Public Hospital District #1 of King County

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

PUBLIC HOSPITAL DISTRICT #1 OF KING COUNTY

Doing business as

VMC NewCastle Primary Care

Practice address

7203 129TH Ave SE
Suite 100
Newcastle, WA 98056-1412

Phone

(425) 656-5406

NPI assigned

May 28, 2006

Organization subpart

No

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

Authorized official

Name

Melissa Farley, CPC

Title

Technical Coordinator

Phone

(425) 917-6282

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• VMC NewCastle Primary Care Doing business as

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200355200000",
    "number": "1497702161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 LIND AVE SW",
            "address_2": "SUITE 100",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980554934",
            "telephone_number": "425-656-5412",
            "fax_number": "425-656-5423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7203 129TH AVE SE",
            "address_2": "SUITE 100",
            "city": "NEWCASTLE",
            "state": "WA",
            "postal_code": "980561412",
            "telephone_number": "425-656-5406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUBLIC HOSPITAL DISTRICT #1 OF KING COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2008-01-15",
        "status": "A",
        "authorized_official_last_name": "FARLEY",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "TECHNICAL COORDINATOR",
        "authorized_official_telephone_number": "425-917-6282",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7071012",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VMC NewCastle Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly Pandiangan, OD
• Payal Patel
• Patrick Wang DDS MD PLLC
• Andrea Pincus, MS, CF-SLP
• Trisha Lee Pollara, MD
• Public Hospital District #1 of King County
• Public Hospital District #1 of King County
• Abigail Lois Rausch, LMT
• Charlynn Mercedes Raymond-Ortiz
• Redhead Rehab PLLC

• Adult Medicine Physician in Newcastle, WA
• Providers in Newcastle, WA by specialty
• Adult Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; 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.