Public Hosp Dist 2 of Snoh County

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

PUBLIC HOSP DIST 2 OF SNOH COUNTY

Doing business as

Stevens Healthcare

Practice address

21601 76TH Ave W
Edmonds, WA 98026-7507

Phone

(425) 640-4000

Fax

(425) 640-4455

NPI assigned

Jan 18, 2007

Last updated

Aug 24, 2011By the provider in NPPES

Organization subpart

Yes

Parent organization

PUBLIC HOSP DIST 2 OF SNOH COUNTYAs reported in NPPES

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

Authorized official

Name

Vicki S Farretta

Title

Manager

Phone

(425) 673-3374

Specialties & licenses 2

Addresses

Other names 1

• Stevens Healthcare Doing business as

Part of

Stevens Healthcare

Locations

Practitioners 4

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.

• Katherine D. Bumstead, MD

  • Family Medicine Physician
  • Mukilteo, WA
  • NPI 1639270762
  NPD (past)
• Thomas K. Hafford, MD

  • Family Medicine Physician
  • Mukilteo, WA
  • NPI 1912008913
  NPD (past)
• John Byron Erb, MD

  • Family Medicine Physician
  • East Corinth, VT
  • NPI 1952306250
  NPD (past)
• Wui-Leong Koh

  • Family Medicine Physician
  • Portland, OR
  • NPI 1033211511
  NPD (past)

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314144000000",
    "number": "1881747442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 91000",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980262100",
            "telephone_number": "425-673-3374",
            "fax_number": "425-640-4455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21601 76TH AVE W",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267507",
            "telephone_number": "425-640-4000",
            "fax_number": "425-640-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUBLIC HOSP DIST 2 OF SNOH COUNTY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PUBLIC HOSP DIST 2 OF SNOH COUNTY",
        "enumeration_date": "2007-01-18",
        "last_updated": "2011-08-24",
        "status": "A",
        "authorized_official_last_name": "FARRETTA",
        "authorized_official_first_name": "VICKI",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "425-673-3374"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stevens Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Proliance Surgeons Inc., P.S. (Proliance Physical & Hand Therapy)
• Proliance Surgeons, Inc., P.S (Proliance Surgeons Ankle and Foot of Edmonds)
• Proliance Surgeons, Inc., P.S. (Proliance Surgeons Puget Sound ENT)
• Martin Proudfoot, M.D.
• Psychiatry Evergreen PLLC
• Public Hosp District #2 of Snoh County (Center for Wound Healing & Hyperbarics)
• Public Hospital District #2 of Snohomish County (Stevens Healthcare Services)
• Public Hospital District 2 of Snohomish County (Stevens Hospitalists Service)
• Public Hospital District 2 of Snohomish County (Stevens Pain Treatment Center)
• Public Hospital District 2 of Snohomish County (Birth & Family Clinic)

• Cardiovascular Disease Physician in Edmonds, WA
• Providers in Edmonds, WA by specialty
• Cardiovascular Disease Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2011; 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.