SURGICAL WEIGHT LOSS CLINIC OF EASTERN WASHINGTON PLLC (NPI# 1083732440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083732440 |
| Entity Type | Organization |
| Organization Name | SURGICAL WEIGHT LOSS CLINIC OF EASTERN WASHINGTON PLLC |
| Practice Address |
1075 Jadwin Ave Suite 203 Richland WA 99352-3437 |
| Practice Telephone | 5099430710 |
| Mailing Telephone | 5099430710 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. EARL ROSS FOX (OWNER &SURGEON) |
| Authorized Official Telephone | 5099430710 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
========= | WA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | NPI FOR EARL ROSS FOX | 1306919725 | 01 |
| WA | NPI TERRI DAVARI | 1699717009 | 01 |
| WA | NPI FOR SAMUEL ROSS FOX | 1942363353 | 01 |
| Street Address |
1075 JADWIN AVE SUITE 203 |
| City | RICHLAND |
| State | WA |
| Zip Code | 99352-3437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740265750 | Laboratory Corporation of America | Clinical Medical Laboratory | 1075 Jadwin Ave, Richland, WA 99352-3437 | 2005-12-13 |
| 1316482821 | Erica Arias | Physician Assistant | 1075 Jadwin Ave, Richland, WA 99352-3437 | 2016-12-20 |
| 1376808642 | V5 Spine Center and Pain Clinic | Pain Medicine | 1075 Jadwin Ave, Suite 201, Richland, WA 99352-3437 | 2012-07-11 |
| 1013113638 | Physician Diagnostic Services | Clinic/Center | 1075 Jadwin Ave, Suite 102, Richland, WA 99352-3437 | 2007-06-21 |
| 1225230527 | Western Anesthesia Associates Inc Ps | Pain Medicine | 1075 Jadwin Ave, Suite 201, Richland, WA 99352-3437 | 2007-05-31 |
| 1508068800 | Northwest Ambulatory Physicians Pllc | Clinic/Center | 1075 Jadwin Ave, Richland, WA 99352-3437 | 2007-05-31 |
| 1114129418 | Bingumal Ranjith Manawadu | Anesthesiology | 1075 Jadwin Ave, Suite 201, Richland, WA 99352-3437 | 2007-05-31 |
| 1366457236 | Alexey A Ryskin | Anesthesiology | 1075 Jadwin Ave, Richland, WA 99352-3437 | 2006-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326683053 | Thrive On Counseling, LLC | Counselor | 718 Jadwin Avenue, Richland, WA 99352 | 2019-11-18 |
| 1225687650 | Tri-cities Marital and Family Therapy | Marriage & Family Therapist | 925 Stevens Dr., Suite 3a, Richland, WA 99352 | 2019-09-09 |
| 1053966754 | Darla Nicole Carpenter-sams | Social Worker | 845 Stevens Suite 3a, Richland, WA 99352 | 2019-08-08 |
| 1538720735 | Compass Home Health Care | Home Health | 4281 Tigar Lane, Richland, WA 99352 | 2019-06-27 |
| 1164089934 | Tri-city Orthodontics, LLC | Dentist | 3200 Duportail St, Ste 203, Richland, WA 99352 | 2019-05-28 |
| 1760956361 | Behavior Treatment Solutions LLC | Behavioral Analyst | 403 Adams St, Richland, WA 99352 | 2019-01-16 |
| 1528566981 | Rxltc, Pllc | Pharmacy | 969 Stevens Dr Ste 1b, Richland, WA 99352 | 2018-01-31 |
| 1154829992 | Jason Brody Anderson | Registered Nurse | 888 Swift Blvd # 180, Richland, WA 99352 | 2018-01-26 |
| 1093247355 | Anderson Mcgilliard | Physical Therapist | 875 Gage Blvd, Richland, WA 99352 | 2017-03-28 |
| 1871042689 | Jennifer Bramhall | Nurse Practitioner | 1100 Goethals Drive Suite F, Kadlec Inland Cardiology, Richland, WA 99352 | 2016-09-22 |
| Find all providers in zip 99352 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043549496 | Sk Wadhwa, M.d., Facc,p.s. | Clinic/Center | 217 Torbett Street, Suite 101, Richland, WA 99354 | 2009-12-14 |
| 1528255296 | Tri-cities Physical Med & Rehab | Clinic/Center | 943 Stevens Dr, Richland, WA 99352-3508 | 2007-09-26 |
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|---|---|---|---|---|
| 1619592946 | Inner Vitality Pllc | Clinic/Center | 11711 Ne 12th St Ste 1a, Bellevue, WA 98005-2461 | 2020-06-12 |
| 1578057337 | Regenerative Medicine Northwest | Clinic/Center | 1260 116th Ave Ne Ste 200, Bellevue, WA 98004-3800 | 2018-06-15 |
| 1154837854 | Pacific Northwest Lactation, LLC | Clinic/Center | 708 S Cushman Ave, Tacoma, WA 98405-3625 | 2017-12-18 |
| 1275052458 | Peninsula Spine Institute, Ps | Clinic/Center | 804 Callahan Dr Ste A, Bremerton, WA 98310-3307 | 2017-09-19 |
| 1477097251 | Cynthia D Gray Md PC | Clinic/Center | 2101 Ne 139th St Ste 285, Vancouver, WA 98686-2326 | 2016-12-13 |
| 1811377484 | Knead To Heal, LLC | Clinic/Center | 2312 Rucker Ave, Everett, WA 98201-2723 | 2015-06-09 |
| 1699185348 | Duane Fredrick Hopp | Clinic/Center | 22612 126th Ave E, Graham, WA 98338-6725 | 2014-05-03 |
| 1689919292 | Poma Fertility, LLC | Clinic/Center | 12039 Ne 128th St Ste 110, Kirkland, WA 98034-3030 | 2012-12-07 |
| 1275888232 | Massage Mundo | Clinic/Center | 423 Eastlake Ave E, Seattle, WA 98109-5408 | 2012-07-16 |
| 1144536079 | 3-d Diagnostics, LLC | Clinic/Center | 2616 Yelm Hwy Se Ste A, Olympia, WA 98501-0800 | 2010-08-30 |
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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.