PHD2 of Snohomish County

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PHD2 OF SNOHOMISH COUNTY

Doing business as

Stevens Center for Internal Medicine

Practice address

7320 216TH St SW
Suite 200
Edmonds, WA 98026-8006

Phone

(425) 640-4901

Fax

(425) 640-4919

NPI assigned

Apr 6, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Gary L. Wangsmo

Title

Chief Financial Officer

Phone

(425) 640-4113

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• Stevens Center for Internal Medicine Doing business as

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Public Hospital District 2 of Snohomish County

  • Family Medicine Physician
  • Edmonds, WA
  • NPI 1588717250
  NPPES parent name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197244800000",
    "number": "1013979624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7320 216TH ST SW",
            "address_2": "SUITE 200",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980268006",
            "telephone_number": "425-640-4901",
            "fax_number": "425-640-4919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7320 216TH ST SW",
            "address_2": "SUITE 200",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980268006",
            "telephone_number": "425-640-4901",
            "fax_number": "425-640-4919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHD2 OF SNOHOMISH COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-06",
        "last_updated": "2007-12-10",
        "status": "A",
        "authorized_official_last_name": "WANGSMO",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "425-640-4113",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD GROUP",
            "identifier": "CG1766",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD GROUP",
            "identifier": "DE0413",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "35870",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD GROUP",
            "identifier": "DB5880",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7059371",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD GROUP",
            "identifier": "CJ4104",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stevens Center for Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nhi Pham
• An D Phan
• Melissa Phares
• PHD#2 of Snohomish County
• PHD#2 of Snohomish County
• Richard Claude Phillips, MD, MS, MPH
• Ame Phitwong, ARNP
• Physical Medicine Northwest
• Picnic Point Villa Afh LLC
• Cynthia Piepenbrok, LMHC

• Internal Medicine Physician in Edmonds, WA
• Providers in Edmonds, WA by specialty
• Internal Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.