PARTNER ONCOLOGY INC (NPI# 1104048594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104048594 |
| Entity Type | Organization |
| Organization Name | PARTNER ONCOLOGY INC |
| Practice Address |
1519 3rd St Se Suite 260 Puyallup WA 98372 |
| Practice Telephone | 2537701700 |
| Practice Fax Number | 2537701702 |
| Mailing Telephone | 2537701700 |
| Mailing Fax Number | 2537701702 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2010-02-05 |
| Authorized Official Name | DR. XINSHENG MICHAEL LIAO (CEO/PRESIDENT) |
| Authorized Official Telephone | 2537701700 |
| Authorized Official Credential | M.D. PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QX0200X |
Clinic/Center Specialization: Oncology |
BL07-00297 | WA | Ambulatory Health Care Facilities |
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians | ||
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
MD00036160 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1123850 | 05 |
| Street Address |
1519 3RD ST SE SUITE 260 |
| City | PUYALLUP |
| State | WA |
| Zip Code | 98372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831176999 | Helene Susan Dehaan | Nurse Practitioner | 1519 3rd St Se, Suite 101, Puyallup, WA 98372-3742 | 2005-12-29 |
| 1053764522 | Yarrow J. Mcconnell | Surgery | 1519 3rd St Se, Suite 230, Puyallup, WA 98372-3742 | 2016-07-19 |
| 1437443348 | Ryan J Street | Urology | 1519 3rd St Se, Suite 210, Puyallup, WA 98372-3742 | 2011-06-08 |
| 1417257668 | Eugenia Byrne | Nurse Practitioner | 1519 3rd St Se, Suite 101, Puyallup, WA 98372-3742 | 2010-10-21 |
| 1730331240 | Brent Sissom | Radiologic Technologist | 1519 3rd St Se, Suite 103, Puyallup, WA 98372-3742 | 2008-10-15 |
| 1174799282 | South Sound Neurosurgery Pllc | Clinic/Center | 1519 3rd St Se, Suite 103, Puyallup, WA 98372-3742 | 2008-05-08 |
| 1003094889 | Gregory Ryan Lamberton | Urology | 1519 3rd St Se, Ste 210, Puyallup, WA 98372-3724 | 2008-02-04 |
| 1801098405 | Robin Yune Lee | Urology | 1519 3rd St Se, Suite 210, Puyallup, WA 98372-3742 | 2007-06-05 |
| 1235261884 | Apple Physical Therapy Ps | Durable Medical Equipment & Medical Supplies | 1519 3rd St Se, Suite 104, Puyallup, WA 98372-3742 | 2007-03-09 |
| 1417027681 | Candy Nelson | Physical Therapist | 1519 3rd St Se, Suite 104, Puyallup, WA 98372-3742 | 2006-11-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371532 | Jeffrey Allen Zhan | Urology | Good Samaritan Medical Office Bldg 1450 5th St Se, Suite 2100- Urology Clinic, Puyallup, WA 98372 | 2019-11-21 |
| 1447811419 | Serenity Counseling & Consulting, LLC | Marriage & Family Therapist | 102 23rd St Se, Unit B, Puyallup, WA 98372 | 2019-06-21 |
| 1316401565 | Katherine Juarez Davidson | Nurse Practitioner | 325 E Pioneer # A145, Puyallup, WA 98372 | 2019-01-22 |
| 1679041404 | Cara Ann Lundin | Nurse Practitioner | 11926 43rd St Crt E, Edgewood, WA 98372 | 2018-11-09 |
| 1104392109 | Megan Black | Occupational Therapist | 40 29th St Ne, Puyallup, WA 98372 | 2018-10-17 |
| 1063919470 | Myriah Shekinah Olakpe | Occupational Therapist | 516 Se 23rd Ave, Puyallup, WA 98372 | 2018-04-11 |
| 1902330202 | Tyler Girdler | Student in an Organized Health Care Education/Training Program | 1322 3rd Street Se Suite 240, Puyallup, WA 98372 | 2017-04-13 |
| 1770039471 | Mahalakshmi Hariharan | Pharmacist | 2117 28th St Se, Puyallup, WA 98372 | 2016-09-01 |
| 1801241112 | Nawazish Ali | Internal Medicine | 401 15th Ave Se Multicare God Samartian Hopsital, Puyallup, WA 98372 | 2016-04-25 |
| 1932567559 | Denice L. Voss | Physical Therapist | 400 29th St. Ne, Puyallup, WA 98372 | 2016-02-10 |
| Find all providers in zip 98372 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629064589 | Robert D Mccroskey | Internal Medicine | 2920 South Meridian, Suite 100, Puyallup, WA 98373-1428 | 2005-09-26 |
| 1588052245 | Northwest Medical Specialties, Pllc | Internal Medicine | 2920 S Meridian, Suite 100, Puyallup, WA 98373-1428 | 2015-01-05 |
| 1932245644 | Michael Anthony Harris | Internal Medicine | 400 15th Ave Se, Puyallup, WA 98372-3750 | 2007-01-29 |
| 1710030333 | Trevor W. Dennie | Internal Medicine | 400 15th Ave Se, Puyallup, WA 98372-3750 | 2007-01-18 |
| 1962490797 | Sibel Blau | Internal Medicine | 2920 South Meridian, Suite 100, Puyallup, WA 98373-1428 | 2005-10-06 |
| 1952398158 | Andrea Lee Veatch | Internal Medicine | 2920 South Meridian, Suite 100, Puyallup, WA 98373-1428 | 2005-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477150969 | John Michael Pesando | Internal Medicine | 1066 East Blaine Street, Seattle, WA 98102-4260 | 2020-10-07 |
| 1265944003 | Langdon Leforrest Miller | Internal Medicine | 3057 Perkins Ln W, Seattle, WA 98199-2418 | 2017-11-02 |
| 1306214168 | Alvaro Perona Blazquez | Internal Medicine | 5049 38th Ave Ne, Seattle, WA 98105-3022 | 2015-09-10 |
| 1013318245 | Vivien R V B Santos | Internal Medicine | 5049 38th Avenue Ne, Seattle, WA 98105 | 2014-09-08 |
| 1154663581 | Victor Alexander Chow | Internal Medicine | 1100 Fairview Ave N # D5-390, Seattle, WA 98109-4433 | 2013-03-24 |
| 1508150111 | Robert Eugene Burdick | Internal Medicine | 2201 39th Ave E, Seattle, WA 98112-2401 | 2011-06-01 |
| 1962701110 | Toni Kay Roberts | Internal Medicine | 2720 Clare Ave Ste A, Bremerton, WA 98310-3374 | 2011-03-26 |
| 1124334792 | Wayne Russell Godfrey | Internal Medicine | 410 W Harrison St, Suite 100, Seattle, WA 98119-4033 | 2010-08-20 |
| 1407173826 | Joshua Robert Veatch | Internal Medicine | 1100 Fairview Ave N # D5-100, Seattle, WA 98109-4433 | 2010-04-24 |
| 1346562816 | Song Zhao | Internal Medicine | 515 Minor Ave Fl 1, Seattle, WA 98104-2120 | 2010-02-24 |
| Find all providers with the same taxonomy | ||||
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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.