EDWARD J KNOLL (NPI# 1033118054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033118054 |
| Entity Type | Individual |
| Full Name | EDWARD J KNOLL |
| Credential | M.D. |
| Practice Address |
800 Meridian S Suite B Puyallup WA 98371-6995 |
| Practice Telephone | 2538459511 |
| Practice Fax Number | 2538403513 |
| Mailing Telephone | 2538459511 |
| Mailing Fax Number | 2538403513 |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | MD00015770 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | REGENCE BLUESHEILD | KN3909 | 01 |
| WA | WORKERS COMPENSATION | 0164016 | 01 |
| WA | 8322133 | 05 |
| Street Address |
800 MERIDIAN S SUITE B |
| City | PUYALLUP |
| State | WA |
| Zip Code | 98371-6995 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588141550 | Karen Lynn Sorensen | Massage Therapist | 922 Valley Ave Nw Suite 101, Puyallup, WA 98371 | 2018-07-23 |
| 1487140257 | Bradley Dupea | Specialist/Technologist | 5702 44th St Se, Puyallup, WA 98371 | 2018-07-05 |
| 1740778695 | Pedraum Heydari | Dentist | 109 N Meridian Suite A, Puyallup, WA 98371 | 2018-04-26 |
| 1487030359 | Jennifer Block | Dental Hygienist | 601 4th Ave Sw, Puyallup, WA 98371 | 2015-08-03 |
| 1023423431 | On Your Own Inc. | Registered Nurse | 1602 Peach Park Ln Nw, Puyallup, WA 98371 | 2014-06-24 |
| 1841614997 | Enrique Somera | Registered Nurse | 1107 29th St Nw, Puyallup, WA 98371 | 2014-02-10 |
| 1033540893 | Ching Ju Chuang | Dentist | 1002 N. Meridian, Suite 104a, Puyallup, WA 98371 | 2013-12-04 |
| 1104161876 | Denise L. Vanaman | Registered Nurse | 214 W. Main, Puyallup, WA 98371 | 2012-12-06 |
| 1336491018 | Tacoma School District | Physical Therapy Assistant | 1721 8th Ave. S.w., Puyallup, WA 98371 | 2012-10-05 |
| 1275882052 | Robert Francis Saxton | Health Educator | 1121 W. Stewart, Puyallup, WA 98371 | 2012-09-07 |
| Find all providers in zip 98371 | ||||
| Taxonomy Code | 204C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine, Sports Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538455977 | Paul R Lentz | Neuromusculoskeletal Medicine, Sports Medicine | 401 15th Ave Se, Puyallup, WA 98372-3715 | 2011-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902975170 | Public Hospital District #3 Snohomish County | Neuromusculoskeletal Medicine, Sports Medicine | 9109 271st St Nw, Stanwood, WA 98292-5999 | 2006-11-06 |
| 1649358573 | Nancy Kristine Haller | Neuromusculoskeletal Medicine, Sports Medicine | 6625 S 190th St, Kent, WA 98032-2115 | 2006-11-01 |
| 1760423958 | Gary P. Hunter | Neuromusculoskeletal Medicine, Sports Medicine | 34612 6th Ave S Ste 300, Federal Way, WA 98003-8723 | 2006-06-09 |
| 1831150879 | Eric Walter Luria | Neuromusculoskeletal Medicine, Sports Medicine | 4402 Hunt St Nw, Gig Harbor, WA 98335-7313 | 2006-03-29 |
| 1144225780 | Laura Lynn Hershkowitz | Neuromusculoskeletal Medicine, Sports Medicine | 316 Martin Luther King Jr Way, #408, Tacoma, WA 98405-4252 | 2005-06-20 |
| 1700255502 | Integrative Child and Adult Neurology | Neuromusculoskeletal Medicine, Sports Medicine | 2900 Ne Blakeley St, Suite C, Seattle, WA 98105-3100 | 2015-09-22 |
| 1447584040 | Sonya Marie Elhardt | Neuromusculoskeletal Medicine, Sports Medicine | 1329 Broadway, Longview, WA 98632 | 2009-09-29 |
| 1467598144 | Carrie Fang | Neuromusculoskeletal Medicine, Sports Medicine | 1737 Wells St, Enumclaw, WA 98022-3518 | 2007-01-29 |
| 1528154770 | Lyudmila Ivanovna Petruk | Neuromusculoskeletal Medicine, Sports Medicine | 209 Martin Luther King Jr Way, Tacoma, WA 98405-4265 | 2006-10-05 |
| 1013927854 | Arthur Henry Ginsberg | Neuromusculoskeletal Medicine, Sports Medicine | 10740 Meridian Ave N, Suite 107, Seattle, WA 98133-9010 | 2006-08-08 |
| 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.