STAN W PNIEWSKI (NPI# 1124054036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124054036 |
| Entity Type | Individual |
| Full Name | STAN W PNIEWSKI |
| Credential | MD |
| Practice Address |
800 Alder St South Bend WA 98586 |
| Mailing Address |
Po Box 2450 Corvallis OR 97339-2450 |
| Practice Telephone | 3606423181 |
| Mailing Telephone | 5417585047 |
| Mailing Fax Number | 5417583713 |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2010-08-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MD00038267 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1111152 | 05 |
| Street Address |
800 ALDER ST |
| City | SOUTH BEND |
| State | WA |
| Zip Code | 98586 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508836685 | Trisha Ellen Kiliany | Registered Nurse | 800 Alder St, Box 438, South Bend, WA 98586-4900 | 2006-01-23 |
| 1982938619 | Pacific County Hospital District 2 | General Acute Care Hospital | 800 Alder St, South Bend, WA 98586-0438 | 2009-09-29 |
| 1558567222 | Harbor Family Practice Inc | Family Medicine | 800 Alder St, South Bend, WA 98586 | 2007-06-21 |
| 1508939513 | Pacific County Public Hospital District # 2 | General Acute Care Hospital | 800 Alder St, South Bend, WA 98586 | 2006-11-16 |
| 1295708683 | Pacific County Hospital District 2 | General Acute Care Hospital | 800 Alder St, South Bend, WA 98586 | 2006-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558843243 | Rachel Anne Adamyk | Physical Therapy Assistant | 1010 Robert Bush Drive West, South Bend, WA 98586 | 2018-08-30 |
| 1437651106 | Lori Craig Ashley | Registered Nurse | 1216 W Robert Bush Drive, South Bend, WA 98586 | 2018-03-08 |
| 1265823694 | Rehabvisions Therapy Wa, LLC | Clinic/Center | 1010 W Robert Bush Drive, South Bend, WA 98586 | 2015-02-06 |
| 1902133648 | Martha Denise May | Counselor | 1006 West Robert Bush Drive, South Bend, WA 98586 | 2009-11-16 |
| 1063652493 | Diane Lee Geiger | Massage Therapist | 1010 W Robert Bush Dr, Box 211, South Bend, WA 98586 | 2009-02-25 |
| 1861654824 | Washington Physical Therapy | Clinic/Center | 1010 West Robert Bush Drive, South Bend, WA 98586 | 2008-06-30 |
| 1508081217 | County of Pacific | Public Health or Welfare | 1216 West Robert Bush Drive, South Bend, WA 98586 | 2007-04-16 |
| 1255481826 | Ernest Dale Geiger | Physical Therapist | 1010 Robert Bush Drive, South Bend, WA 98586 | 2007-01-12 |
| 1417036997 | Willapa Harbor Pharmacies Inc | Pharmacy | 101 Willapa Ave, South Bend, WA 98586 | 2006-11-03 |
| 1235163908 | Michael James Reeves | Nurse Anesthetist, Certified Registered | 800 Alder Street, South Bend, WA 98586 | 2006-07-10 |
| Find all providers in zip 98586 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598093718 | Vpa PC | Radiology | 5838 West Brick Road, Ste. 106, South Bend, IN 46628-8420 | 2009-11-29 |
| 1609829720 | Xrc Medical Imaging, LLC | Radiology | 53940 Carmichael Dr, South Bend, IN 46635-1564 | 2006-05-18 |
| 1659321545 | Sandra C Roland | Radiology | 121 S Saint Louis Blvd, South Bend, IN 46617-2924 | 2006-05-11 |
| 1942778659 | Allied Imaging Center, LLC | Radiology | 6301 University Commons Ste 370, South Bend, IN 46635-3501 | 2018-11-12 |
| 1780012682 | Vpa PC | Radiology | 5838 W Brick Rd, South Bend, IN 46628-8423 | 2013-10-31 |
| 1518304898 | Lyndsay Alexandra Oancea | Radiology | 121 S Saint Louis Blvd, South Bend, IN 46617-2924 | 2013-05-28 |
| 1295991081 | Peter D. Miller | Radiology | 121 S Saint Louis Blvd, South Bend, IN 46617-2924 | 2008-08-01 |
| 1700048923 | Jonathan Michael Mccrea | Radiology | 121 S Saint Louis Blvd, South Bend, IN 46617-2924 | 2008-06-29 |
| 1588832232 | Kristine Marie Hatcher | Radiology | 211 N Eddy St, South Bend, IN 46617-2808 | 2008-02-15 |
| 1912942061 | Polya Baghelai | Radiology | 211 N Eddy St, South Bend, IN 46617-3096 | 2006-06-20 |
| Find all providers in SOUTH BEND | ||||
| City | SOUTH BEND |
| Zip Code | 98586 |
Please comment or provide details below to improve the information on STAN W PNIEWSKI.
| 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.