DR. TOMASZ ADAM WIETECHA (NPI# 1063755783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063755783 |
| Entity Type | Individual |
| Full Name | DR. TOMASZ ADAM WIETECHA |
| Credential | L.D., M.D. |
| Practice Address |
3965 Bethel Rd Se Ste 2c Port Orchard WA 98366-1976 |
| Practice Telephone | 3608760508 |
| Mailing Telephone | 3608760508 |
| Enumeration Date | 2013-04-01 |
| Last Update Date | 2017-03-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122400000X | Denturist | DN60186659 | WA | Dental Providers |
| Street Address |
3965 BETHEL RD SE STE 2C |
| City | PORT ORCHARD |
| State | WA |
| Zip Code | 98366-1976 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194908897 | Michelle E. Alger | Counselor | 3965 Bethel Rd Se, Ste 1 #112, Port Orchard, WA 98366-1976 | 2007-12-17 |
| 1871917500 | Janell Siegel | Registered Nurse | 3965 Bethel Rd Se, Port Orchard, WA 98366-1976 | 2014-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003423302 | Teresa M Derouin | Speech-Language Pathologist | Harbor Speech Pathology, 463 Tremont St W Suite 110, Port Orchard, WA 98366 | 2020-09-30 |
| 1316591217 | Martin Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 8079 E Main Street, Suite 101, Port Orchard, WA 98366 | 2019-07-29 |
| 1952822660 | Kristian Thomas Workman Haskins | Hearing Instrument Specialist | 1328 Colchester Drive S.e., Port Orchard, WA 98366 | 2017-07-03 |
| 1013466929 | Jenna Olafson | Counselor | 414 Front St. N, Issaquah, WA 98366 | 2016-10-04 |
| 1063884534 | Laurine Burrer | Licensed Practical Nurse | 2874 Se Lund Ave, Port Orchard, WA 98366 | 2015-10-23 |
| 1346640836 | Karen Diane Thompson | Pharmacy Technician | 1800 Sidney Ave, Apt 1-201, Port Orchard, WA 98366 | 2014-09-03 |
| 1588912042 | Celeste Kyle Interrante | Physical Therapy Assistant | 2051 Pottery Ave., Port Orchard, WA 98366 | 2012-08-15 |
| 1013227339 | Christine Davis | Massage Therapist | 1800 Se Mile Hill Drive, Suite 150, Port Orchard, WA 98366 | 2010-10-20 |
| 1932421724 | Mary Jo Stump | Physical Therapy Assistant | 2051 Pottery Avenue, Port Orchard, WA 98366 | 2010-02-19 |
| 1669707626 | Shannon Mary Baurichter | Speech-Language Pathologist | 1230 Bay St, Port Orchard, WA 98366 | 2009-10-08 |
| Find all providers in zip 98366 | ||||
| Taxonomy Code | 122400000X |
| Grouping | Dental Providers |
| Classification | Denturist |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427689421 | Tri-cities Denture Studio Pllc | Denturist | 3909 Creekside Loop Ste 110, Yakima, WA 98902-4880 | 2020-01-29 |
| 1447894811 | Michael Hu | Denturist | 430 N West Ave Ste 3, Arlington, WA 98223-1539 | 2019-10-29 |
| 1265999494 | Sagebrush Dental LLC | Denturist | 1114 N Mission St Ste C, Wenatchee, WA 98801-6711 | 2019-02-24 |
| 1295299113 | Stephanie Jean Hemenway | Denturist | 209 W Main Ave., Morton, WA 98356 | 2019-01-24 |
| 1538633664 | Trang Phung | Denturist | 1242 State Ave Ste G, Marysville, WA 98270-3672 | 2019-01-11 |
| 1053884338 | Juan Edward Berlanga | Denturist | 654 N Rochester St, Tacoma, WA 98406-1724 | 2019-01-09 |
| 1346713765 | Cody M Dunivin | Denturist | 129 Valley Meadows Dr, Chehalis, WA 98532-8652 | 2019-01-08 |
| 1841765682 | Andrew Payne | Denturist | 714 N Chelan Ave, Wenatchee, WA 98801-2069 | 2018-10-08 |
| 1154811982 | Jayson Allen Laney | Denturist | 4001 Colby Ave Ste 2, Everett, WA 98201-6208 | 2018-05-17 |
| 1932697117 | Jason Lee Alsbury | Denturist | 1715 W Kennewick Ave, Kennewick, WA 99336-3378 | 2018-04-24 |
| Find all providers with the same taxonomy | ||||
| City | PORT ORCHARD |
| Zip Code | 98366 |
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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.