FALLON ANN CLANCY


Address: 939 Caroline St, Port Angeles, WA 98362-3997
Phone: 3605650999

FALLON ANN CLANCY (NPI# 1023580461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023580461
Entity Type Individual
Full Name FALLON ANN CLANCY
Credential PA
Practice Address 939 Caroline St
Port Angeles
WA 98362-3997
Mailing Address 907 Georgiana St
Port Angeles
WA 98362-3911
Practice Telephone 3605650999
Practice Fax Number 3605659251
Mailing Telephone 3605650999
Mailing Fax Number 3605659251
Enumeration Date 2018-12-26
Last Update Date 2020-11-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA60922624 WA Physician Assistants & Advanced Practice Nursing Providers
N 363AM0700X Physician Assistant
Specialization: Medical
Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 939 CAROLINE ST
City PORT ANGELES
State WA
Zip Code 98362-3997

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295739829 Pamela J Bundy Anesthesiology 939 Caroline St, Port Angeles, WA 98362-3909 2005-06-10
1508463902 Amy Kalisek Nurse Practitioner 939 Caroline St, Port Angeles, WA 98362-3997 2020-10-08
1376155721 Tierra Renee Thompson Social Worker 939 Caroline St, Port Angeles, WA 98362-3909 2020-08-18
1194344333 Kassandra Simmons Yager Nurse Practitioner 939 Caroline St, Port Angeles, WA 98362-3909 2020-04-08
1285286534 Trevor Jackman Physician Assistant 939 Caroline St, Port Angeles, WA 98362-3997 2019-07-16
1295391357 Kelly Michelle Mann Nurse Practitioner 939 Caroline St, Port Angeles, WA 98362-3997 2019-05-14
1548740210 King County Public Hospital District No. 2 Neurological Surgery 939 Caroline St, Port Angeles, WA 98362 2018-08-21
1619460185 Emily Allison Allen Speech-Language Pathologist 939 Caroline St, Port Angeles, WA 98362-3997 2018-06-10
1093215121 Elizabeth Schuerman Dietitian, Registered 939 Caroline St, Port Angeles, WA 98362-3909 2018-02-15
1457872251 Heidi Byers Registered Nurse 939 Caroline St, Port Angeles, WA 98362-3909 2017-06-30
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831735778 Jayme Marie Williams Technician 518 S. Liberty St., Port Angeles, WA 98362 2019-11-26
1780229559 Barbara Amsler Nutrition, Pllc Dietitian, Registered 320 E. 5th St., Port Angeles, WA 98362 2019-11-15
1902315005 Barbara Amsler Nutritionist 116 S. Ennis St, Port Angeles, WA 98362 2017-09-21
1134659667 Janet Li Hanson Registered Nurse 532 South Alder Lane, Port Angeles, WA 98362 2017-06-18
1790220192 Monica Kay Henry Massage Therapist 102 1/2 East 1st Street Suite #7, Port Angeles, WA 98362 2016-12-21
1124491725 Gabrielle Carter Naturopath 1126 Columbia St, Port Angeles, WA 98362 2015-11-04
1912301185 Danya Lyn Davis Massage Therapist 106 W. Lauridsen Blvd., Port Angeles, WA 98362 2014-10-17
1528470861 Richard Dean Thorson Orthopaedic Surgery 719 S. Laurel St, Olympic Chiropractic, Port Angels, WA 98362 2014-05-21
1780001743 Dr Adam Cramer Pllc Clinic/Center 104 W. 3rd St, Port Angeles, WA 98362 2014-03-27
1588089189 Melanie Mccaughan Counselor 933 E First St, Port Angeles, WA 98362 2014-02-19
Find all providers in zip 98362

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053969451 Kari Ann Walen Physician Assistant 4407 Fairmont Ave, Port Angeles, WA 98363 2019-08-28
1942816186 Katie Michelle Armbruster Physician Assistant 433 E 8th St, Port Angeles, WA 98362-6219 2020-09-22
1285286534 Trevor Jackman Physician Assistant 939 Caroline St, Port Angeles, WA 98362-3997 2019-07-16
1427515782 Bradley Kyle Rodell Physician Assistant 240 W Front St, Port Angeles, WA 98362-2609 2019-02-22
1437625753 Erik C Farley Physician Assistant 907 Georgiana St, Port Angeles, WA 98362-3911 2018-10-15
1164946299 Paul Townsend Physician Assistant 433 E 8th St, Port Angeles, WA 98362-6219 2017-07-31
1083147342 Melani Maxfield Physician Assistant 907 Georgiana St, Port Angeles, WA 98362-3911 2017-04-04
1376991406 Frank Lester Boyd Physician Assistant 907 Georgiana St, Port Angeles, WA 98362-3911 2016-05-31
1114374667 Sara Steffen Physician Assistant 907 Georgiana St, Port Angeles, WA 98362-3911 2016-05-14
1194196857 Meredith June Karns Physician Assistant 939 Caroline St, Port Angeles, WA 98362-3909 2015-10-07
Find all providers in PORT ANGELES

Competitor

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City PORT ANGELES
Zip Code 98362

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Dataset Information

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.

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