EAR, NOSE, THROAT & ALLERGY ASSOICATIES PS (NPI# 1104149210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104149210 |
Entity Type | Organization |
Organization Name | EAR, NOSE, THROAT & ALLERGY ASSOICATIES PS |
Practice Address |
104 27th Ave Se Puyallup WA 98374-1145 |
Practice Telephone | 2537708454 |
Practice Fax Number | 2537708992 |
Mailing Telephone | 2537708454 |
Mailing Fax Number | 2537708992 |
Enumeration Date | 2010-03-03 |
Last Update Date | 2010-03-03 |
Authorized Official Name | RANDALL BENNETT (OWNER) |
Authorized Official Telephone | 2537708454 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 231H00000X | Audiologist | LD60130143 | WA | Speech, Language and Hearing Service Providers |
Street Address |
104 27TH AVE SE |
City | PUYALLUP |
State | WA |
Zip Code | 98374-1145 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760459283 | Wayne Joseph Harsha | Otolaryngology | 104 27th Ave Se, Puyallup, WA 98374-1145 | 2006-03-02 |
1407223985 | Proliance Surgeons, Inc., P.s. | Allergy & Immunology | 104 27th Ave Se, Puyallup, WA 98374 | 2015-08-31 |
1851517528 | Ear,nose,throat &allergy Associates Ps | Audiologist-Hearing Aid Fitter | 104 27th Ave Se, Puyallup, WA 98374-1145 | 2007-04-18 |
1427192988 | Vivian Mae Yu | Otolaryngology | 104 27th Ave Se, Puyallup, WA 98374-1145 | 2007-02-17 |
1508902081 | Julie Allina Gustafson | Otolaryngology | 104 27th Ave Se, Puyallup, WA 98374-1145 | 2007-01-30 |
1154488732 | Ear,nose,throat & Allergy Associates Ps | Specialist | 104 27th Ave Se, Puyallup, WA 98374-1145 | 2007-01-02 |
1679689145 | Greg E. Davis | Otolaryngology | 104 27th Ave Se, Puyallup, WA 98374-1145 | 2006-08-21 |
1619907953 | Randall Paul Bennett | Otolaryngology | 104 27th Ave Se, Puyallup, WA 98374-1145 | 2006-07-03 |
1780610220 | Proliance Surgeons Inc Ps | Clinic/Center | 104 27th Ave Se, Puyallup, WA 98374-1145 | 2006-06-25 |
1851327324 | Charles V. Edmond Jr. | Otolaryngology | 104 27th Ave Se, Puyallup, WA 98374-1145 | 2006-06-24 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073173977 | Courtney Yant | Registered Nurse | 300 3rd St Se, Puyallup, WA 98374 | 2019-06-13 |
1013480508 | Tracy Pina | Massage Therapist | 16909 123rd Ave E, Puyallup, WA 98374 | 2019-01-07 |
1922524917 | Edith M Wood | Registered Nurse | 13517 152nd St Ct E, Puyallup, WA 98374 | 2017-08-21 |
1669875993 | Jillian C S Longway | Registered Nurse | 11102 Sunrise Blvd E Ste 103, Puyallup, WA 98374 | 2014-10-01 |
1427302025 | Nadeem Jaffer | Internal Medicine | 3800 3rd St. Se, Puyallup, WA 98374 | 2012-11-04 |
1851605356 | Madigan Army Medical Ctr | Clinic/Center | 15600 Meridan Ave, Sunrise Village Center, East Puyallup, WA 98374 | 2010-07-27 |
1326368135 | Matt Karl Jahns | Massage Therapist | 2402 20th St Se, Puyallup, WA 98374 | 2010-06-03 |
1982833208 | Roxy Sturgeon | Speech-Language Pathologist | 2309 43rd Ave Se, Puyallup, WA 98374 | 2009-07-08 |
1497921191 | Morgan Counseling Services Inc. | Substance Abuse Rehabilitation Facility | 10312 120th Street East, Suite #3, Puyallup, WA 98374 | 2008-05-02 |
1700055795 | Walter Royal Patterson Jr. | Registered Nurse | 11102 Sunrise Blvd. E., Ste. 103, Woodcreek Healthcare, Puyallup, WA 98374 | 2008-02-25 |
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Taxonomy Code | 231H00000X |
Grouping | Speech, Language and Hearing Service Providers |
Classification | Audiologist |
(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306181250 | Rebecca Mae Masenheimer | Audiologist | 16319 Griffin Dr E, Puyallup, WA 98375-2081 | 2012-12-04 |
1649257049 | Edward J Steed | Audiologist | 311 River Rd, Ste. 103, Puyallup, WA 98371-4113 | 2005-12-27 |
1487991964 | Kalin King | Audiologist | 214 W Main, Puyallup, WA 98371-5328 | 2013-01-03 |
1952619496 | Luna Healthcare LLC | Audiologist | 311 River Rd, Suite 103, Puyallup, WA 98371-4113 | 2010-09-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922618719 | Eric Casey Kinney | Audiologist | 4815 N Assembly St Bldg 41, Spokane, WA 99205-6185 | 2020-08-05 |
1205457413 | Jacob T Barber | Audiologist | 19319 7th Ave Ne Ste 102, Poulsbo, WA 98370-7442 | 2020-04-28 |
1164071205 | Richard Grant Nielsen | Audiologist | 8102 W Grandridge Blvd Ste A, Kennewick, WA 99336-7157 | 2019-09-11 |
1154979045 | Kindra Veith | Audiologist | 10564 5th Ave Ne Ste 203, Seattle, WA 98125-7200 | 2019-09-03 |
1659933893 | Sara Marie Sommers | Audiologist | 8830 Tallon Ln Ne Ste D, Lacey, WA 98516-6657 | 2019-07-08 |
1841759230 | Hayden Bruce | Audiologist | 538 N 5th Ave, Sequim, WA 98382-3079 | 2019-03-15 |
1235623133 | Ashley Loney | Audiologist | 4750 32nd Ave S Apt 110, Seattle, WA 98118-2226 | 2018-06-14 |
1720570641 | Anne Glashan | Audiologist | 1901 S 72nd St Ste A-14, Tacoma, WA 98408-1200 | 2018-06-06 |
1811497100 | Lin Kowitz | Audiologist | 13935 103rd Ave Ne, Kirkland, WA 98034-5220 | 2018-02-13 |
1073037495 | Cory A Scott | Audiologist | 600 Broadway Ste 230, Seattle, WA 98122-7425 | 2017-07-27 |
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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.