MD Covid Care PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

MD COVID CARE PLLC

Practice address

15414 Ash Way
Lynnwood, WA 98087-8737

Phone

(425) 403-2010

Fax

(972) 483-4179

NPI assigned

Oct 7, 2021

Organization subpart

No

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

Authorized official

Name

Zeeshan Khan, MD

Title

Owner of Entity

Phone

(425) 403-2010

Specialties & licenses 4

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amare Melak Kassahun, NP

  • Family Nurse Practitioner
  • Renton, WA
  • NPI 1538721881
  NPD
• Jalil Aziz Khan, M.D.

  • Internal Medicine Physician
  • Lewisville, TX
  • NPI 1821183435
  NPD (past)
• Manolis Kyriacou, MD

  • Family Medicine Physician
  • Grosse Pointe Farms, MI
  • NPI 1710193354
  NPD (past)

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

{
    "created_epoch": "1633564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633564800000",
    "number": "1306508213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 FALCON TRL",
            "city": "MURPHY",
            "state": "TX",
            "postal_code": "750943836",
            "telephone_number": "425-403-2010",
            "fax_number": "972-483-4179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15414 ASH WAY",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980878737",
            "telephone_number": "425-403-2010",
            "fax_number": "972-483-4179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD COVID CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-07",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "ZEESHAN",
        "authorized_official_title_or_position": "OWNER OF ENTITY",
        "authorized_official_telephone_number": "425-403-2010",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080B0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristi Lee McNutt, L.M.P.
• Joah McPherson, M.S., CCC-SLP
• Luke A McQuade, MSW, LICSW
• Garland H McQuinn, MD
• Stephanie McWethy, LMFT-S, CMHS, EMMHS
• Jennifer Ann Meader, DMD
• Meadow Afh LLC
• Kailyn Meats
• Medella Northwest (Caprica LLC)
• Medical Laboratory Associates

• Primary Care Clinic/Center in Lynnwood, WA
• Providers in Lynnwood, WA by specialty
• Primary Care Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; 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.