NPIMap

Organization Active NPI

600 Stewart Medical Group, P.C.

  • Primary Care Clinic/Center
  • Seattle, WA
National Provider Identifier
1487317954
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
600 STEWART MEDICAL GROUP, P.C.
Practice address
224 Westlake Ave N Ste 100
Seattle, WA 98109-5260
Phone
(206) 690-5962
NPI assigned
Oct 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Authorized official

Name
Maria A. Wise, DONPI 1598836504
Title
Authorized Official
Phone
(206) 690-5962

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

224 Westlake Ave N Ste 100
Seattle, WA 98109-5260

Mailing address

224 Westlake Ave N Ste 100
Seattle, WA 98109-5260
Phone (206) 690-5962

Other practice location 1

201 Valley Mall Pkwy # 3
East Wenatchee, WA 98802-5309
Phone (425) 381-8534

Other names 1

  • Kinwell Medical Group Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220218001063 WA Part B Supplier - Clinic/Group Practice 6608260534 Receives reassigned benefits from 24 practitioners
Practice locations: Yakima, WA; Seattle, WA; Poulsbo, WA; East Wenatchee, WA

National Provider Directory

National Provider Directory

Locations

340 36th St
Bellingham, WA 98225

201 Valley Mall Pkwy
#3
East Wenatchee, WA 98802
Phone (425) 381-8534

201 Valley Mall Pkwy
Ste 3
East Wenatchee, WA 98802
Phone (206) 690-5962

35105 Enchanted Pkwy S
Ste G101
Federal Way, WA 98003

19723 Highway 99
Ste G
Lynnwood, WA 98036
Phone (425) 292-2102

13206 Bothell Everett Hwy
Ste 401A
Mill Creek, WA 98012
Phone (860) 227-8526

7505 Sandifur Pkwy
Ste 103A
Pasco, WA 99301

21800 Market Pl NW
Ste 104
Poulsbo, WA 98370

710 N 10th St
#304
Renton, WA 98057

224 Westlake Ave N
Ste 100
Seattle, WA 98109
Phone (206) 690-5962

600 Stewart St
Ste 800
Seattle, WA 98101
Phone (206) 690-5962

1416 NW 46th St
Ste 6A
Seattle, WA 98107

520 Denny Way
Seattle, WA 98109

307 W 6th Ave
Ste 100
Spokane, WA 99204
Phone (509) 413-0777

9001 N Country Homes Blvd
Ste 101
Spokane, WA 99218

16009 E Indiana Ave
Ste 101
Spokane Valley, WA 99216

Practitioners & affiliated clinicians

Practitioners 37

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

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1634688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731024000000",
    "number": "1487317954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 WESTLAKE AVE N STE 100",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981095260",
            "telephone_number": "206-690-5962",
            "fax_number": "855-459-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 WESTLAKE AVE N STE 100",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981095260",
            "telephone_number": "206-690-5962"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Valley Mall Pkwy # 3",
            "address_purpose": "LOCATION",
            "city": "East Wenatchee",
            "state": "WA",
            "postal_code": "988025309",
            "country_code": "US",
            "telephone_number": "425-381-8534",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "600 STEWART MEDICAL GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-20",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A",
        "authorized_official_last_name": "WISE",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "206-690-5962",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kinwell Medical Group",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Kinwell Medical Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.