Emerald City Internal Medicine Pllc

LBN: Emerald City Internal Medicine Pllc
Emerald City Internal Medicine Pllc is an health care organization with primary practice located at 14517 60Th Ave W , Edmonds WA 98026-3605. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Emerald City Internal Medicine Pllc can be contacted via phone (206) 386-3500, or through Smith, Thomas J via phone (206) 386-3500.

Contact Information

Primary practice address
14517 60Th Ave W Edmonds WA 98026-3605
Phone: (206) 386-3500
Fax: (206) 386-3568
Website:
Map and Directions
Authorized official contact:
Name: Smith, Thomas J Doctor of Medicine (MD)
Phone: (206) 386-3500

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD000116322 Washington

Profile Details

NPI number 1285709915
LBN Legal business name Emerald City Internal Medicine Pllc
DBA Doing business as
Authorized official Smith, Thomas J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 21st, 2006
Last updated Feb 23rd, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285709915 NPPES
Washington MEDICAID 7075053

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