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1414 S. 324th Street Federal Way WA 98003 | |
| (253) 220-3121 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 1414 S. 324th Street, Federal Way, Washington |
| Authorized Official Name and Position | Natasha Bhuyan (NATIONAL MEDICAL DIRECTOR) |
| Authorized Official Contact | 4158140927 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
1 Embarcadero Ctr Fl 19 San Francisco CA 94111-3628 Ph: (415) 651-8065 | 1414 S. 324th Street Federal Way WA 98003 Ph: (253) 220-3121 |
| NPI Number | 1023547072 |
|---|---|
| Provider Enumeration Date | 06/05/2017 |
| Last Update Date | 10/10/2024 |
| Medicare PECOS PAC ID | 1355614421 |
|---|---|
| Medicare Enrollment ID | O20170912001896 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023547072 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Lee D Burnside |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497744684 PECOS PAC ID: 7911918990 Enrollment ID: I20060505000809 |
| Provider Name | Holly J Christoferson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639280191 PECOS PAC ID: 8729086814 Enrollment ID: I20061128000464 |
| Provider Name | Margaret G Mercado |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932394673 PECOS PAC ID: 1759457781 Enrollment ID: I20080827000487 |
| Provider Name | Jonathan E G Mcbride |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225135221 PECOS PAC ID: 6800894205 Enrollment ID: I20090916000213 |
| Provider Name | Jeanette E Nyman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396831525 PECOS PAC ID: 3375685035 Enrollment ID: I20100119000789 |
| Provider Name | Emily Danielle Bertani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396945713 PECOS PAC ID: 7214107085 Enrollment ID: I20140306002218 |
| Provider Name | Marja Dempsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386893253 PECOS PAC ID: 4486714771 Enrollment ID: I20140730000946 |
| Provider Name | Kannie Chim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689935736 PECOS PAC ID: 8527386176 Enrollment ID: I20150727000655 |
| Provider Name | Kimberly C Valencia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457532558 PECOS PAC ID: 8628121134 Enrollment ID: I20151106000527 |
| Provider Name | Karen Hye |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710348511 PECOS PAC ID: 1456648179 Enrollment ID: I20160923001499 |
| Provider Name | Teresa Mcgrath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952739864 PECOS PAC ID: 0840599197 Enrollment ID: I20170712003226 |
| Provider Name | Kirsten Hallstrom |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285150979 PECOS PAC ID: 2163788340 Enrollment ID: I20171102003526 |
| Provider Name | David H Gellis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548580368 PECOS PAC ID: 2163795287 Enrollment ID: I20171117000969 |
| Provider Name | Ashley E Bieker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790120608 PECOS PAC ID: 1254654841 Enrollment ID: I20180815004095 |
| Provider Name | Eric Lawrence Soriano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194171041 PECOS PAC ID: 1850685447 Enrollment ID: I20190722002221 |
| Provider Name | Beth Lee Fricke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417342593 PECOS PAC ID: 5294041281 Enrollment ID: I20200311002107 |
| Provider Name | Christopher Niel Peoples |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205198959 PECOS PAC ID: 3173760691 Enrollment ID: I20200910000910 |
| Provider Name | Christina Kay Choung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790210847 PECOS PAC ID: 3173893542 Enrollment ID: I20200929003708 |
| Provider Name | Laura Cornish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649637497 PECOS PAC ID: 3476968827 Enrollment ID: I20210216002751 |
| Provider Name | Sheila Miriam Antony |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083989339 PECOS PAC ID: 7810281003 Enrollment ID: I20211214000834 |
| Provider Name | Alice M. Inouye |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831152065 PECOS PAC ID: 3173428786 Enrollment ID: I20220225001356 |
| Provider Name | Jana Goldberg |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477873768 PECOS PAC ID: 5799075933 Enrollment ID: I20220527001594 |
| Provider Name | Jeffrey Wessler |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1891053625 PECOS PAC ID: 6406169382 Enrollment ID: I20220621001943 |
| Provider Name | Anita Loehmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932871233 PECOS PAC ID: 0941677736 Enrollment ID: I20221108001756 |
| Provider Name | Pei-chun Mcgregor |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023231073 PECOS PAC ID: 5890919906 Enrollment ID: I20230302002063 |
| Provider Name | Lawanda Martindale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346699188 PECOS PAC ID: 3072809623 Enrollment ID: I20230418000615 |
| Provider Name | Angela Poppe Ries |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346458197 PECOS PAC ID: 6608961081 Enrollment ID: I20230512000741 |
| Provider Name | Modupeola Abiodun |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225326853 PECOS PAC ID: 5597983551 Enrollment ID: I20230615001726 |
| Provider Name | Saori Schmal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912342114 PECOS PAC ID: 9931341898 Enrollment ID: I20230721002340 |
| Provider Name | Halary Patch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255631248 PECOS PAC ID: 0840461018 Enrollment ID: I20240122002455 |
| Provider Name | Jessica Lee Mefford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104324151 PECOS PAC ID: 8123358934 Enrollment ID: I20240205002968 |
| Provider Name | Ambreen Mohamed |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1437443637 PECOS PAC ID: 4183944788 Enrollment ID: I20240219001198 |
| Provider Name | Casandra Hamlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760962823 PECOS PAC ID: 5991040495 Enrollment ID: I20240514001119 |
| Provider Name | Joy Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942552807 PECOS PAC ID: 4385929538 Enrollment ID: I20240604002510 |
| Provider Name | Alexis Atwater |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922328830 PECOS PAC ID: 9537303854 Enrollment ID: I20240708003257 |
| Provider Name | Rakeshkumar Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568436673 PECOS PAC ID: 1052389285 Enrollment ID: I20240727000360 |
| Provider Name | Andrew S Diamond |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154347235 PECOS PAC ID: 2668481144 Enrollment ID: I20240816003612 |
| Provider Name | Aarti Surti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114284742 PECOS PAC ID: 6103133350 Enrollment ID: I20240906002107 |
| Provider Name | Casey Henritz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710113568 PECOS PAC ID: 1456508795 Enrollment ID: I20240906002239 |
| Provider Name | William Kimbrough |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821236357 PECOS PAC ID: 9739351784 Enrollment ID: I20240906002362 |
| Provider Name | Christina Kang |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417197161 PECOS PAC ID: 0143454264 Enrollment ID: I20241003000376 |
| Provider Name | Eric Bautista |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437576972 PECOS PAC ID: 5496040198 Enrollment ID: I20241007003008 |
| Provider Name | Sarah Stookey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659337558 PECOS PAC ID: 6305749938 Enrollment ID: I20241115001337 |
Adult Health And Wellness, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 33650 6th Ave S, Suite 100, Federal Way, WA 98003 Phone: 253-942-3306 Fax: 253-815-8805 | |
Northwest Observation Associates Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 34515 9th Ave S, Federal Way, WA 98003 Phone: 865-693-1000 | |
Auburn Regional Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 34520 16th Ave S, Federal Way, WA 98003 Phone: 253-656-0223 Fax: 253-872-7900 | |
Myomedi Chiropractic Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 31260 Pacific Hwy S Ste 9, Federal Way, WA 98003 Phone: 253-528-0172 Fax: 253-528-0173 |