Organization Active NPI

Chesed Health Care PS

  • Internal Medicine Physician
  • Edmonds, WA
National Provider Identifier
1952579849
Registry record updated Feb 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CHESED HEALTH CARE PS
Practice address
120 3Rd Ave S
Suite 120
Edmonds, WA 98020-8411
Phone
(425) 697-5777
NPI assigned
Feb 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2008

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

Authorized official

Name
Dr. Winslow Potter Engel, MD
Title
President
Phone
(425) 697-5777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

120 3Rd Ave S
Suite 120
Edmonds, WA 98020-8411

Mailing address

PO Box 1705
Edmonds, WA 98036
Phone (425) 697-5777

Other identifiers 1

IdentifierTypeStateIssuer
1118876MedicaidWA

National Provider Directory

National Provider Directory

Locations

120 3rd Ave S
Ste 120
Edmonds, WA 98020
Phone (425) 697-5777

NPI Registry JSON

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

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203897600000",
    "number": "1952579849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1705",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "98036",
            "telephone_number": "425-697-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 3RD AVE S",
            "address_2": "SUITE 120",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980208411",
            "telephone_number": "425-697-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESED HEALTH CARE PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-14",
        "last_updated": "2008-02-25",
        "status": "A",
        "authorized_official_last_name": "ENGEL",
        "authorized_official_first_name": "WINSLOW",
        "authorized_official_middle_name": "POTTER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-697-5777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1118876",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmonds, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; 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.