OPTUM CARE WASHINGTON PLLC – NPI #1255950572
Internal Medicine

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

OPTUM CARE WASHINGTON PLLC is a provider located in LA CONNER, WA. NPPES has assigned the NPI number 1255950572 to OPTUM CARE WASHINGTON PLLC on April 16, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. OPTUM CARE WASHINGTON PLLC is also known by the name OPTUM - LA CONNER MEDICAL CENTER. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207R00000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine.

The NPI profile was previously updated about 2 years ago on Apr 09, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for OPTUM CARE WASHINGTON PLLC below.

NPI Profile for
OPTUM CARE WASHINGTON PLLC

NPI Number
1255950572
Enumeration Date

(more than 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
OPTUM CARE WASHINGTON PLLC
Other Name: OPTUM - LA CONNER MEDICAL CENTER
Primary location
528 MYRTLE STREET
LA CONNER, WA 98257
Phone: (360) 466-3136 Fax:
Mailing address
PO BOX 5127
EVERETT, WA 98206-5127
Phone: (360) 466-3136 Fax:
Organization Subpart
Yes - OPTUM CARE WASHINGTON PLLC is subpart of another organization.
Authorized Official
GEORGE GO
BOARD PRESIDENT
Phone: (425) 259-0966
Updated
Certification Date
Apr 09, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207R00000X
- Internal Medicine (Primary)
291U00000X
- Clinical Medical Laboratory
208000000X
- Pediatrics
207Q00000X
- Family Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.