JOHN C. KNUDSEN (NPI# 1083688790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083688790 |
| Entity Type | Individual |
| Full Name | JOHN C. KNUDSEN |
| Credential | M.D. |
| Practice Address |
111 N 17th St Mount Vernon WA 98273-3440 |
| Practice Telephone | 3604244627 |
| Practice Fax Number | 3608486327 |
| Mailing Telephone | 3604244627 |
| Mailing Fax Number | 3608486327 |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MD0016795 | WA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1647809 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508952060 | John R. Knudsen | Emergency Medicine | 6046 Portal Way, Ste 103, Ferndale, WA 98248-7829 | 2006-10-04 |
| 1205846557 | John Frederick Knudsen | Dentist | 127 N West St, Ste 1, Easton, MD 21601-2758 | 2006-08-09 |
| 1104852342 | John Knudsen IIi | Anesthesiology | 1515 E 32nd St, Ste 200, Joplin, MO 64804-2912 | 2006-06-22 |
| 1477538379 | John R Knudsen | Family Medicine | 600 W. Jefferson, Kirksville, MO 63501 | 2005-12-13 |
| 1083025878 | John Richard Knudsen | Anesthesiology | 555 S 70th St, Lincoln, NE 68510-2462 | 2014-05-14 |
| 1780664268 | John M Knudsen | Radiology | 200 1st St Sw, Rochester, MN 55905-0001 | 2006-01-19 |
| Street Address |
111 N 17TH ST |
| City | MOUNT VERNON |
| State | WA |
| Zip Code | 98273-3440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639143555 | Sara C. Rowland | Obstetrics & Gynecology | 111 N 17th St, Mount Vernon, WA 98273-3440 | 2006-02-15 |
| 1720631179 | Samantha Gollub | Physical Therapist | 111 N 17th St, Mount Vernon, WA 98273-3440 | 2019-07-24 |
| 1750941548 | Ryan Charles Coonc | Physical Therapist | 111 N 17th St, Mount Vernon, WA 98273-3440 | 2019-06-14 |
| 1760987903 | Skagit Hand Therapy LLC | Occupational Therapist | 111 N 17th St, Mount Vernon, WA 98273-3440 | 2018-03-29 |
| 1386618205 | Judith L. Chilcote | Nurse Practitioner | 111 N 17th St, Mount Vernon, WA 98273-3440 | 2006-02-15 |
| 1144294372 | Ruth Dorothea Joern | Nurse Practitioner | 111 N 17th St, Mount Vernon, WA 98273-3440 | 2006-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710585849 | Stephanie Marie Partington | Physical Therapist | 1901 Hoad Road, Mount Vernon, WA 98273 | 2020-10-12 |
| 1447866165 | Jennifer I Campos | Interpreter | 1501 Sunset Pl., Unit B, Mount Vernon, WA 98273 | 2020-09-17 |
| 1487217345 | Nicholas Peter Goodman | Student in an Organized Health Care Education/Training Program | Attn: Internal Medicine Residency, 300 Hospital Parkway, Mount Vernon, WA 98273 | 2019-04-17 |
| 1023579430 | Joan Watkins Opyr | Registered Nurse | Telecare North Sound E&t, 7825 North Sound Drive, Sedro-woolley, WA 98273 | 2019-03-28 |
| 1588136188 | Nicholas Bryan Corp | Physical Therapy Assistant | 1901 Hoag Road, Mount Vernon, WA 98273 | 2018-12-20 |
| 1518437300 | Eyonna Mason | Case Manager/Care Coordinator | 1100 52nd St, Mount Vernon, WA 98273 | 2018-12-05 |
| 1023515400 | Evergreen Recovery Centers | Substance Abuse Rehabilitation Facility | 1905 Continental Place, Mount Vernon, WA 98273 | 2018-04-11 |
| 1104320480 | Stacy Anne Black | Marriage & Family Therapist | 2301 Old Hwy 99, Mt. Vernon, WA 98273 | 2018-03-21 |
| 1609387844 | Kerri Jesse | Massage Therapist | 210 N 23rd St, Mount Vernon, WA 98273 | 2017-10-16 |
| 1992225320 | Juana Cleek | Registered Nurse | 330 Pacific Place, Mount Vernon, WA 98273 | 2017-06-27 |
| Find all providers in zip 98273 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295356459 | Kendra Celeste Williams | Specialist | 300 Hayward Ave Apt 2h, Mount Vernon, NY 10552-1729 | 2020-04-29 |
| 1912551938 | Tania Monique Marshall | Specialist | 340 Garden Ave, Mount Vernon, NY 10553-2014 | 2019-07-29 |
| 1801357090 | Camille Blackwood | Specialist | 55 Bonita Vista Rd, Mount Vernon, NY 10552-1301 | 2019-03-29 |
| 1043717325 | Rhea Elizabeth Zificsak | Specialist | 30 Fleetwood Ave Apt 1d, Mount Vernon, NY 10552-2854 | 2018-04-12 |
| 1457866477 | Angelina Jaqueline Lewis | Specialist | 58 Parkway W, Mount Vernon, NY 10552-1141 | 2017-12-13 |
| 1083126551 | Christina Storm | Specialist | 514 Gramatan Ave Apt 7a, Mount Vernon, NY 10552-3052 | 2017-10-24 |
| 1386177350 | La Sheune Cantey | Specialist | 465 E Lincoln Ave Apt 110, Mount Vernon, NY 10552-3539 | 2017-04-06 |
| 1477001550 | Daysi N. Mina | Specialist | 55 Ehrbar Ave, Apt 3d, Mount Vernon, NY 10552-2444 | 2016-09-16 |
| 1982057410 | Gina Marie Giordano | Specialist | 40 E Birch St, Apt. # 3 D, Mount Vernon, NY 10552-1838 | 2016-07-20 |
| 1013366087 | Breonne Lewis | Specialist | 99 Pennsylvania Ave, Mount Vernon, NY 10552-2419 | 2016-06-09 |
| Find all providers in MOUNT VERNON | ||||
| City | MOUNT VERNON |
| Zip Code | 98273 |
Please comment or provide details below to improve the information on JOHN C. KNUDSEN.
| 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.