NORTHWEST CARDIOVASCULAR
NPI 1700902368
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Tacoma, WA

Q: What is Northwest Cardiovascular's NPI number?

The NPI number for Northwest Cardiovascular is 1700902368. It was assigned to this organization in the NPPES registry on March 22, 2007.

Q: What is Northwest Cardiovascular's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Active since March 22, 2007

1812 S J ST, SUITE 210, TACOMA, WA 98405(253) 572-8777(253) 572-8835 Get Directions Write a Review

NPPES record last updated: December 17, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Northwest Cardiovascular NPPES

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

NORTHWEST CARDIOVASCULAR (NPI 1700902368) is a healthcare organization registered as a thoracic surgery (cardiothoracic vascular surgery) in Tacoma, Washington and active in the NPI registry since March 2007. The organization lists Glenda Lee Medeen, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1700902368

Entity TypeOrganization

Primary Taxonomy208G00000X

Legal Business NameNORTHWEST CARDIOVASCULAR

Location Address1812 S J ST, SUITE 210Tacoma, WA 98405-4964

Mailing Address1812 S J St, Suite 210Tacoma, WA 98405-4964 · (253) 572-8777 · Fax (253) 572-8835

Phone(253) 572-8777

Fax(253) 572-8835

Organization SubpartNo

Authorized OfficialGlenda Lee MedeenBusiness Manager · (253) 572-8777

Enumeration DateMarch 22, 2007

Last NPPES UpdateDecember 17, 2007

✔ NPI 1700902368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians

Taxonomy Code208G00000X

Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

1812 S J ST, Tacoma, WA 98405

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Other Identifiers 2

Medicare OSCAR/certification8850886WA

Medicaid7129372WA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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.

DONNA L PAYNE-SNYDER CNM

Advanced Practice Midwife

1812 S J ST, SUITE 120
TACOMA, WA 98405

Pierce County (253) 207-4890

KAREN E SMITH

Nurse Practitioner (Family)

1812 S J ST, #102
TACOMA, WA 98405

Pierce County (253) 552-4900

GREGORY E WEBB DPM

Podiatrist (Foot & Ankle Surgery)

1812 S J ST, #102
TACOMA, WA 98405

Pierce County (253) 552-4900

RHONDA JEAN DICOSTANZO CNM/ARNP

Advanced Practice Midwife

1812 S J ST, STE 120
TACOMA, WA 98405

Pierce County (253) 207-4890

BARBARA A TAYLOR ARNP

Nurse Practitioner (Family)

1812 S J ST, #102
TACOMA, WA 98405

Pierce County (253) 552-4900

JENIFER T. GILLIS PA-C

Physician Assistant

1812 S J ST
TACOMA, WA 98405

Pierce County (253) 752-6965

SARAH WHITE M.D.

Family Medicine

1812 S J ST
TACOMA, WA 98405

Pierce County (206) 860-4700

FRANCISCAN HEALTH SYSTEM

Psychologist (Clinical)

1812 S J ST, STE 220
TACOMA, WA 98405

Pierce County (253) 426-6762

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 Northwest Cardiovascular's NPI number?

The NPI number for Northwest Cardiovascular is 1700902368. It was assigned to this organization in the NPPES registry on March 22, 2007.

Where is Northwest Cardiovascular located?

Northwest Cardiovascular is located at 1812 S J St Suite 210, Tacoma, WA 98405. The listed phone number is (253) 572-8777.

What is Northwest Cardiovascular's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

When was this NPI record last updated?

The NPPES record for Northwest Cardiovascular was last updated on December 17, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.