Western Washington Medical Group, Inc Ps
NPI 1417175811ActiveOrganization· Internal Medicine, Nephrology· Everett, WA
Internal Medicine, Nephrology in Everett, Washington, registered in NPPES in April 2007, part of Western Washington Medical Group. The authorized official on file is Vicki McGinnis, Hippa Privacy Officer.
Overview
| NPI | 1417175811 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Western Washington Medical Group |
| NPI issued | Apr 23, 2007 |
| Last updated in NPPES | May 24, 2024 |
| Certified by provider | May 24, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Nephrology Primary | 207RN0300X | 601474013 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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