NORTHWEST EMERGENCY PHYSICIANS LLC

Provider Demographics

• NPI: 1235172370
• Name: NORTHWEST EMERGENCY PHYSICIANS LLC
• Entity Type: Organization
• Organization Name: NORTHWEST EMERGENCY PHYSICIANS LLC
• Other - Org Name: NEP
• Other - Org Type: Doing Business As
• Authorized Official - Title/Position: PE DIRECTOR
• Authorized Official - First Name: SHARON
• Authorized Official - Last Name: HARDY
• Authorized Official - Phone: 925-251-6901
• Mailing Address - Street 1: 5000 HOPYARD RD
• Mailing Address - Street 2: SUITE 100
• Mailing Address - City: PLEASANTON
• Mailing Address - State: CA
• Mailing Address - Zip Code: 94588-3348
• Mailing Address - Country: US
• Mailing Address - Phone: 800-837-9910
• Mailing Address - Fax: 925-924-0506
• Practice Address - Street 1: 330 S STILLAGUAMISH AVE
• Practice Address - City: ARLINGTON
• Practice Address - State: WA
• Practice Address - Zip Code: 98223-1642
• Practice Address - Country: US
• Practice Address - Phone: 925-251-6901
• Practice Address - Fax: 925-924-0506
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2006-06-14
• Last Update Date: 2020-03-04

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization	Group
Yes	207P00000X	Allopathic & Osteopathic Physicians	Emergency Medicine		Group - Single Specialty

Provider Identifiers

State	Identifier ID	ID Type	Issuer
WA	2164NO	Other	BSWA
WA	7100167	Medicaid
WA	7135510	Medicaid
WA	7142078	Medicaid
ID	000010140860	Other	BSID
OR	041428000	Other	BSOR
WA	7136047	Medicaid
ID	8G312	Other	BSID
OR	25349000	Other	BCBS
WA	4570NO	Other	BSWA
WA	7140692	Medicaid
WA	1450NO	Other	BSWA
OR	288344	Medicaid
WA	5075NO	Other	BCBS
WA	7142128	Medicaid
WY	112256800	Medicaid
OR	167530	Medicaid
WA	7118052	Medicaid
WA	7131352	Medicaid
WA	806617300	Medicaid
WA	JE8081	Other	BSWA
WA	3575NO	Other	BSWA
WA	7100175	Medicaid
WA	7200124	Medicaid
OR	288336	Medicaid
WA	3066NO	Other	BSWA
WA	7100183	Medicaid
ID	806476500	Medicaid
WA	DD7597	Medicare PIN
WY	W20699	Medicare PIN
WA	DC1840	Medicare PIN
WA	JE8081	Other	BSWA
WA	3575NO	Other	BSWA
WA	G8850392	Medicare PIN
OR	25349000	Other	BCBS
WA	2164NO	Other	BSWA
WA	7136047	Medicaid
WA	7100167	Medicaid
WA	G8850484	Medicare PIN
ID	8G312	Other	BSID
WA	CE1810	Medicare PIN
WA	G8850398	Medicare PIN
OR	R131323	Medicare PIN