ELLEN K STEHOUWER (NPI# 1013951342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013951342 |
| Entity Type | Individual |
| Full Name | ELLEN K STEHOUWER |
| Credential | DO |
| Practice Address |
20730 Bond Rd Ne Ste 104 Poulsbo WA 98370-9000 |
| Mailing Address |
463 Tremont St W Ste 200 Port Orchard WA 98366-0000 |
| Practice Telephone | 3606261166 |
| Mailing Telephone | 3608762434 |
| Mailing Fax Number | 3608762696 |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2019-05-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | OP00001873 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | LABOR & INDUSTRIES | 171376 | 01 |
| WA | CRIME VICTIMS COMP | 8931448 | 01 |
| RAILROAD MEDICARE | P00029282 | 01 | |
| AETNA | 7817436 | 01 | |
| WA | 8359390 | 05 | |
| DEA | BS7625239 | 01 |
| Street Address |
20730 BOND RD NE STE 104 |
| City | POULSBO |
| State | WA |
| Zip Code | 98370-9000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790324010 | Francie Corinn Edens | Massage Therapist | 225 Nw Lindvig Way Suite# 6, Poulsbo, WA 98370 | 2020-01-03 |
| 1972155679 | Marcela Serocki | Massage Therapist | 18657 Wa-305, Suite 4, Poulsbo, WA 98370 | 2019-07-12 |
| 1508425943 | Ryan Brinton | Physical Therapist | Kitsap Physical Therapy and Sports Clinics, 19319 7th Ave Ne Ste 108, Poulsbo, WA 98370 | 2019-06-10 |
| 1598220816 | Naomi Whitney Orong | Massage Therapist | 19068 Nw Jenson Way, Suite 4b, Poulsbo, WA 98370 | 2019-02-01 |
| 1043774953 | Maryanne Phillips Bellman | Physical Therapist | 442 Viewmont Ave, Poulsbo, WA 98370 | 2019-01-24 |
| 1285102293 | Andrea Sander | Registered Nurse | 19883 12th Ave Ne, Poulsbo, WA 98370 | 2018-11-07 |
| 1376038281 | Sharon Renay Christor | Nurse Practitioner | 19160 Front St. Ne, Poulsbo, WA 98370 | 2018-06-25 |
| 1700304334 | Samantha Przybylek Gavinski | Nurse Practitioner | 19500 10th Ave Ne Suite 100, Poulsbo, WA 98370 | 2017-09-04 |
| 1285164327 | Johanna Taylor | Behavior Technician | 21786 Windmill Loop Nw, Poulsbo, WA 98370 | 2017-06-12 |
| 1568990554 | Eva Geurtsen | Physical Therapy Assistant | 19160 Front St, Poulsbo, WA 98370 | 2017-06-02 |
| Find all providers in zip 98370 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811275563 | David Ryan Bolthouse | Family Medicine | 19379 7th Ave. N.e., Poulsbo, WA 98370 | 2011-07-29 |
| 1740505775 | Joanne L Roehr | Family Medicine | 731 Ne Sommerseth St, Poulsbo, WA 98370-8478 | 2010-04-01 |
| 1871647313 | Susan J Shlifer | Family Medicine | 19735 10th Avenue Ne, Suite S-102, Poulsbo, WA 98370 | 2007-01-22 |
| 1285786772 | Nobuhiko Kira | Family Medicine | 19917 7th Avenue, Suite 205, Poulsbo, WA 98370 | 2007-01-17 |
| 1629176524 | Peter V Ciani | Family Medicine | 20730 Bond Rd Ne, Ste 205, Poulsbo, WA 98370-9000 | 2006-09-21 |
| 1659397701 | Donald Warren Novey | Family Medicine | 20730 Bond Rd Ne Ste 205, Poulsbo, WA 98370-9000 | 2006-07-14 |
| 1902842867 | Douglas Kurata | Family Medicine | 19045 Hwy 305, Suite 180, Poulsbo, WA 98370 | 2006-06-21 |
| 1740224880 | Marie E. Matty | Family Medicine | 19980 10th Ave Ne Ste 202, Poulsbo, WA 98370-6322 | 2006-06-16 |
| 1831140185 | Karl David Hadley | Family Medicine | 19245 7th Ave Ne, Poulsbo, WA 98370-7504 | 2006-05-12 |
| 1871543900 | Andrea Legge Chymiy | Family Medicine | 19980 10th Ave Ne, Ste 202, Poulsbo, WA 98370-6322 | 2006-05-11 |
| Find all providers in POULSBO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.