FAISAL AMIN SIDDIQUI (NPI# 1063648947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063648947 |
Entity Type | Individual |
Full Name | FAISAL AMIN SIDDIQUI |
Credential | MD, PHD |
Practice Address |
400 Ne Mother Joseph Pl Vancouver WA 98664-3200 |
Mailing Address |
2000 E Mill Plain Blvd Apt 126 Vancouver WA 98661-4180 |
Practice Telephone | 3605141900 |
Mailing Telephone | 5035331019 |
Enumeration Date | 2009-06-04 |
Last Update Date | 2015-12-22 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
MD60470849 | WA | Allopathic & Osteopathic Physicians |
N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
LL18727 | OR | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598285850 | Faisal Jamil Siddiqui | Pediatrics | 445 Lenox Road, Msc 49, Brooklym, NY 11203-2098 | 2017-06-27 |
1760877385 | Faisal Siddiqui | Radiology | 9500 Euclid Ave, Cleveland, OH 44195 | 2015-03-31 |
1407293202 | Faisal R Siddiqui | Family Medicine | 4003 Creekside Loop, Yakima, WA 98908-3962 | 2013-06-03 |
1902193402 | Faisal A Siddiqui | Anesthesiology | 361 Alexander Spring Rd, Carlisle, PA 17015-6940 | 2011-07-05 |
1083903678 | Faisal M. Siddiqui | Internal Medicine | 1000 Locust St, Dept. of Internal Medicine, Reno, NV 89502-2597 | 2011-04-04 |
1356591499 | Faisal M Siddiqui | Physical Medicine & Rehabilitation | 750 E Adams St, Syracuse, NY 13210-2342 | 2008-09-25 |
1497891998 | Faisal Siddiqui | Psychiatry & Neurology | 2400 Russellville Rd, Hopkinsville, KY 42240-8095 | 2007-01-30 |
1265483820 | Faisal A Siddiqui | Orthopaedic Surgery | 8525 Rolling Rd, Suite 200, Manassas, VA 20110-3647 | 2006-05-16 |
1457359127 | Faisal Siddiqui | Surgery | 180 E Pulaski Rd, Huntington Station, NY 11746-1915 | 2005-07-07 |
Street Address |
400 NE MOTHER JOSEPH PL |
City | VANCOUVER |
State | WA |
Zip Code | 98664-3200 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538161955 | Jacintha Stall Cauffield | Pharmacist | 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 | 2005-08-15 |
1255967675 | Veronica Leung Mo | Social Worker | 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 | 2020-03-17 |
1982234530 | Aaryo Bakhtiar | Nurse Anesthetist, Certified Registered | 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 | 2020-01-23 |
1881233120 | Knoll Kristoffer Aguilar | Pharmacist | 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 | 2020-01-03 |
1356988042 | Trevor Swedeen | Nurse Anesthetist, Certified Registered | 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 | 2019-12-02 |
1801458906 | John Alin Bucur | Registered Nurse | 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 | 2019-06-28 |
1619430196 | Catherine Winter | Student in an Organized Health Care Education/Training Program | 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 | 2019-04-10 |
1750846903 | Stephanie Ann Potter | Pharmacist | 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 | 2019-02-01 |
1548734205 | Peacehealth Southwest Medical Center | Rehabilitation Unit | 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 | 2019-01-16 |
1386146173 | Erin Eleanor Mills | Nurse Anesthetist, Certified Registered | 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 | 2018-03-07 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285249938 | Angelica Maria Parle-fresquez | Speech-Language Pathologist | Early Childhood Assessment Center - Lieser School, 301 S. Lieser Rd, Vancouver, WA 98664 | 2020-09-10 |
1467923441 | Elizabeth Steen | Counselor | 230 E. State St., Mossyrock, WA 98664 | 2018-12-17 |
1497241657 | Chelsey Nicole Parker | Peer Specialist | 9815 Ne 3rd St, Vancouver, WA 98664 | 2018-07-10 |
1881145431 | Brent Homan | Occupational Therapist | 807 Se Morgan Rd., Vancouver, WA 98664 | 2016-10-19 |
1114474277 | Rebecca Marie Stefan | Nurse's Aide | 10025 Ne 19th St, Vancouver, WA 98664 | 2016-09-07 |
1528454105 | Alicia Ford | Dietitian, Registered | 700 Ne 87th Ave Ste 280, Vancouver, WA 98664 | 2015-04-10 |
1033504261 | Reid Roberts Bennett | Anesthesiology | 505 Ne 87th Ave Ste 210, Vancouver, WA 98664 | 2015-04-03 |
1235550856 | Nikolay Nikolaevich Chernukhin Jr. | Chiropractor | 221-a Ne 104th Ave, Suite 205, Vancouver, WA 98664 | 2013-12-27 |
1013278712 | Serena Harker | Physical Therapy Assistant | 221a Ne 104th Ave, Suite #205, Vancouver, WA 98664 | 2012-05-30 |
1295091080 | Rebeca C Johnson | Massage Therapist | 11015 Ne 4th Plain Suite B, Vancouver, WA 98664 | 2012-04-05 |
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Taxonomy Code | 2085R0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Radiation Oncology |
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609175660 | Legacy Salmon Creek Hospital | Radiology | 2121 Ne 139th St Ste 100, Vancouver, WA 98686-2316 | 2011-03-16 |
1164630752 | Michael Allan Myers | Radiology | 8821 Ne 5th St., Vancouver, WA 98664 | 2007-05-18 |
1902894793 | Won Sok Lee | Radiology | 2241 Ne 139th St, Vancouver, WA 98686-2742 | 2005-10-06 |
1487091260 | Shushan R Rana | Radiology | 8821 Ne 5th St, Vancouver, WA 98664 | 2013-06-03 |
1194747733 | Stephen Christopher Hoffelt | Radiology | 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 | 2006-07-24 |
1336142926 | Scott Benjamin Schneider | Radiology | 210 Se 136th Ave, Vancouver, WA 98684-6930 | 2005-05-27 |
1679576540 | Carrie Jean Kay Gotkowitz | Radiology | 210 Se 136th Ave, Vancouver, WA 98684-6930 | 2005-05-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669829289 | Rosanna Hoi Lam Yeung | Radiology | 12040 Ne 128th St # Ms -63, Kirkland, WA 98034 | 2016-05-24 |
1508251000 | Anthony Hoai-nam Pham | Radiology | 19917 7th Ave Ne Ste 100, Poulsbo, WA 98370-6555 | 2015-04-01 |
1841603479 | Sherry Zhao | Radiology | 7350 W Deschutes Ave Ste A, Kennewick, WA 99336 | 2014-06-11 |
1467877670 | John Paul Lytle Jr. | Radiology | 6729 204th Dr. Ne, Redmond, WA 98053 | 2014-02-25 |
1962824219 | The Polyclinic | Radiology | 1225 Madison St, Seattle, WA 98104-1336 | 2014-01-06 |
1720356090 | Herbert Carl Berry | Radiology | 65 E. Roanoke St., Seattle, WA 98102 | 2011-12-01 |
1861794992 | Thomas Ward Griffin | Radiology | 3620 E Prospect St, Seattle, WA 98112-4440 | 2010-11-22 |
1407170467 | Aaron Shingo Kusano | Radiology | 1959 Ne Pacific St. Box 356043, University of Washington Department of Radiation Oncolo, Seattle, WA 98195 | 2010-03-19 |
1184866527 | Justin William Suszko | Radiology | 4525 3rd Ave Se Ste 100, Lacey, WA 98503-1010 | 2009-03-31 |
1194800904 | Lawrence Edmond Mulkerin | Radiology | University of Washington Medical Ct, 1959 Ne Pacific Street, Seattle, WA 98195-0001 | 2006-10-27 |
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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.