| Northwest Medical Specialties Pllc | |
|
1624 S I St Suite #305 Tacoma WA 98405-5016 | |
| (253) 428-8700 | |
| (253) 627-4285 |
| Full Name | Northwest Medical Specialties Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1624 S I St, Tacoma, Washington |
| Authorized Official Name and Position | Mark Nelson (COO) |
| Authorized Official Contact | 2534288756 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Medical Specialties Pllc 1624 S I St Suite #305 Tacoma WA 98405-5016 Ph: (253) 428-8700 | Northwest Medical Specialties Pllc 1624 S I St Suite #305 Tacoma WA 98405-5016 Ph: (253) 428-8700 |
| NPI Number | 1548261308 |
|---|---|
| Provider Enumeration Date | 08/02/2005 |
| Last Update Date | 09/15/2021 |
| Medicare PECOS PAC ID | 8022903384 |
|---|---|
| Medicare Enrollment ID | O20040217000405 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548261308 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | William Ira Bensinger |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1922198886 PECOS PAC ID: 6901707074 Enrollment ID: I20040120000956 |
| Provider Name | Thomas E Boyd |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1518049642 PECOS PAC ID: 4486544236 Enrollment ID: I20040317000173 |
| Provider Name | Andrea L Veatch |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1952398158 PECOS PAC ID: 9234128273 Enrollment ID: I20040506001109 |
| Provider Name | Francis M Senecal |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1417046236 PECOS PAC ID: 6709771967 Enrollment ID: I20040518000486 |
| Provider Name | Robert D Mccroskey |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1629064589 PECOS PAC ID: 8325009160 Enrollment ID: I20041025000478 |
| Provider Name | Sibel Blau |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1962490797 PECOS PAC ID: 4688628373 Enrollment ID: I20060315000795 |
| Provider Name | Lavanya Sundararajan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1568553097 PECOS PAC ID: 1658432745 Enrollment ID: I20081208000483 |
| Provider Name | Marles J Geist |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073759486 PECOS PAC ID: 2668529744 Enrollment ID: I20090407000043 |
| Provider Name | Ndegwa M Njuguna |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1851577522 PECOS PAC ID: 3072564079 Enrollment ID: I20090715000778 |
| Provider Name | Ellen M Hanisch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346248754 PECOS PAC ID: 9436273091 Enrollment ID: I20100902001046 |
| Provider Name | David E Mccune |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1457366320 PECOS PAC ID: 1951597434 Enrollment ID: I20101123000493 |
| Provider Name | Jorge M Chaves |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1265610752 PECOS PAC ID: 5092987230 Enrollment ID: I20111011000671 |
| Provider Name | Ludmila K Martin |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1568653509 PECOS PAC ID: 8628210945 Enrollment ID: I20130815000159 |
| Provider Name | Alicia D Soule |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710381751 PECOS PAC ID: 4385969617 Enrollment ID: I20150209001782 |
| Provider Name | Abra P Kelson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356729107 PECOS PAC ID: 7517265309 Enrollment ID: I20160412000331 |
| Provider Name | Emily Stevens |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1669798195 PECOS PAC ID: 8527384080 Enrollment ID: I20160628000272 |
| Provider Name | Kristin J Mellein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184024747 PECOS PAC ID: 3779875901 Enrollment ID: I20170504001372 |
| Provider Name | Flora Galloway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205330503 PECOS PAC ID: 9436414232 Enrollment ID: I20180529000655 |
| Provider Name | Jessica R Maike |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841701752 PECOS PAC ID: 3779821079 Enrollment ID: I20190212002082 |
| Provider Name | Sarah R Coughlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043761992 PECOS PAC ID: 5193007532 Enrollment ID: I20191022001185 |
| Provider Name | Mohammed N Kanaan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1326270992 PECOS PAC ID: 3476864414 Enrollment ID: I20191115000661 |
| Provider Name | Jessica Rae Hoover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699326553 PECOS PAC ID: 6608200373 Enrollment ID: I20200106001817 |
| Provider Name | Li Zhang |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1972865863 PECOS PAC ID: 7214227974 Enrollment ID: I20200727003388 |
| Provider Name | Aliakbar R Dadla |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1134474976 PECOS PAC ID: 2961721766 Enrollment ID: I20210603001538 |
| Provider Name | Mandie Michelle Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942808506 PECOS PAC ID: 0143623348 Enrollment ID: I20210726002954 |
| Provider Name | Manas Agastya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629495759 PECOS PAC ID: 1254655327 Enrollment ID: I20210805001495 |
| Provider Name | Melissa Yan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1922493436 PECOS PAC ID: 8628333424 Enrollment ID: I20210819003590 |
| Provider Name | Sarah Lydia Stacpoole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407481690 PECOS PAC ID: 4082086947 Enrollment ID: I20230202002654 |
| Provider Name | Emma Broussard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306419015 PECOS PAC ID: 7315341179 Enrollment ID: I20230215001728 |
| Provider Name | Kyungsuk Jung |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1265792196 PECOS PAC ID: 0446471171 Enrollment ID: I20230626002933 |
| Provider Name | Sansara Owens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588379002 PECOS PAC ID: 6507227824 Enrollment ID: I20230803000749 |
| Provider Name | Caitlyn Graves |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164936183 PECOS PAC ID: 3779842950 Enrollment ID: I20231004002073 |
Tran Urgent Care & Wellness Centers Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 710 South, 38th Street, Suite B, Tacoma, WA 98418 Phone: 253-719-7767 Fax: 253-330-8646 | |
Sound Ltc Of California I Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1498 Pacific Ave Ste 400, Tacoma, WA 98402 Phone: 615-577-6340 | |
Sea-mar Community Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1112 S Cushman Ave, Tacoma, WA 98405 Phone: 253-593-2144 Fax: 253-272-4125 | |
Thu V. Le, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1212 S 11th St, Suite 39, Tacoma, WA 98405 Phone: 253-627-6128 | |
Comprehensive Postacute Care Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1724 Pointe Woodworth Dr Ne, Tacoma, WA 98422 Phone: 253-820-6757 | |
Multicare Health System Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 315 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-403-1000 | |
Empowered Health Corp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7808 Pacific Ave Ste 3, Tacoma, WA 98408 Phone: 253-503-6178 Fax: 253-240-0587 |