DRX Wa Urgent Care Providers PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DRX WA URGENT CARE PROVIDERS PLLC

Doing business as

Immediate Clinic

Practice address

23131 Bothell Everett Hwy Ste B
Bothell, WA 98021-9362

Phone

(425) 483-3335

Fax

(425) 483-3336

NPI assigned

Nov 7, 2013

Last updated

Apr 28, 2014By 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

Jeromy Sjolseth

Title

Director of Operations

Phone

(480) 818-3079

Specialties & licenses 5

Addresses

Other names 1

• Immediate Clinic Doing business as

Locations

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

{
    "created_epoch": "1383782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398643200000",
    "number": "1578992806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 HOLMAN RD NW",
            "address_2": "SUITE A1",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981173418",
            "telephone_number": "206-706-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23131 BOTHELL EVERETT HWY STE B",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980219362",
            "telephone_number": "425-483-3335",
            "fax_number": "425-483-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRX WA URGENT CARE PROVIDERS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-07",
        "last_updated": "2014-04-28",
        "status": "A",
        "authorized_official_last_name": "SJOLSETH",
        "authorized_official_first_name": "JEROMY",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "480-818-3079"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Immediate Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in Bothell, WA
• Providers in Bothell, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2014; 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.