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Julie R Kaczmark

  • Female

Medical Specialty

Professional ID

  • NPI: 1124077029
  • PECOS ID: 8527079979
  • Enrollment ID: I20160201002064
  • Credential(MD, DO, DPM): MD
  • Medical School: Saint Louis University School Of Medicine
  • Medical School Graduation Year: 2000

Hospital Service

  • Hospital CCN1: 500054
  • Business Name (LBN)1: Providence Sacred Heart Medical Center
  • Hospital CCN2: 500077
  • Business Name (LBN)2: Providence Holy Family Hospital
  • Hospital CCN3: 270014
  • Business Name (LBN)3: St Patrick Hospital
  • Hospital CCN4: 270023
  • Business Name (LBN)4: Community Medical Center
  • Hospital CCN5: 500033
  • Business Name (LBN)5: Samaritan Hospital

Medical Practices

  • Organization Name: Integra Imaging Ps
  • Group Practice ID assigned by PECOS: 1355593062
  • Number of Group Practice member: 105

Location

  • Address1: 10 Nichols St
  • Address2:
  • City: Davenport
  • State: Washington
  • Zip Code: 99122
  • Phone Number: (509)363-7745

Location

  • Address1: 101 W 8th Ave
  • Address2:
  • City: Spokane
  • State: Washington
  • Zip Code: 99204
  • Phone Number: (509)363-7745

Location

  • Address1: 2419 Mullan Rd
  • Address2: Suite D
  • City: Missoula
  • State: Montana
  • Zip Code: 59808
  • Phone Number:

Location

  • Address1: 500 E Webster Ave
  • Address2:
  • City: Chewelah
  • State: Washington
  • Zip Code: 99109
  • Phone Number: (509)363-7745

Location

  • Address1: 5715 N Lidgerwood St
  • Address2:
  • City: Spokane
  • State: Washington
  • Zip Code: 99208
  • Phone Number: (509)363-7745

Location

  • Address1: 801 E Wheeler Rd
  • Address2:
  • City: Moses Lake
  • State: Washington
  • Zip Code: 98837
  • Phone Number: (509)363-7745

Location

  • Address1: 801 S Stevens St
  • Address2:
  • City: Spokane
  • State: Washington
  • Zip Code: 99204
  • Phone Number: (509)363-7745

Location

  • Address1: 982 E Columbia Ave
  • Address2:
  • City: Colville
  • State: Washington
  • Zip Code: 99114
  • Phone Number: (509)363-7745

Medical Practices

  • Organization Name: The Polyclinic
  • Group Practice ID assigned by PECOS: 2163328196
  • Number of Group Practice member: 356

Location

  • Address1: 1145 Broadway
  • Address2:
  • City: Seattle
  • State: Washington
  • Zip Code: 98122
  • Phone Number:

Location

  • Address1: 904 7th Ave
  • Address2: The Polyclinic Madison Center
  • City: Seattle
  • State: Washington
  • Zip Code: 98104
  • Phone Number: (206)309-1760

Medical Practices

  • Organization Name: Pacmed Clinics
  • Group Practice ID assigned by PECOS: 2466350657
  • Number of Group Practice member: 233

Location

  • Address1: 1200 12th Ave S
  • Address2:
  • City: Seattle
  • State: Washington
  • Zip Code: 98144
  • Phone Number: (206)326-2400

Location

  • Address1: 19401 40th Ave W
  • Address2:
  • City: Lynnwood
  • State: Washington
  • Zip Code: 98036
  • Phone Number: (425)744-7153

Location

  • Address1: 601 S Carr Rd
  • Address2: Suite 100
  • City: Renton
  • State: Washington
  • Zip Code: 98055
  • Phone Number: (425)227-3700

Medical Practices

  • Organization Name: Inland Imaging Llc
  • Group Practice ID assigned by PECOS: 6608763016
  • Number of Group Practice member: 76

Location

  • Address1: 12420 E Mission Ave
  • Address2: Inland Imaging Llc Valley Center
  • City: Spokane Valley
  • State: Washington
  • Zip Code: 99216
  • Phone Number: (509)747-4455

Location

  • Address1: 2419 Mullan Rd
  • Address2: Suite D
  • City: Missoula
  • State: Montana
  • Zip Code: 59808
  • Phone Number: (509)363-7788

Location

  • Address1: 525 S Cowley
  • Address2:
  • City: Spokane
  • State: Washington
  • Zip Code: 99202
  • Phone Number: (509)747-4455

Location

  • Address1: 5715 N Lidgerwood St
  • Address2: Inland Imaging Llc Holy Family Center
  • City: Spokane
  • State: Washington
  • Zip Code: 99208
  • Phone Number: (509)747-4455

Location

  • Address1: 9631 N Nevada
  • Address2: Suite 101
  • City: Spokane
  • State: Washington
  • Zip Code: 99218
  • Phone Number: (509)363-7745

Medical Practices

  • Organization Name: Douglas, Grant, Lincoln And Okanogan Counties Public Hospital District
  • Group Practice ID assigned by PECOS: 9335050285
  • Number of Group Practice member: 56

Location

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
  • Used Electronic health record (EHR):