1. Home
  2. Directory
  3. Washington
  4. Bothell
  5. Specialist
  6. NPI Profile

WESTERN WASHINGTON MEDICAL GROUP
NPI 1194045542
Specialist in Bothell, WA

Active since June 08, 2010
1909 214TH ST SE, SUITE 211, BOTHELL, WA 98021(425) 420-1655 Get Directions Write a Review

NPPES record last updated: November 23, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Western Washington Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WESTERN WASHINGTON MEDICAL GROUP (NPI 1194045542) is a healthcare organization registered as a specialist in Bothell, Washington and active in the NPI registry since June 2010. The organization lists Jerome Tillinger, Ceo, as its authorized official.

NPPES Registry Identity

NPI1194045542
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameWESTERN WASHINGTON MEDICAL GROUP
Location Address1909 214TH ST SE, SUITE 211Bothell, WA 98021-4412
Mailing Address1728 W Marine View Dr, Suite 110Everett, WA 98201-2094 · (425) 259-4041
Phone(425) 420-1655
Organization SubpartNo
Authorized OfficialJerome TillingerCeo · (425) 259-4041
Enumeration DateJune 8, 2010
Last NPPES UpdateNovember 23, 2011
✔ NPI 1194045542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Licenses✔ Licensed in WA · 207RE0101X✔ Licensed in WA · 207RG0100X✔ Licensed in WA · 207RC0000X✔ Licensed in WA · 213E00000X✔ Licensed in WA · 207Y00000X✔ Licensed in WA · 291U00000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedInternal MedicineTaxonomy 207R00000X · License 207R00000X (WA)
1909 214TH ST SE, Bothell, WA 98021
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DYNACARE NORTHWEST INC
Clinical Medical Laboratory
1909 214TH ST SE, STE 300
BOTHELL, WA 98021
Snohomish County (425) 412-6341
LAUREN B JENTGES DPT
Physical Therapist
1909 214TH ST SE, SUITE 300
BOTHELL, WA 98021
Snohomish County (425) 412-7200
DR. PARUL SHARMA DO
Internal Medicine (Rheumatology)
1909 214TH ST SE
BOTHELL, WA 98021
Snohomish County (425) 412-7200
JODY M RHOADES MD
Internal Medicine
1909 214TH ST SE, SUITE 300
BOTHELL, WA 98021
Snohomish County (425) 412-7200
MS. RUCHI GUPTA SHARMA M.D.
Internal Medicine (Infectious Disease)
1909 214TH ST SE
BOTHELL, WA 98021
Snohomish County (425) 412-7200
DIANE DOERNER MD
Internal Medicine
1909 214TH ST SE, SUITE 211
BOTHELL, WA 98021
Snohomish County (425) 420-1648
AMY N HOING MD
Family Medicine
1909 214TH ST SE, SUITE 110
BOTHELL, WA 98021
Snohomish County (425) 488-4988
MRS. PAIGE A. MCNERTHNEY PHYSICAL THERAPIST
Physical Therapist (Orthopedic)
1909 214TH ST SE, SUITE 115
BOTHELL, WA 98021
Snohomish County (425) 485-5444

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Western Washington Medical Group's NPI number?

The NPI number for Western Washington Medical Group is 1194045542. It was assigned to this organization in the NPPES registry on June 8, 2010.

Where is Western Washington Medical Group located?

Western Washington Medical Group is located at 1909 214th St SE Suite 211, Bothell, WA 98021. The listed phone number is (425) 420-1655.

What is Western Washington Medical Group's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Western Washington Medical Group was last updated on November 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.