DR. WENDY E. MIKLOS (NPI# 1104895275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104895275 |
| Entity Type | Individual |
| Full Name | DR. WENDY E. MIKLOS |
| Credential | M.D. |
| Practice Address |
Madigan Amc Dept of Preventive Med Mchj-cly Tacoma WA 98431-1100 |
| Mailing Address |
11708 Madera Dr Sw Lakewood WA 98499-1483 |
| Practice Telephone | 2539686126 |
| Practice Fax Number | 2539685903 |
| Mailing Telephone | 2539831026 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2013-07-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | 10404 | MT | Allopathic & Osteopathic Physicians |
| Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
10404 | MT | Allopathic & Osteopathic Physicians |
| Street Address |
MADIGAN AMC DEPT OF PREVENTIVE MED MCHJ-CLY |
| City | TACOMA |
| State | WA |
| Zip Code | 98431-1100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497212260 | Catrina Renee Grugin | Registered Nurse | Madigan Army Medical Center, Attn Mchj-clq-c, 9040 Jackson Ave, Tacoma, WA 98431 | 2019-02-27 |
| 1801307681 | Bianca Gomez | Dental Assistant | Bldg 9900 Lincoln Street, Jblm, WA 98431 | 2017-10-19 |
| 1184133225 | Darren Paris | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave., Attn: Mchj-clq-c, Tacoma, WA 98431 | 2017-09-20 |
| 1922538206 | Sarah Frerichs | Dentist | Madigan Annex, Second Floor, Bldg. 9900, Apo, AA 98431 | 2017-06-19 |
| 1740736495 | Misty Hill | Dental Assistant | 9119 Mill Park Ave, Tacoma, WA 98431 | 2016-08-31 |
| 1336695535 | Jacqueline D Massouda | Dentist | Jblm Dentac, 9900 Lincoln Sreet, 2nd Floor, Apo, AA 98431 | 2016-08-28 |
| 1609239375 | Gregg V Palmer | Licensed Practical Nurse | 17th and C Street, Bldg 11582, Tacoma, WA 98431 | 2016-03-31 |
| 1114323904 | Deanna Sheets | Nurse Practitioner | 911 Mil Park Ave, Tacoma, WA 98431 | 2014-11-06 |
| 1679905434 | Austin William Schaar | Dentist | Building 9900, 2nd Floor, Tacoma, WA 98431 | 2013-08-05 |
| 1518209758 | Maurice Ibrahim Khayat | Internal Medicine | 9040 Jackson Ave Mche-qd (creds), Tacoma, WA 98431 | 2013-03-26 |
| Find all providers in zip 98431 | ||||
| Taxonomy Code | 2083P0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Preventive Medicine/Occupational Environmental Medicine |
| A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366408353 | Paul S Darby | Preventive Medicine | 1930 Port of Tacoma Rd., Franciscan Occupational Health, Tacoma, WA 98421 | 2006-04-26 |
| 1316103740 | Nathan Teague | Preventive Medicine | Dept of Preventive Medicine, Bldg 9920 B East Hayes St., Tacoma, WA 98431-0001 | 2008-08-05 |
| 1023024007 | James H Nelson | Preventive Medicine | 315 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2006-07-31 |
| 1326012907 | Eric Brendan Smith | Preventive Medicine | 209 Martin Luther King Jr Way, Tacoma, WA 98405-4265 | 2006-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003276411 | Workwell Consultants, LLC | Preventive Medicine | 818 W Riverside Ave Ste 100, Spokane, WA 99201-0910 | 2016-02-26 |
| 1336481183 | Srivani Kanumuri | Preventive Medicine | 16690 Redmond Way Ste C, Redmond, WA 98052-4434 | 2013-03-20 |
| 1720323116 | Morley Slutsky | Preventive Medicine | 4580 Klahanie Dr. S.e.,#125, Issaquah, WA 98029 | 2012-12-11 |
| 1932358744 | Ann Tu | Preventive Medicine | Oem Program, 325 9th Ave, Box 359739, University of Washington, Seattle, WA 98104 | 2008-09-17 |
| 1447370879 | Indrek Melder | Preventive Medicine | 1979 Snyder St Ste 150, Richland, WA 99354-5321 | 2007-03-30 |
| 1366509259 | Clyde H. Wilson | Preventive Medicine | 3223 1st Avenue South, Suite C, Seattle, WA 98134 | 2007-01-02 |
| 1831262260 | Steven Michael Hall | Preventive Medicine | 120 1st Ave Nw, Issaquah, WA 98027-3228 | 2006-11-15 |
| 1811954092 | Douglas Fredrick Phillip | Preventive Medicine | 30042 12th Ln Sw, Federal Way, WA 98023-3448 | 2006-04-30 |
| 1841270311 | U.S. Healthworks Medical Group of Arkansas, Inc. | Preventive Medicine | 1100 Virginia St, Suite 215, Seattle, WA 98101-1439 | 2006-01-19 |
| 1750363214 | Fernando Diego Proano | Preventive Medicine | 10618 2nd Ave Sw, Seattle, WA 98146-1560 | 2005-11-18 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. WENDY E. MIKLOS.
| 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.