THE DOCTORS CLINIC OF SILVERDALE (THE DOCTORS CLINIC A PROFESSIONAL CORPORATION) NPI 1497703821

Clinic/Center (Multi-Specialty) in Silverdale, WA

NPI 1497703821 Organization Clinic/Center Multi-Specialty

About THE DOCTORS CLINIC OF SILVERDALE (THE DOCTORS CLINIC A PROFESSIONAL CORPORATION)

The Doctors Clinic Of Silverdale (the Doctors Clinic A Professional Corporation) is a provider established in Silverdale, Washington specializing in clinic/center (multi-specialty) . The NPI number of The Doctors Clinic Of Silverdale (the Doctors Clinic A Professional Corporation) is 1497703821 and was assigned on May 2006. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The provider's is doing business as The Doctors Clinic Of Silverdale. The authorized official of this NPI record is Linda Brown (Ceo)

NPI

1497703821

Provider NameTHE DOCTORS CLINIC OF SILVERDALE (THE DOCTORS CLINIC A PROFESSIONAL CORPORATION)
Provider Location Address9398 RIDGETOP BLVD NW SILVERDALE, WA 98383
Provider Mailing Address9621 RIDGETOP BLVD NW SILVERDALE, WA 98383
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameTHE DOCTORS CLINIC OF SILVERDALE
Other Name TypeDoing Business As (3)
Enumeration Date05-05-2006
Last Update Date11-24-2014


Primary Taxonomy

Taxonomy Code261QM1300X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationMulti-Specialty

Business Address

THE DOCTORS CLINIC OF SILVERDALE
9398 RIDGETOP BLVD NW
SILVERDALE, WA
ZIP 98383
Phone: (360) 782-3200
Fax: (360) 782-3240

Get Directions


Mailing Address

THE DOCTORS CLINIC OF SILVERDALE
9621 RIDGETOP BLVD NW
SILVERDALE, WA
ZIP 98383
Phone:



Authorized Official

Authorized Official Name LINDA BROWN
Authorized Official TitleCEO
Authorized Official Phone(360) 782-3600

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1261Q00000XAmbulatory Health Care FacilitiesClinic/CenterNo

Taxonomy Description: a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

2261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary CareNo

Taxonomy Description: Not Available

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
50D364950OTHER (01)
G000250500MEDICARE PIN (08)WA
8910650OTHER (01)WA
7053739MEDICAID (05)WA
CU0247OTHER (01)WA
0590590003MEDICARE NSC (07)WA
377018604OTHER (01)WA
75420OTHER (01)WA

Other Providers at the same location


The following 14 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1265484299 THEODORE EUGENE JOHNSRUDE M.D.
Individual
Urology9398 RIDGETOP BLVD NW
SILVERDALE, WA 98383
(360) 782-3200
1437465424DR. DAVID S CHANG DO
Individual
Family Medicine9398 RIDGETOP BLVD NW
SILVERDALE, WA 98383
(360) 782-3200
1235167180 INGELA PEZZOLESI M.D.
Individual
Family Medicine9398 RIDGETOP BLVD NW
SILVERDALE, WA 98383
(360) 782-3200
1801871074DR. ARUNAS T BANIONIS D.O.
Individual
Family Medicine9398 RIDGETOP BLVD NW
SILVERDALE, WA 98383
(360) 782-3200
1538111836 TODD JEFFREY GARVIN M.D.
Individual
Urology9398 RIDGETOP BLVD NW
SILVERDALE, WA 98383
(360) 782-3200
1386688422 RANDALL JAMES MOELLER M.D.
Individual
Urology9398 RIDGETOP BLVD NW
SILVERDALE, WA 98383
(360) 782-3200
1750326831 OANH HOANG TRUONG M.D.
Individual
Family Medicine9398 RIDGETOP BLVD NW
SILVERDALE, WA 98383
(360) 782-3200
1548278211 JANET A RYAN PA
Individual
Physician Assistant9398 RIDGETOP BLVD NW
SILVERDALE, WA 98383
(360) 782-3200
1265620363DR. MARC A MITCHELL DO
Individual
Urology9398 RIDGETOP BLVD NW
SILVERDALE, WA 98383
(360) 782-3222
1891182259 ANDREW STAMM
Individual
Urology9398 RIDGETOP BLVD NW
SILVERDALE, WA 98383
(360) 782-3200
1982695219 TIFFIN CLEGG MD
Individual
Family Medicine9398 RIDGETOP BLVD NW
SILVERDALE, WA 98383
(360) 782-3200
1952833683 ELLYSE RENEE RENGSTORF
Individual
Family Medicine9398 RIDGETOP BLVD NW
SILVERDALE, WA 98383
(360) 782-3200
1275823684 AMY LI MD
Individual
Urology9398 RIDGETOP BLVD NW
SILVERDALE, WA 98383
(360) 782-3200
1649793027 ANJANDEEP HARA MD
Individual
Family Medicine9398 RIDGETOP BLVD NW
SILVERDALE, WA 98383
(360) 782-3200

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.