Northwest Asthma & Allergy Center
Organization Active NPI Allergy & Immunology Physician · Richland, WA
NPI 1154496537 · NPPES record last updated Jan 18, 2008
Key facts
- NPI
- 1154496537
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Allergy & Immunology Physician 207K00000X
- Legal business name
- NORTHWEST ASTHMA & ALLERGY CENTER
- Practice address
- 108 Columbia Point Dr
Richland, WA 99352-4387 - Phone
- (509) 946-0189
- Fax
- (509) 946-0264
- NPI assigned
- Nov 21, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- NORTHWEST ASTHMA & ALLERGY CENTER
Authorized official
- Name
- Patricia S Mathias
- Title
- Credentialing Coordinator
- Phone
- (206) 527-2577
Parent organization (reported in NPPES) 1
Other NPIs on the same Medicare enrollment 8
Practitioners 38
-
Frank S Virant, M.D.
-
Leonard C. Altman, M.D.
-
Nola Attaway, M.D.
-
Trever M Burnett, M.D.
-
Tamara A Chinn, ARNP
-
Melanie Hui Juan Chong, M.D.
-
Hana Kang Finnigan, DNP
-
Duane A Frazier, PA-C
-
John Sherman Hardy Jr., M.D.
-
Michele R. Hinatsu, ARNP
-
Ashley M Jerath Tatum, M.D.
-
Bani Preet Kaur, M.D.
-
Michael S Kennedy, M.D.
-
Mary V Lasley, M.D.
-
William Toan Nguyen, M.D.
-
Audrey Y Park, MD,PH.D
-
Matthew Perez, MD
-
Daniel H Petroni, M.D., PH.D.
-
Jennifer Ann Regan, M.D., PH.D
-
Sara Seghezzo, M.D.
-
Jay Davis Sprenger, M.D.
-
Susan Lynn Symington, PA-C
-
Stephen Tilles, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040209000462 | WA | Part B Supplier - Clinic/Group Practice | 6507759743 |
Receives reassigned benefits from 20 practitioners 8 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Everett, WA; Issaquah, WA; Pasco, WA; Redmond, WA; Renton, WA; Seattle, WA |
National Provider Directory
- Part of
- Northwest Asthma Allergy C
Locations
9521 Sandifur Pkwy
#2
Pasco, WA 99301
Phone (509) 946-0189
Interoperability endpoints
- https://api.platform.athenahealth.com/26116/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician |
207K00000X | Yes |
Addresses
Primary practice location
108 Columbia Point Dr
Richland, WA 99352-4387
Mailing address
4540 Sand Point Way NE
Suite 200
Seattle, WA 98105-3941
Phone (206) 527-1200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NO9642 | Other | WA | REGENCE |
| 7701808 | Medicaid | WA | |
| C19080 | Other | WA | RAILROAD MEDICARE |
Other providers in Richland, WA
- Noor Khurana II PLLC
- Megan Noren
- Rebekah Elizabeth Norman
- Northern Desert Cardiology PC
- Northwest Ambulatory Physicians PLLC
- Northwest Healthcare and Wellness Center, PLLC
- Northwest Medical Supply LLC
- Northwest Orthopaedic Associates, PLLC
- Patrick Jay Nugent
- Elizabeth V. Nunez
All providers in Richland, WA · Allergy & Immunology Physician in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 18, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.