Providence Physician Group in Everett - Family Medicine
Providence Physician Group - NPI 1518040484
Providence Physician Group is a Family Medicine in Everett, Washington. Providence Physician Group practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Providence Physician Group is 1518040484. The last update date is 2007-11-21.
Providence Physician Group's current location address is 909 N Broadway, Everett, Washington. You can contact this provider via phone number 4253170257 and fax number 4253170291. The mailing address for Providence Physician Group is 909 N Broadway, Everett, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Providence Physician Group |
|---|---|
| Address | 909 N Broadway, Everett, Washington |
| Phone Number | 4253170257 |
| Fax Number | 4253170291 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF EXEC |
|---|---|
| Authorized Official Name | Beegle D. Earl |
| Credentials | MD |
| Telephone Number | 4253165470 |
NPI Number Detail
| NPI Number | 1518040484 |
|---|---|
| Provider Enumeration Date | 2006-10-23 |
| Last Updated Date | 2007-11-21 |
Provider Mailing Address Detail
| Address | 909 N Broadway |
|---|---|
| City | Everett |
| State | Washington (WA) |
| Post Code | 982011409 |
| Phone Number | 4253170257 |
| Fax Number | 4253170291 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7096183 | WA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Providence Physician Group by the Centers for Medicare & Medicaid Services (CMS)?
The Providence Physician Group has been assigned the NPI (National Provider Identifier) 1518040484. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Providence Physician Group?
The Providence Physician Group is situated at 909 N Broadway, in the city of Everett, state of WA, with the zip code 982011409.
What is Providence Physician Group's specialized field of practice, and what is the corresponding taxonomy classification code?
The Providence Physician Group's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1518040484 to Providence Physician Group?
The Centers for Medicare & Medicaid Services assigned the 1518040484 to Providence Physician Group on 2006-10-23.
As of what date were the details pertaining to Providence Physician Group last refreshed?
The information related to the Providence Physician Group, including its address, specialty, and other relevant details, was last updated on 2007-11-21.