Free National NPI Number Registry
Lake Wilderness Medical Clinic Llc
Home > Lake Wilderness Medical Clinic Llc
NPI Number Detailed Information
Provider Information:
| Name: | Lake Wilderness Medical Clinic Llc |
| Gender: | |
| Provider License Number If Given: | MD00023662 |
NPI Information:
| NPI: | 1982879045 |
| Entity Type (Individual or Organization): |
2-org |
| Enumeration Date: | 4/29/2008 |
| Last Update Date: | 4/29/2008 |
Provider Business Mailing Address:
| Address: | PO BOX 1142 Ravensdale, WA 98051 |
| Phone Number: | 4254329611 |
| Fax Number: | 2069735399 |
Provider Business Practice Location Address:
| Address: | 26907 MAPLE VALLEY BLACK DIAMOND RD SE Maple Valley, WA 98038 |
| Phone Number: | 4254329611 |
| Fax Number: | 2069735399 |
Provider Taxonomy:
| Primary: | 302F00000X |
| Secondary (if any): | |
| State: | WA |
Top Doctors in WA
About Lake Wilderness Medical Clinic Llc
Lake Wilderness Medical Clinic Llc ( LAKE WILDERNESS MEDICAL CLINIC LLC ) is (1) Exclusive Provider Organization Provider in Maple Valley, WA.
The NPI Number for Lake Wilderness Medical Clinic Llc is 1982879045.
The current location address for Lake Wilderness Medical Clinic Llc is 26907 MAPLE VALLEY BLACK DIAMOND RD SE Maple Valley, WA 98038 and the contact number is 4254329611 and fax number is 2069735399.
The mailing address for Lake Wilderness Medical Clinic Llc is PO BOX 1142 Ravensdale, WA 98051- 4254329611 (mailing address contact number - 4254329611).
(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.
Provider Business Location on Map
FAQs:
What is the NPI Number for Lake Wilderness Medical Clinic Llc ?
Answer: The NPI Number for Lake Wilderness Medical Clinic Llc is 1982879045
Where is Lake Wilderness Medical Clinic Llc located?
Answer: Lake Wilderness Medical Clinic Llc is located at 26907 MAPLE VALLEY BLACK DIAMOND RD SE Maple Valley, WA 98038.
What is the specialty for Lake Wilderness Medical Clinic Llc ?
Answer: The Specialty of Lake Wilderness Medical Clinic Llc is (1) Exclusive Provider Organization Provider.
Are there any online reviews for Lake Wilderness Medical Clinic Llc ?
Answer: Not yet!
Are there any other health care providers in Maple Valley, WA?
Answer: Yes, there are given below...
More Providers in Maple Valley , WA
Chester Edmond Jangala
Family Medicine Physician
NPI Number: 1538115472
Address: 22443 SE 240TH ST STE 203 Maple Valley, WA 98038 , Phone: 4254329611
Family Medicine Physician
NPI Number: 1538115472
Address: 22443 SE 240TH ST STE 203 Maple Valley, WA 98038 , Phone: 4254329611
Public Hospital District #1 Of King County
Medical Physician Assistant
NPI Number: 1700833480
Address: 27230 216TH AVE SE STE D Maple Valley, WA 98038 , Phone: 4256564100
Medical Physician Assistant
NPI Number: 1700833480
Address: 27230 216TH AVE SE STE D Maple Valley, WA 98038 , Phone: 4256564100
Dr. Shannon Lynn Markegard
Family Medicine Physician
NPI Number: 1124067087
Address: 23846 SE KENT KANGLEY RD Maple Valley, WA 98038 , Phone: 4256564100
Family Medicine Physician
NPI Number: 1124067087
Address: 23846 SE KENT KANGLEY RD Maple Valley, WA 98038 , Phone: 4256564100
Dinesh Vasudev Pai
Emergency Medicine Physician
NPI Number: 1063453595
Address: 26458 MAPLE VALLEY BLACK DIAMOND RD SE Maple Valley, WA 98038 , Phone: 4256903465
Emergency Medicine Physician
NPI Number: 1063453595
Address: 26458 MAPLE VALLEY BLACK DIAMOND RD SE Maple Valley, WA 98038 , Phone: 4256903465
John A Tomchick
Physician Assistant
NPI Number: 1770525537
Address: 23846 SE KENT KANGLEY RD Maple Valley, WA 98038 , Phone: 4256564100
Physician Assistant
NPI Number: 1770525537
Address: 23846 SE KENT KANGLEY RD Maple Valley, WA 98038 , Phone: 4256564100
Safeway Inc
Durable Medical Equipment & Medical Supplies
NPI Number: 1710913595
Address: 26916 MAPLE VALLEY BLACK DIAMOND RD SE Maple Valley, WA 98038 , Phone: 4254323077
Durable Medical Equipment & Medical Supplies
NPI Number: 1710913595
Address: 26916 MAPLE VALLEY BLACK DIAMOND RD SE Maple Valley, WA 98038 , Phone: 4254323077
Dr. Ryan Scott Bennion
Optometrist
NPI Number: 1235154956
Address: 23714 222ND PL SE STE B Maple Valley, WA 98038 , Phone: 4254321206
Optometrist
NPI Number: 1235154956
Address: 23714 222ND PL SE STE B Maple Valley, WA 98038 , Phone: 4254321206
Mr. Douglas Fraser Graham
Mental Health Counselor
NPI Number: 1033138334
Address: 23800 SE KENT KANGLEY RD Maple Valley, WA 98038 , Phone: 2069011185
Mental Health Counselor
NPI Number: 1033138334
Address: 23800 SE KENT KANGLEY RD Maple Valley, WA 98038 , Phone: 2069011185
David A Cline
Internal Medicine Physician
NPI Number: 1205855087
Address: 23846 SE KENT KANGLEY RD Maple Valley, WA 98038 , Phone: 2533727680
Internal Medicine Physician
NPI Number: 1205855087
Address: 23846 SE KENT KANGLEY RD Maple Valley, WA 98038 , Phone: 2533727680
Dr. Eric A Hagman
General Practice Dentistry
NPI Number: 1982624474
Address: 24005 MAPLE VALLEY BLACK DIAMOND RD SE Maple Valley, WA 98038 , Phone: 4254322299
General Practice Dentistry
NPI Number: 1982624474
Address: 24005 MAPLE VALLEY BLACK DIAMOND RD SE Maple Valley, WA 98038 , Phone: 4254322299
Lawrence J Madewell
Family Medicine Physician
NPI Number: 1548274715
Address: 26458 MAPLE VALLEY BLACK DIAMOND RD SE Maple Valley, WA 98038 , Phone: 4256565577
Family Medicine Physician
NPI Number: 1548274715
Address: 26458 MAPLE VALLEY BLACK DIAMOND RD SE Maple Valley, WA 98038 , Phone: 4256565577
David W Sweiger
Family Medicine Physician
NPI Number: 1811903685
Address: 27203 216TH AVE SE STE D Maple Valley, WA 98038 , Phone: 4256903425
Family Medicine Physician
NPI Number: 1811903685
Address: 27203 216TH AVE SE STE D Maple Valley, WA 98038 , Phone: 4256903425
Tahoma School District
Local Education Agency (LEA)
NPI Number: 1851300248
Address: 25720 MAPLE VALLEY BLACK DIAMOND RD SE Maple Valley, WA 98038 , Phone: 4254133400
Local Education Agency (LEA)
NPI Number: 1851300248
Address: 25720 MAPLE VALLEY BLACK DIAMOND RD SE Maple Valley, WA 98038 , Phone: 4254133400
Mr. Clifford John Richards
Physical Therapist
NPI Number: 1235149337
Address: 23870 SE KENT KANGLEY RD Maple Valley, WA 98038 , Phone: 4254321671
Physical Therapist
NPI Number: 1235149337
Address: 23870 SE KENT KANGLEY RD Maple Valley, WA 98038 , Phone: 4254321671
Christopher Philip Nyte
Facial Plastic Surgery Physician
NPI Number: 1043324130
Address: 27539 MAPLE VALLEY BLACK DIAMOND RD SE SUITE D101 Maple Valley, WA 98038 , Phone: 4254136517
Facial Plastic Surgery Physician
NPI Number: 1043324130
Address: 27539 MAPLE VALLEY BLACK DIAMOND RD SE SUITE D101 Maple Valley, WA 98038 , Phone: 4254136517
Maple Valley Vision Clinic Pllc
Optometrist
NPI Number: 1558475558
Address: 23714 222ND PL SE STE B Maple Valley, WA 98038 , Phone: 4254321206
Optometrist
NPI Number: 1558475558
Address: 23714 222ND PL SE STE B Maple Valley, WA 98038 , Phone: 4254321206
Ms. Sally Sue Baker
Massage Therapist
NPI Number: 1376658013
Address: 23862 SE KENT KANGLEY C/O PARTAIN CHIROPRACTIC Maple Valley, WA 98038 , Phone: 4254131718
Massage Therapist
NPI Number: 1376658013
Address: 23862 SE KENT KANGLEY C/O PARTAIN CHIROPRACTIC Maple Valley, WA 98038 , Phone: 4254131718
The Bartell Drug Co
Pharmacy
NPI Number: 1578673240
Address: 22117 SE 237TH ST Maple Valley, WA 98038 , Phone: 4254321234
Pharmacy
NPI Number: 1578673240
Address: 22117 SE 237TH ST Maple Valley, WA 98038 , Phone: 4254321234
Todd Lee Partain
Chiropractor
NPI Number: 1881705002
Address: 23870 SE KENT KANGLEY RD Maple Valley, WA 98038 , Phone: 4254131718
Chiropractor
NPI Number: 1881705002
Address: 23870 SE KENT KANGLEY RD Maple Valley, WA 98038 , Phone: 4254131718
Kevin C Malone
Physical Therapist
NPI Number: 1578668075
Address: 23745 225TH WAY SE SUITE 215 Maple Valley, WA 98038 , Phone: 4254320821
Physical Therapist
NPI Number: 1578668075
Address: 23745 225TH WAY SE SUITE 215 Maple Valley, WA 98038 , Phone: 4254320821
Constance P Hood
Physician Assistant
NPI Number: 1447342027
Address: 24080 SE KENT KANGLEY RD Maple Valley, WA 98038 , Phone: 2533727680
Physician Assistant
NPI Number: 1447342027
Address: 24080 SE KENT KANGLEY RD Maple Valley, WA 98038 , Phone: 2533727680
Kirby Nelson Orthodontics
Orthodontics and Dentofacial Orthopedic Dentist
NPI Number: 1861586083
Address: 26250 238TH LN SE STE 102 Maple Valley, WA 98038 , Phone: 4254132121
Orthodontics and Dentofacial Orthopedic Dentist
NPI Number: 1861586083
Address: 26250 238TH LN SE STE 102 Maple Valley, WA 98038 , Phone: 4254132121
James P Roswell
Critical Care Registered Respiratory Therapist
NPI Number: 1497841993
Address: 26031 SE 192 ST Maple Valley, WA 98038 , Phone: 4254130491
Critical Care Registered Respiratory Therapist
NPI Number: 1497841993
Address: 26031 SE 192 ST Maple Valley, WA 98038 , Phone: 4254130491
Dr. Michael Upton
Chiropractor
NPI Number: 1366538308
Address: 20642 258TH AVE SE Maple Valley, WA 98038 , Phone: 4254132361
Chiropractor
NPI Number: 1366538308
Address: 20642 258TH AVE SE Maple Valley, WA 98038 , Phone: 4254132361
Dr. Phillip J Kriss
Chiropractor
NPI Number: 1467549949
Address: 27203 216TH AVE SE SUITE 1 Maple Valley, WA 98038 , Phone: 4254324621
Chiropractor
NPI Number: 1467549949
Address: 27203 216TH AVE SE SUITE 1 Maple Valley, WA 98038 , Phone: 4254324621
Robert Keil Neal
Optometrist
NPI Number: 1376632539
Address: 27010 MAPLE VALLEY BLACK DIAMOND RD SE SUITE B Maple Valley, WA 98038 , Phone: 4254138787
Optometrist
NPI Number: 1376632539
Address: 27010 MAPLE VALLEY BLACK DIAMOND RD SE SUITE B Maple Valley, WA 98038 , Phone: 4254138787
Dr. Cheryl Ruth Azlin
Psychologist
NPI Number: 1982789764
Address: 22916 SE 241ST PL Maple Valley, WA 98038 , Phone: 5088430513
Psychologist
NPI Number: 1982789764
Address: 22916 SE 241ST PL Maple Valley, WA 98038 , Phone: 5088430513
Staci K Lyons
Physical Therapist
NPI Number: 1700962594
Address: 23925 225TH WAY SE STE B Maple Valley, WA 98038 , Phone: 4254330123
Physical Therapist
NPI Number: 1700962594
Address: 23925 225TH WAY SE STE B Maple Valley, WA 98038 , Phone: 4254330123
Dr. Jason D Jones
Chiropractor
NPI Number: 1932287604
Address: 26832 MAPLE VALLEY BLACK DIAMOND RD SE Maple Valley, WA 98038 , Phone: 4254329001
Chiropractor
NPI Number: 1932287604
Address: 26832 MAPLE VALLEY BLACK DIAMOND RD SE Maple Valley, WA 98038 , Phone: 4254329001
Pinnacle Therapy Group
Physical Therapist
NPI Number: 1225116916
Address: 24060 SE KENT KANGLEY RD D-100 Maple Valley, WA 98038 , Phone: 4254330123
Physical Therapist
NPI Number: 1225116916
Address: 24060 SE KENT KANGLEY RD D-100 Maple Valley, WA 98038 , Phone: 4254330123
Dr. Cynthia Louise Cote
Family Medicine Physician
NPI Number: 1417026535
Address: 27203-216TH AVE SE STE A Maple Valley, WA 98038 , Phone: 4254138292
Family Medicine Physician
NPI Number: 1417026535
Address: 27203-216TH AVE SE STE A Maple Valley, WA 98038 , Phone: 4254138292
Peter W Jacobsen Dds Pllc
General Practice Dentistry
NPI Number: 1053480988
Address: 27016 MAPLE VALLEY BLK DIAMOND RD SE Maple Valley, WA 98038 , Phone: 4254138525
General Practice Dentistry
NPI Number: 1053480988
Address: 27016 MAPLE VALLEY BLK DIAMOND RD SE Maple Valley, WA 98038 , Phone: 4254138525
L Carlos Morales Dds Ps
Dentist
NPI Number: 1013087840
Address: 23925 225TH WAY SE STE A Maple Valley, WA 98038 , Phone: 4254320561
Dentist
NPI Number: 1013087840
Address: 23925 225TH WAY SE STE A Maple Valley, WA 98038 , Phone: 4254320561
Amy D Konvalin
Physical Therapist
NPI Number: 1033283767
Address: 23745 225TH WAY SE SUITE 215 Maple Valley, WA 98038 , Phone: 3603670970
Physical Therapist
NPI Number: 1033283767
Address: 23745 225TH WAY SE SUITE 215 Maple Valley, WA 98038 , Phone: 3603670970
Christine Tran
General Practice Dentistry
NPI Number: 1225103732
Address: 23866 SE KENT KANGLEY RD Maple Valley, WA 98038 , Phone: 4254138505
General Practice Dentistry
NPI Number: 1225103732
Address: 23866 SE KENT KANGLEY RD Maple Valley, WA 98038 , Phone: 4254138505
Penny M Leong
General Practice Dentistry
NPI Number: 1396810818
Address: 23866 SE KENT KANGLEY RD Maple Valley, WA 98038 , Phone: 4254138505
General Practice Dentistry
NPI Number: 1396810818
Address: 23866 SE KENT KANGLEY RD Maple Valley, WA 98038 , Phone: 4254138505
Dr. Michael Christopher Archuleta
General Practice Dentistry
NPI Number: 1548336068
Address: 27016 MAPLE VALLEY BLACK DIAMOND ROAD SE Maple Valley, WA 98038 , Phone: 4254138525
General Practice Dentistry
NPI Number: 1548336068
Address: 27016 MAPLE VALLEY BLACK DIAMOND ROAD SE Maple Valley, WA 98038 , Phone: 4254138525
Dr. Bernardo E Taina
General Practice Dentistry
NPI Number: 1841367976
Address: 24015 SE KENT KANGLEY RD SUITE C Maple Valley, WA 98038 , Phone: 4254322753
General Practice Dentistry
NPI Number: 1841367976
Address: 24015 SE KENT KANGLEY RD SUITE C Maple Valley, WA 98038 , Phone: 4254322753
Linda Rae Johnson
Specialist
NPI Number: 1962560979
Address: 24903 230TH WAY SE Maple Valley, WA 98038 , Phone: 4254321884
Specialist
NPI Number: 1962560979
Address: 24903 230TH WAY SE Maple Valley, WA 98038 , Phone: 4254321884
Dr. Danny Ray Rude
General Practice Dentistry
NPI Number: 1982767117
Address: 22142 SE 237TH STREET Maple Valley, WA 98038 , Phone: 4254321292
General Practice Dentistry
NPI Number: 1982767117
Address: 22142 SE 237TH STREET Maple Valley, WA 98038 , Phone: 4254321292
Dr. Joel Matthew Rude
General Practice Dentistry
NPI Number: 1790848927
Address: 22142 SE 237TH STREET Maple Valley, WA 98038 , Phone: 4254321292
General Practice Dentistry
NPI Number: 1790848927
Address: 22142 SE 237TH STREET Maple Valley, WA 98038 , Phone: 4254321292
Joel M Rude Dmd Ps
General Practice Dentistry
NPI Number: 1053474288
Address: 22142 SE 237TH STREET Maple Valley, WA 98038 , Phone: 4254321292
General Practice Dentistry
NPI Number: 1053474288
Address: 22142 SE 237TH STREET Maple Valley, WA 98038 , Phone: 4254321292
Dr. Larry G. Knauss
Psychologist
NPI Number: 1073670055
Address: 23745 225TH WAY SE STE 201 Maple Valley, WA 98038 , Phone: 4254436471
Psychologist
NPI Number: 1073670055
Address: 23745 225TH WAY SE STE 201 Maple Valley, WA 98038 , Phone: 4254436471
Stacy J Davies
Family Medicine Physician
NPI Number: 1861543035
Address: 22216 SE 272ND ST Maple Valley, WA 98038 , Phone: 4254138864
Family Medicine Physician
NPI Number: 1861543035
Address: 22216 SE 272ND ST Maple Valley, WA 98038 , Phone: 4254138864
Dr. Guy A Thomson
Chiropractor
NPI Number: 1245381334
Address: 22224 SE 272ND ST Maple Valley, WA 98038 , Phone: 4254329001
Chiropractor
NPI Number: 1245381334
Address: 22224 SE 272ND ST Maple Valley, WA 98038 , Phone: 4254329001
Kirstin Uchida
Physical Therapist
NPI Number: 1275685372
Address: 23925 225TH WAY SE SUITE B Maple Valley, WA 98038 , Phone: 4254330123
Physical Therapist
NPI Number: 1275685372
Address: 23925 225TH WAY SE SUITE B Maple Valley, WA 98038 , Phone: 4254330123
Mrs. Denise L Mceniry
Specialist
NPI Number: 1639221542
Address: 28610 MAPLE VALLEY BLACK DIAMOND RD SE STE 120 Maple Valley, WA 98038 , Phone: 2063545300
Specialist
NPI Number: 1639221542
Address: 28610 MAPLE VALLEY BLACK DIAMOND RD SE STE 120 Maple Valley, WA 98038 , Phone: 2063545300
Richard Wesley Koss
Neuromusculoskeletal Medicine & OMM Physician
NPI Number: 1871646075
Address: 22142 SE 237TH ST. SUITE #8 Maple Valley, WA 98038 , Phone: 4254336073
Neuromusculoskeletal Medicine & OMM Physician
NPI Number: 1871646075
Address: 22142 SE 237TH ST. SUITE #8 Maple Valley, WA 98038 , Phone: 4254336073
Dr. Brenda Lee Upton
Chiropractor
NPI Number: 1518013812
Address: 20642 258TH AVE SE Maple Valley, WA 98038 , Phone: 4254132361
Chiropractor
NPI Number: 1518013812
Address: 20642 258TH AVE SE Maple Valley, WA 98038 , Phone: 4254132361
Dr. Valerie Victoria Bates Romanski
Neuromusculoskeletal Medicine & OMM Physician
NPI Number: 1447399167
Address: 19819 SE 206TH STREET Maple Valley, WA 98038 , Phone: 4254132083
Neuromusculoskeletal Medicine & OMM Physician
NPI Number: 1447399167
Address: 19819 SE 206TH STREET Maple Valley, WA 98038 , Phone: 4254132083
Lake Wilderness Medical Clinic Llc in Other Directories
Provider don't have other directory link yet.
