EVERGREEN EMERGENCY SERVICES, PS
NPI 1619912524
Emergency Medicine in Kirkland, WA

Active since June 17, 2006
12040 NE 128TH ST, KIRKLAND, WA 98034(206) 550-5253 Get Directions Write a Review

NPPES record last updated: November 20, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Emergency Medicine
  • Accepts Insurance

About EVERGREEN EMERGENCY SERVICES, PS

This page provides the complete NPI Profile along with additional information for Evergreen Emergency Services, Ps, a provider established in Kirkland, Washington operating as a Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1619912524 assigned on June 2006. The practitioner's primary taxonomy code is 207P00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. Evergreen Emergency Services, Ps operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Chad Crystal Md (President)

NPI
1619912524 Verify this NPI
Provider Name
EVERGREEN EMERGENCY SERVICES, PS
Entity Type
Organization
Location Address
12040 NE 128TH ST KIRKLAND, WA 98034
Location Phone
(206) 550-5253
Mailing Address
FILE 50421 LOS ANGELES, CA 90074
Mailing Phone
(855) 691-9890
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-17-2006
Last Update Date
11-20-2020
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Emergency Medicine

Taxonomy Code
207P00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Premera Blue Cross Alaska One Gold - PPO
  • Premera Blue Cross Preferred Bronze 5800 HSA - PPO
  • Premera Blue Cross Preferred Bronze 6350 - PPO
  • Premera Blue Cross Preferred Gold 1500 - PPO
  • Premera Blue Cross Preferred Silver 4500 - PPO
  • Premera Blue Cross Standard Bronze II - PPO
  • Premera Blue Cross Standard Gold - PPO
  • Premera Blue Cross Standard Silver - PPO
  • Premera Blue Cross Family Dental - PPO
  • Premera Blue Cross Pediatric Dental - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. CHAD CRYSTAL MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(425) 899-1751

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
7122864MEDICAID (05)WA 
184567OTHER (01)WASHINGTON CRIME VICTIMS
604658700OTHER (01)US DEPTARMENT OF LABOR
8938298OTHER (01)WASHINGTON CRIME VICTIMS

Reviews for EVERGREEN EMERGENCY SERVICES, PS

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Obstetrics & Gynecology
12040 NE 128TH ST, MS 105
KIRKLAND, WA 98034
Internal Medicine
12040 NE 128TH ST, MS #105
KIRKLAND, WA 98034
Internal Medicine
12040 NE 128TH ST, MS #105
KIRKLAND, WA 98034
Internal Medicine
12040 NE 128TH ST, MS #105
KIRKLAND, WA 98034
Internal Medicine
12040 NE 128TH ST, MS #105
KIRKLAND, WA 98034
Internal Medicine
12040 NE 128TH ST, MS #105
KIRKLAND, WA 98034
Internal Medicine
12040 NE 128TH ST, MS #105
KIRKLAND, WA 98034
Anesthesiology
12040 NE 128TH ST, #69, EVERGREEN MEDICAL CENTER
KIRKLAND, WA 98034
Internal Medicine
12040 NE 128TH ST, MS #105
KIRKLAND, WA 98034
Internal Medicine
12040 NE 128TH ST, MS #105
KIRKLAND, WA 98034
Radiology (Diagnostic Radiology)
12040 NE 128TH ST, EVERGREEN HOSPITAL MEDICAL CENTER
KIRKLAND, WA 98034
Pathology (Anatomic Pathology & Clinical Pathology)
12040 NE 128TH ST
KIRKLAND, WA 98034
Internal Medicine
12040 NE 128TH ST, MS 105
KIRKLAND, WA 98034
Internal Medicine
12040 NE 128TH ST, MS 105
KIRKLAND, WA 98034
Anesthesiology
12040 NE 128TH ST
KIRKLAND, WA 98034
Anesthesiology
12040 NE 128TH ST
KIRKLAND, WA 98034
Anesthesiology
12040 NE 128TH ST
KIRKLAND, WA 98034
Anesthesiology
12040 NE 128TH ST
KIRKLAND, WA 98034
Internal Medicine
12040 NE 128TH ST, MS 105
KIRKLAND, WA 98034
Anesthesiology
12040 NE 128TH ST
KIRKLAND, WA 98034

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619912524, enumerated as an "organization" on June 17, 2006.

The provider is located at 12040 NE 128TH ST KIRKLAND, WA 98034 and the phone number is (206) 550-5253.

Emergency Medicine with taxonomy code 207P00000X.

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska, Medicare. Please consult your insurance carrier or call the provider to verify.