SANDRA M KWAN (NPI# 1013972371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013972371 |
| Entity Type | Individual |
| Full Name | SANDRA M KWAN |
| Credential | MD |
| Practice Address |
9040 Reid St # A Joint Base Lewis Mcchord WA 98431-1100 |
| Practice Telephone | 2539682252 |
| Practice Fax Number | 2539683278 |
| Mailing Telephone | 2539679818 |
| Mailing Fax Number | 2539672639 |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2016-01-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD00035389 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8210858 | 05 |
| Street Address |
9040 REID ST # A |
| City | JOINT BASE LEWIS MCCHORD |
| State | WA |
| Zip Code | 98431-1100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255616678 | Arlene Ybarra | Physician Assistant | 9040 Reid St # A, Attn: Mchj-clq-c, Joint Base Lewis Mcchord, WA 98431-1100 | 2011-10-17 |
| 1497069710 | Erica Orthman | Pharmacist | 9040 Reid St # A, Joint Base Lewis Mcchord, WA 98431-1100 | 2010-07-28 |
| 1285951848 | Jason R Martin | Physician Assistant | 9040 Reid St # A, Madigan Army Medical Center, Joint Base Lewis Mcchord, WA 98431-1100 | 2010-04-22 |
| 1376799817 | Shannon Maclean | General Practice | 9040 Reid St # A, Joint Base Lewis Mcchord, WA 98431-1110 | 2008-08-15 |
| 1164503264 | Kenneth E Hyde | Physician Assistant | 9040 Reid St # A, Attn: Credentials), Joint Base Lewis Mcchord, WA 98431-5037 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497212260 | Catrina Renee Grugin | Registered Nurse | Madigan Army Medical Center, Attn Mchj-clq-c, 9040 Jackson Ave, Tacoma, WA 98431 | 2019-02-27 |
| 1801307681 | Bianca Gomez | Dental Assistant | Bldg 9900 Lincoln Street, Jblm, WA 98431 | 2017-10-19 |
| 1184133225 | Darren Paris | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave., Attn: Mchj-clq-c, Tacoma, WA 98431 | 2017-09-20 |
| 1922538206 | Sarah Frerichs | Dentist | Madigan Annex, Second Floor, Bldg. 9900, Apo, AA 98431 | 2017-06-19 |
| 1740736495 | Misty Hill | Dental Assistant | 9119 Mill Park Ave, Tacoma, WA 98431 | 2016-08-31 |
| 1336695535 | Jacqueline D Massouda | Dentist | Jblm Dentac, 9900 Lincoln Sreet, 2nd Floor, Apo, AA 98431 | 2016-08-28 |
| 1609239375 | Gregg V Palmer | Licensed Practical Nurse | 17th and C Street, Bldg 11582, Tacoma, WA 98431 | 2016-03-31 |
| 1114323904 | Deanna Sheets | Nurse Practitioner | 911 Mil Park Ave, Tacoma, WA 98431 | 2014-11-06 |
| 1679905434 | Austin William Schaar | Dentist | Building 9900, 2nd Floor, Tacoma, WA 98431 | 2013-08-05 |
| 1518209758 | Maurice Ibrahim Khayat | Internal Medicine | 9040 Jackson Ave Mche-qd (creds), Tacoma, WA 98431 | 2013-03-26 |
| Find all providers in zip 98431 | ||||
| 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 |
|---|---|---|---|---|
| 1336337153 | Parminder Singh | Family Medicine | 9040a Jackson Ave Attn: 21 Mdos/sgof - Family Medicine, Joint Base Lewis Mcchord, WA 98431-1541 | 2007-10-05 |
| 1225176951 | Ronald Richardson Morris | Family Medicine | 690 Barnes Road, Mcchord Medical Clinic Fam Med Clinic, Joint Base Lewis Mcchord, WA 98438 | 2007-02-02 |
| 1295290781 | James Michael Williams | Family Medicine | 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-1000 | 2019-02-08 |
| 1558862490 | Kaitlynn Christiansen | Family Medicine | 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-1000 | 2018-02-26 |
| 1477912731 | Julie Henson | Family Medicine | 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-1000 | 2016-02-15 |
| 1801270392 | Christopher Taylor | Family Medicine | 9040a Jackson Ave, Joint Base Lewis Mcchord, WA 98431-7324 | 2015-07-14 |
| 1972997476 | Anna Christin Eboch Sealander | Family Medicine | 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-1000 | 2015-03-23 |
| 1083004840 | Stephanie Chinchen | Family Medicine | 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-1000 | 2015-02-02 |
| 1548686447 | Jake Karels | Family Medicine | 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-1000 | 2014-03-16 |
| 1619269784 | Philip Volpe | Family Medicine | 9040 Reid St, Joint Base Lewis Mcchord, WA 98431-1100 | 2011-05-09 |
| Find all providers in JOINT BASE LEWIS MCCHORD | ||||
| City | JOINT BASE LEWIS MCCHORD |
| Zip Code | 98431 |
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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.