WESTERN WASHINGTON MEDICAL GROUP INC PS – NPI #1982551867
Internal Medicine

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

WESTERN WASHINGTON MEDICAL GROUP INC PS is a provider located in EVERETT, WA. NPPES recently assigned the NPI number 1982551867 to WESTERN WASHINGTON MEDICAL GROUP INC PS on March 11, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was last updated on Apr 17, 2026. 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 WESTERN WASHINGTON MEDICAL GROUP INC PS below.

NPI Profile for
WESTERN WASHINGTON MEDICAL GROUP INC PS

NPI Number
1982551867
Enumeration Date

(about 3 months 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
WESTERN WASHINGTON MEDICAL GROUP INC PS
Primary location
12728 19TH AVE SE STE 200
EVERETT, WA 98208-6676
Phone: (425) 225-2700 Fax: (425) 225-2790
Mailing address
1728 W MARINE VIEW DR STE 110
EVERETT, WA 98201-2094
Phone: (425) 259-4041 Fax: (425) 225-2790
Organization Subpart
Yes - WESTERN WASHINGTON MEDICAL GROUP INC PS is subpart of another organization.
Authorized Official
DAVID RUSSIAN
CEO
Phone: (425) 259-4041
Updated
Certification Date
Apr 17, 2026

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
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)
207RI0011X
- Internal Medicine / Interventional Cardiology

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.