Western Washington Oncology PS

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

WESTERN WASHINGTON ONCOLOGY PS

Practice address

4525 3Rd Ave SE
Suite 200
Lacey, WA 98503-1010

Phone

(360) 754-3934

NPI assigned

Sep 2, 2005

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Melody Edgington

Title

Practice Administrator

Phone

(360) 754-3934

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Zachary Johnson, PA-C

  • Medical Physician Assistant
  • Anchorage, AK
  • NPI 1770968158
  NPD (past)
• Reshma Babra Naidoo, PH.D.

  • Clinical Child & Adolescent Psychologist
  • Anchorage, AK
  • NPI 1316266885
  NPD (past)
• Claire Marie Wilson, M.D.

  • Pediatric Gastroenterology Physician
  • Anchorage, AK
  • NPI 1457333247
  NPD (past)

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1497749642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4525 3RD AVE SE",
            "address_2": "SUITE 200",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985031010",
            "telephone_number": "360-754-3934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4525 3RD AVE SE",
            "address_2": "SUITE 200",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985031010",
            "telephone_number": "360-754-3934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN WASHINGTON ONCOLOGY PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-02",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "EDGINGTON",
        "authorized_official_first_name": "MELODY",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "360-754-3934"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7086648",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wellness Springs
• Carrie Welty, ARNP
• Carolyn Debra Wendt
• Haleigh Ann Werner, M.D.
• Paytion Arista West
• Bryan Douglas Weston, DPT
• Sydney Westphal
• Westside Speech and Language
• Drew Faith Wetmore
• Rebecca M Whearty, MEDICAL ASSISTANT

• Specialist in Lacey, WA
• Providers in Lacey, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.