SARAH LAYNE CRANDALL (NPI# 1023451317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023451317 |
| Entity Type | Individual |
| Full Name | SARAH LAYNE CRANDALL |
| Credential | M.D., |
| Practice Address |
5005 Main St Ste 125 Tacoma WA 98407-3177 |
| Practice Telephone | 5375945222 |
| Practice Fax Number | 2537594699 |
| Mailing Telephone | 5375945222 |
| Mailing Fax Number | 2537594699 |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2020-08-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208200000X | Plastic Surgery | PG189173 | OR | Allopathic & Osteopathic Physicians |
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
MD60951421 | WA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3181 Sw Sam Jackson Park Road, Ohsu, Portland, OR 97239 | 5034948211 | |
| 5005 Main St Ste 125, Tacoma, WA 984073177 | 5375945222 | 2537594699 |
| Street Address |
5005 MAIN ST STE 125 |
| City | TACOMA |
| State | WA |
| Zip Code | 98407-3177 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871134205 | Adrienne Ashley | Behavior Technician | 3704 Nth 35th Street, Tacoma, WA 98407 | 2019-10-07 |
| 1346890050 | Theresa Marie Hopper | Technician | 5335 N. Ruby St., Tacoma, WA 98407 | 2019-09-14 |
| 1255894176 | Washington Dental Corporation, PC | Dentist | 2729 N Pearl St, Tacoma, WA 98407 | 2019-04-08 |
| 1518445196 | Rachael L Southern | Registered Nurse | 3502 N Visscher St, Tacoma, WA 98407 | 2018-08-06 |
| 1477082121 | Annalise Hertler | Case Manager/Care Coordinator | 5410 N 44th Street, Tacoma, WA 98407 | 2017-06-07 |
| 1720533805 | Edward Adlen Herrera | Behavioral Analyst | 3704 Nth 35th St, Tacoma, WA 98407 | 2016-08-18 |
| 1770945065 | Karen Schowalter | Family Medicine | 5741 N 26th St Unit 115, Tacoma, WA 98407 | 2016-03-24 |
| 1770950446 | Darriell Beaumonte | Counselor | 5410 N. 44th Street, Tacoma, WA 98407 | 2015-08-28 |
| 1750722682 | Lori Ha | Dentist | 5005 Main St Ste 107, Ruston, WA 98407 | 2013-07-08 |
| 1861745929 | Jennifer L Trahan | Counselor | 5410 N. 44th St., Tacoma, WA 98407 | 2012-10-25 |
| Find all providers in zip 98407 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013148493 | Jennifer Marie Sabino | Surgery | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2009-08-03 |
| 1538192976 | Ross Maglaque Realica | Surgery | 9040 Jackson Ave Madigan Army Medical Center, Tacoma, WA 98431 | 2006-07-09 |
| 1639153232 | Frederick W Ehret | Surgery | 2202 S Cedar St, Suite 100, Tacoma, WA 98405-2318 | 2005-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982079927 | John Richard Alger | Surgery | 2323 Crystal Springs Rd W, University Place, WA 98466-2822 | 2015-12-02 |
| 1558752741 | Cole Aesthetic Center | Surgery | 9800 Levin Rd Nw Ste 101, Silverdale, WA 98383-7849 | 2015-02-10 |
| 1730524596 | Christopher Michael Bates | Surgery | 31852 Pacific Coast Hwy Suite 401, Laguna Beach, WA 92651 | 2013-05-07 |
| 1538401534 | Sattler Plastic Surgery | Surgery | 6100 219th St Sw Ste 290, Mountlake Terrace, WA 98043-2222 | 2013-03-18 |
| 1265744585 | Thomas D Gant | Surgery | 9006 Ne 116th Pl, Kirkland, WA 98034-6115 | 2010-07-02 |
| 1497928691 | Gabriel Plastic Surgery, Ps | Surgery | 505 Ne 87th Ave Ste 250, Vancouver, WA 98664-1965 | 2008-04-08 |
| 1255481446 | John Anthony Adams | Surgery | 530 S Cowley St Ste 180, Spokane, WA 99202-1316 | 2007-01-11 |
| 1821154790 | Alexander Gougoutas | Surgery | 1560 N 115th St Ste 206, Seattle, WA 98133-8414 | 2006-12-28 |
| 1972694743 | Brian H. Windle | Surgery | 7630 115th Pl Ne, Kirkland, WA 98033-6737 | 2006-09-27 |
| 1417931007 | Todd Michael Willcox | Surgery | 11311 Bridgeport Way Sw Ste 309, Lakewood, WA 98499-3078 | 2005-12-06 |
| Find all providers with the same taxonomy | ||||
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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.