Ginny E Sugimoto, MD | |
1400 Pottery Ave, Port Orchard, WA 98366-3711 | |
(360) 895-5000 | |
Not Available |
Full Name | Ginny E Sugimoto |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 1400 Pottery Ave, Port Orchard, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699829283 | NPI | - | NPPES |
8111023 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD00025403 (Washington) | Primary |
Entity Name | Kaiser Foundation Health Plan Of Washington |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396810701 PECOS PAC ID: 9032022579 Enrollment ID: O20031112000454 |
Mailing Address | Practice Location Address |
---|---|
Ginny E Sugimoto, MD Po Box 34584, Seattle, WA 98124-1584 Ph: (509) 241-7349 | Ginny E Sugimoto, MD 1400 Pottery Ave, Port Orchard, WA 98366-3711 Ph: (360) 895-5000 |
Ifesinachi S Oguakwa, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 450 So Kitsap Blvd, Suite 100, Port Orchard, WA 98366 Phone: 360-744-6275 Fax: 360-744-6270 | |
Melissa Ayn Meyer, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1141 Beach Dr E, Port Orchard, WA 98366 Phone: 360-895-4680 Fax: 360-895-4709 | |
Daniel Eldredge Diamond, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 450 S Kitsap Blvd, Suite 100, Port Orchard, WA 98366 Phone: 360-744-6275 Fax: 360-744-6270 | |
Christine Agbayani Lomotan, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1400 Pottery Ave, Port Orchard, WA 98366 Phone: 360-895-5000 | |
Robert R Rankin, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 450 So. Kitsap Blvd., Suite 100, Port Orchard, WA 98366 Phone: 360-744-6275 Fax: 360-744-6188 | |
William E Underdown, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 450 So. Kitsap Blvd., Suite 100, Port Orchard, WA 98366 Phone: 360-744-6275 Fax: 360-744-6188 | |
Emily Assavapisitkul, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 Pottery Ave, Port Orchard, WA 98366 Phone: 360-895-5000 Fax: 877-516-9023 |