity Type: Organization
  • CLIA Number: 50D2273497
  • Address: 938 W 3RD AVE
    MOSES LAKE, WA
    ZIP 98837
  • Phone: (509) 350-4785

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NPI Details

NORTHWEST MEDICAL GROUP PLLC is an occupational medicine preventive medicine in Moses Lake, WA. The provider is occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. NORTHWEST MEDICAL GROUP PLLC NPI is 1154006492. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

938 W 3RD AVE
MOSES LAKE, WA
ZIP 98837-011
Phone: (509) 350-4785
Fax: (509) 380-9591

The provider's authorized official is Brandon Penix .
The authorized official title is Owner and has the following contact phone number (509) 350-4785.

The CLIA number assigned to this NPI record is 50D2273497 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/15/2023 and was last updated on 12/30/2024.

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 Number License State Primary
1163WX0106XRegistered NurseOccupational HealthNo
22083P0500XPreventive MedicinePreventive Medicine/Occupational Environmental MedicineNo
32083P0901XPreventive MedicinePublic Health & General Preventive MedicineNo
42083X0100XPreventive MedicineOccupational MedicineYes
5225100000XPhysical TherapistNo
6225700000XMassage TherapistNo

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
10471864OTHERWASHINGTONLABOR AND INDUSTRIES

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: 3/30/2025

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