WESTERN WASHINGTON MEDICAL GROUP INC PS
NPI 1982551867
Internal Medicine - Cardiovascular Disease in Everett, WA

Active since March 11, 2026
12728 19TH AVE SE STE 200, EVERETT, WA 98208(425) 225-2700(425) 225-2790 Get Directions Write a Review

NPPES record last updated: April 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 17, 2026, Mar 11, 2026 (2 updates tracked since 2026).

About Western Washington Medical Group Inc Ps NPPES

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

WESTERN WASHINGTON MEDICAL GROUP INC PS (NPI 1982551867), doing business as Western Washington Medical Group Department Of Cardiology, is a healthcare organization registered as a cardiovascular disease in Everett, Washington and active in the NPI registry since March 2026. The organization lists David Russian, Ceo, as its authorized official.

NPPES Registry Identity

NPI1982551867
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameWESTERN WASHINGTON MEDICAL GROUP INC PS
Location Address12728 19TH AVE SE STE 200Everett, WA 98208-6676
Mailing Address1728 W Marine View Dr Ste 110Everett, WA 98201-2094 · (425) 259-4041 · Fax (425) 225-2790
Fax(425) 225-2790
Organization SubpartYesParent: Western Washington Medical Group, Inc Ps
Authorized OfficialDavid RussianCeo · (425) 259-4041
Enumeration DateMarch 11, 2026
Last NPPES UpdateApril 17, 20262 updates tracked since enumeration
NPPES CertifiedApril 17, 2026
NPI 1982551867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
12728 19TH AVE SE STE 200, Everett, WA 98208

Other Names 1

Doing Business AsWestern Washington Medical Group Department Of Cardiology

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 13

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

Internal Medicine (Critical Care Medicine)
12728 19TH AVE SE STE 200
EVERETT, WA 98208
Internal Medicine (Interventional Cardiology)
12728 19TH AVE SE STE 200
EVERETT, WA 98208
Internal Medicine (Cardiovascular Disease)
12728 19TH AVE SE STE 200
EVERETT, WA 98208
Nurse Practitioner (Family)
12728 19TH AVE SE STE 200
EVERETT, WA 98208
Internal Medicine (Critical Care Medicine)
12728 19TH AVE SE STE 200
EVERETT, WA 98208
Internal Medicine (Cardiovascular Disease)
12728 19TH AVE SE STE 200
EVERETT, WA 98208
Internal Medicine (Interventional Cardiology)
12728 19TH AVE SE STE 200
EVERETT, WA 98208
Internal Medicine (Cardiovascular Disease)
12728 19TH AVE SE STE 200
EVERETT, WA 98208

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 Inc Ps's NPI number?

The NPI number for Western Washington Medical Group Inc Ps is 1982551867. It was assigned to this organization in the NPPES registry on March 11, 2026. The provider is doing business as Western Washington Medical Group Department of Cardiology.

Where is Western Washington Medical Group Inc Ps located?

Western Washington Medical Group Inc Ps is located at 12728 19th Ave SE Ste 200, Everett, WA 98208. The listed phone number is (425) 225-2700.

What is Western Washington Medical Group Inc Ps's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Western Washington Medical Group Inc Ps was last updated on April 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.