WESTERN WA MEDICAL GROUP DEPT OF RHEUMATOLOGY – NPI #1093933491
Internal Medicine

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases.

WESTERN WA MEDICAL GROUP DEPT OF RHEUMATOLOGY is a provider located in EVERETT, WA. NPPES has assigned the NPI number 1093933491 to WESTERN WA MEDICAL GROUP DEPT OF RHEUMATOLOGY on April 23, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “WESTERN WA MEDICAL GROUP DEPT OF RHEUMATOLOGY” is a dba name, the actual legal business name for this organization is WESTERN WASHINGTON MEDICAL GROUP, INC PS. The primary taxonomy selected by this provider is 207RR0500X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Rheumatology

The NPI profile was previously updated about 3 years ago on Aug 04, 2023. 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 WA MEDICAL GROUP DEPT OF RHEUMATOLOGY below.

NPI Profile for
WESTERN WASHINGTON MEDICAL GROUP, INC PS

NPI Number
1093933491
Enumeration Date

(more than 19 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
WESTERN WASHINGTON MEDICAL GROUP, INC PS
Doing Business As (dba): WESTERN WA MEDICAL GROUP DEPT OF RHEUMATOLOGY
Primary location
4225 HOYT AVE STE C
EVERETT, WA 98203-2351
Phone: (425) 252-8375 Fax: (425) 252-8364
1 Other location(s):
1330 Rockefeller Ave Ste 330
Everett, WA 98201-1676
Phone: (425) 252-8375
Fax: (425) 252-8364
Mailing address
1728 W MARINE VIEW DR STE 110
EVERETT, WA 98201-2094
Phone: (425) 259-4041 Fax: (425) 252-6642
Organization Subpart
Yes - WESTERN WA MEDICAL GROUP DEPT OF RHEUMATOLOGY is subpart of another organization.
Authorized Official
AMELIA EDENS
DIRECTOR OF PATIENT FINANCIAL SVCS
Phone: (425) 740-4142
Updated
Certification Date
Aug 04, 2023

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.

Identifiers

Identifiers for WESTERN WA MEDICAL GROUP DEPT OF RHEUMATOLOGY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherLABOR & INDUSTRYWA0141951
otherRAILROAD MEDICAREWADC9098
medicaidWA7103641
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
207RR0500X
- Internal Medicine / Rheumatology (Primary)
WA 601474013

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.