Northwest Critical Care Physicians, P.S.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

NORTHWEST CRITICAL CARE PHYSICIANS, P.S.

Practice address

12844 Military Rd S
Suite 404
Tukwila, WA 98168-3045

Phone

(206) 790-2397

Fax

(425) 641-4827

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

Dr. Robert L Clark, MD

Title

Owner

Phone

(206) 790-2397

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

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

• Anne Butler Lipke, MD

  • Pulmonary Disease Physician
  • Seattle, WA
  • NPI 1295840346
  NPD (past)
• Darragh S O'Mahony, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Seattle, WA
  • NPI 1730191727
  NPD (past)

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287532800000",
    "number": "1871540476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17058 SE 58TH ST",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980065595",
            "telephone_number": "206-790-2397",
            "fax_number": "425-641-4827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12844 MILITARY RD S",
            "address_2": "SUITE 404",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981683045",
            "telephone_number": "206-790-2397",
            "fax_number": "425-641-4827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST CRITICAL CARE PHYSICIANS, P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2010-10-20",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-790-2397",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "810000222",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1086784",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Norris
• North Star Treatment Group, LLC
• Northstar Wellness Associates
• Northwest Behavioral Health
• Northwest Community Laboratories a Division of Multicare Health System (Northwest Community Laboratories)
• Northwest Medical Transport LLC
• Peter Nthiwa, RN
• Ambroise Ntumba Mbombesha
• Nurani, Mitchell, Kim, PC (Brightnow Dental - Tukwila)
• Nurturing Expressions, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2010; 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.