PETER JOHN FREY (NPI# 1083991202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083991202 |
| Entity Type | Individual |
| Full Name | PETER JOHN FREY |
| Credential | PA-C |
| Practice Address |
2320 Freeway Dr Mount Vernon WA 98273-5445 |
| Mailing Address |
1400 E Kincaid St Attn: Credentialing Mount Vernon WA 98274-4127 |
| Practice Telephone | 3608146800 |
| Practice Fax Number | 3608146954 |
| Mailing Telephone | 3604282500 |
| Mailing Fax Number | 3604286485 |
| Enumeration Date | 2011-11-16 |
| Last Update Date | 2018-12-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA60257957 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2015293 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 328 S Stillaguamish Ave, Arlington, WA 982231660 | 3604356641 | 3606187663 |
| 3726 Broadway, Suite 201, Everett, WA 982013787 | 4253179119 | 4253179118 |
| Street Address |
2320 FREEWAY DR |
| City | MOUNT VERNON |
| State | WA |
| Zip Code | 98273-5445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518914811 | Kathleen Mary O'neill | Physician Assistant | 2320 Freeway Dr, Mount Vernon, WA 98273-5445 | 2006-05-30 |
| 1033688981 | Ashton Taylor De Cardenas | Physician Assistant | 2320 Freeway Dr, Mount Vernon, WA 98273 | 2018-11-21 |
| 1407218969 | Mari Hammerquist Oathes | Pediatrics | 2320 Freeway Dr, Mount Vernon, WA 98273-5445 | 2016-03-24 |
| 1487063442 | Brittany Shepherd | Physician Assistant | 2320 Freeway Dr, Mount Vernon, WA 98273-5445 | 2014-08-04 |
| 1033533443 | Public Hospital Dist No 1 Skagit | Dermatology | 2320 Freeway Dr, Mount Vernon, WA 98273-5445 | 2014-02-06 |
| 1114340882 | Public Hospital Dist No 1 Skagit | Pharmacy | 2320 Freeway Dr, Mount Vernon, WA 98273-5445 | 2014-01-30 |
| 1568801280 | Cheryl Nirmali De Silva | Pediatrics | 2320 Freeway Dr, Mount Vernon, WA 98273-5445 | 2013-06-15 |
| 1043577562 | Luke M Walters | Physician Assistant | 2320 Freeway Dr, Mount Vernon, WA 98273-5445 | 2012-04-20 |
| 1568775922 | Navid Mehraban | Internal Medicine | 2320 Freeway Dr, Mount Vernon, WA 98273 | 2010-07-14 |
| 1326242801 | Robert M. Lipscomb | Orthopaedic Surgery | 2320 Freeway Dr, Mount Vernon, WA 98273-5445 | 2007-06-11 |
| Find all providers in the same location | ||||
| 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 | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235694936 | Kristen Erin Roberts | Physician Assistant | 1500 Continental Pl, Mount Vernon, WA 98273-4105 | 2019-02-06 |
| 1033688981 | Ashton Taylor De Cardenas | Physician Assistant | 2320 Freeway Dr, Mount Vernon, WA 98273 | 2018-11-21 |
| 1114419280 | Janelle A Shah | Physician Assistant | 1401 S Laventure Rd, Mount Vernon, WA 98274 | 2018-06-04 |
| 1700326824 | Shannan Theresa O'brien | Physician Assistant | 1401 S Laventure Rd, Mount Vernon, WA 98274-6033 | 2017-03-08 |
| 1225107089 | Samuel L Collins | Physician Assistant | 1400 E Kincaid St, Mount Vernon, WA 98274-4127 | 2006-11-07 |
| 1588757306 | Kristina L. Mullen | Physician Assistant | 2320 Freeway Drive, Mount Vernon, WA 98273 | 2006-10-02 |
| 1376656827 | Joey Alan Wegmann | Physician Assistant | 302 Broadway St, Mount Vernon, IL 62864-5116 | 2006-08-17 |
| 1598707218 | Carlos Aguero | Physician Assistant | 1401 S Laventure Rd, Mount Vernon, WA 98274-6033 | 2006-06-11 |
| 1558325167 | Erin Doherty Van Allen | Physician Assistant | 1400 E Kincaid St, Mount Vernon, WA 98274-4127 | 2006-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780153536 | Patricia Dorian | Physician Assistant | 2950 Squalicum Pkwy Ste B, Bellingham, WA 98225-1857 | 2018-11-21 |
| 1851875561 | Sarah Gene Soloff | Physician Assistant | 9730 3rd Ave Ne Ste 201, Seattle, WA 98115-2023 | 2018-09-18 |
| 1104308394 | Johnny Thanh Nguyen | Physician Assistant | 1135 116th Ave Ne Ste 605, Bellevue, WA 98004-4697 | 2018-09-04 |
| 1558843201 | Stefanie Eller | Physician Assistant | 532 Cedar Wood Ln, Wenatchee, WA 98801-2476 | 2018-08-29 |
| 1861987992 | Lillian Baldwin Bourret | Physician Assistant | 6317 Linden Ave N, Seattle, WA 98103-5658 | 2018-07-01 |
| 1417446758 | Janelle Elizabeth Becker | Physician Assistant | 11511 Canterwood Blvd Nw Ste 205, Gig Harbor, WA 98332 | 2018-05-02 |
| 1982058418 | Ray Johnson | Physician Assistant | 4446 88th Ave Se, Mercer Island, WA 98040 | 2016-04-21 |
| 1073990651 | Laura Skanse | Physician Assistant | 12303 Ne 130th Ln #500, Kirkland, WA 98034 | 2015-05-02 |
| 1104231893 | Amber Elaine Deck | Physician Assistant | 20307 67th Ave E, Spanaway, WA 98387-5600 | 2014-06-22 |
| 1043535024 | Pamela Baird | Physician Assistant | 2016 16th Ave East, Seattle, WA 98112-5260 | 2010-04-01 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT VERNON |
| Zip Code | 98273 |
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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.