Individual provider Active NPI

Julie Wood-McClure, MD

  • Pulmonary Disease Physician
  • Everett, WA
National Provider Identifier
1962459719
Registry record updated Apr 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
MD00043863 Issued in WA
Practice address
12728 19TH Ave. SE
Suite 200
Everett, WA 98208-6647
Phone
(425) 252-1116
Fax
(425) 252-1118
NPI assigned
May 27, 2006
Last updated
Apr 17, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X MD00043863 WA
Pulmonary Disease Physician 207RP1001X MD00043863 WA Primary

Addresses

Primary practice location

12728 19TH Ave. SE
Suite 200
Everett, WA 98208-6647

Mailing address

12728 19TH Ave SE
Suite 200
Everett, WA 98208-6647
Phone (425) 252-1116

Other identifiers 4

IdentifierTypeStateIssuer
P00190023OtherWARAILROAD MEDICARE
0190786OtherWALABOR AND INDUSTRY
MD00043863OtherWASTATE LICENSE NUMBER
8409898MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041119000733 WA Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 5496741456 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
Louisiana State University School of Medicine in New Orleans, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Public Hospital Dist No 1 SkagitGroup PAC ID 6800793522, 321 clinicians

Practice addresses (Care Compare)

1321 Colby Ave
Everett, WA 98201-1665
Phone (425) 261-2000

1415 E Kincaid St
Mount Vernon, WA 98274-4126
Phone (360) 416-5750

1700 13TH St
Everett, WA 98201-1689
Phone (425) 252-0895

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Public Hospital Dist No 1 Skagit CurrentSince Oct 1, 2017 Accepting new patients
Public Hospital Dist No 1 Skagit Current Accepting new patients
Western Washington Medical Group, Inc PS Critical Care Medicine CurrentSince Oct 1, 2004 Accepting new patients
Western Washington Medical Group, Inc PS Current Accepting new patients
Western Washington Medical Group, Inc PS CurrentSince Oct 1, 2004 Accepting new patients
Public Hospital Dist No 1 Skagit CurrentSince Oct 1, 2017 Accepting new patients
King County Public Hospital District No. 2 Past Accepting new patients
Providence Health & Services-Wa Past Accepting new patients

Locations

12728 19th Ave SE
Ste 200
Everett, WA 98208
Phone (425) 252-1116

1321 Colby Ave
Everett, WA 98201
Phone (425) 259-4413

1728 W Marine View Dr
Ste 111
Everett, WA 98201

1400 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 428-2586

1415 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 416-5750

Interoperability endpoints

  • Direct secure messaging: jwoodmcclure18567@skagit.direct-ci.com
  • Direct secure messaging: jwoodmcclure727177@direct.multicare.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334620800000",
    "number": "1962459719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12728 19TH AVE SE",
            "address_2": "SUITE 200",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982086647",
            "telephone_number": "425-252-1116",
            "fax_number": "425-252-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12728 19TH AVE. SE",
            "address_2": "SUITE 200",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982086647",
            "telephone_number": "425-252-1116",
            "fax_number": "425-252-1118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD-MCCLURE",
        "first_name": "JULIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-27",
        "last_updated": "2012-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "WA",
            "license": "MD00043863",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "WA",
            "license": "MD00043863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00190023",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRY",
            "identifier": "0190786",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "MD00043863",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8409898",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

Verify at the official NPI Registry.