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WESTERN WASHINGTON MEDICAL GROUP INC PS NPI 1932327335


NPI Information

NPI: 1932327335
Provider Name: WESTERN WASHINGTON MEDICAL GROUP, INC PS

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

Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
3802 BROADWAY STE B
EVERETT, WA
ZIP 98201
Phone: (425) 259-0855
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WESTERN WASHINGTON MEDICAL GROUP, INC PS is a podiatrist in Everett, WA. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. WESTERN WASHINGTON MEDICAL GROUP, INC PS NPI is 1932327335. 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 Podiatry.

The provider's business location address is:

3802 BROADWAY STE B
EVERETT, WA
ZIP 98201-032
Phone: (425) 259-0855
Fax: (425) 259-0856

The provider's authorized official is Amelia Edens .
The authorized official title is Director Of Patient Financial Svcs and has the following contact phone number (425) 740-4142.

The enumeration date for this NPI number is 4/23/2007 and was last updated on 8/4/2023.


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
1213E00000XPodiatrist601474013WASHINGTONYes

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
17119019MEDICAIDWASHINGTON
2DA5528OTHERWASHINGTONRAILROAD MEDICARE
30114986OTHERWASHINGTONLABOR & INDUSTRIE

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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