Whitman Medical Group PS
Organization Active NPI Family Medicine Physician · Colfax, WA
NPI 1730289596 · NPPES record last updated Dec 11, 2008
Key facts
- NPI
- 1730289596
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- WHITMAN MEDICAL GROUP PS
- Practice address
- 1210 W Fairview St
Colfax, WA 99111-9552 - Phone
- (509) 397-4717
- Fax
- (509) 397-3501
- NPI assigned
- Sep 22, 2006
- Organization subpart
- No
Authorized official
- Name
- Nathan James Hymas
- Title
- Administrator
- Phone
- (509) 397-4717
Practitioners 14
-
Blaze J Burnham, ARNP
-
Sarah L Fielding, MD
-
Mark Houghton, ARNP
-
Erin Kroll, NP
-
Joshua Levi Mayfield, PA-C
-
Kristin Walters, ARNP
-
Marguerite Donna Wayland, APRN, FNP-C
-
James K Brannon, M.D.
-
Arati Dahal, FNP-C
-
Jon R Pirrello, M. D.
National Provider Directory
Locations
8 E Front St
Saint John, WA 99171
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
1210 W Fairview St
Colfax, WA 99111-9552
Mailing address
1210 W Fairview St
Colfax, WA 99111-9552
Phone (509) 397-4717
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7062987 | Medicaid | WA | |
| 0946290001 | Other | WA | PTAN |
Other providers in Colfax, WA
- Marguerite Donna Wayland
- Leilani C Weaver
- Hunter Bud Weitze
- Whitman Anesthesia PS
- Whitman Family Dental
- Elizabeth Margaret Wilson
- Jessica Hunter Yates
- Lea Zemmour Orvik
All providers in Colfax, WA · Family Medicine Physician in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.