DR. STEPHEN JEBARAJ PAKKIANATHAN (NPI# 1124227566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124227566 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN JEBARAJ PAKKIANATHAN |
| Credential | M.D. |
| Practice Address |
105 W 8th Ave Ste 6020 Spokane WA 99204-2319 |
| Practice Telephone | 5094555050 |
| Practice Fax Number | 5097475391 |
| Mailing Telephone | 5094555050 |
| Mailing Fax Number | 5097475391 |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2017-07-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | MD60310359 | WA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2022661 | 05 |
| Street Address |
105 W 8TH AVE STE 6020 |
| City | SPOKANE |
| State | WA |
| Zip Code | 99204-2319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225026354 | Sara E Holt | Nurse Practitioner | 105 W 8th Ave Ste 6020, Spokane, WA 99204-2319 | 2005-10-12 |
| 1639618705 | Lindsay Allison Laskowski | Nurse Practitioner | 105 W 8th Ave Ste 6020, Spokane, WA 99204-2319 | 2017-02-22 |
| 1659638021 | Elizabeth Newell | Obstetrics & Gynecology | 105 W 8th Ave Ste 6020, Spokane, WA 99204 | 2012-04-23 |
| 1174714976 | Jessica-ann Mattson | Midwife | 105 W 8th Ave Ste 6020, Spokane, WA 99204 | 2007-08-06 |
| 1851300917 | Jeffrey L Hilton | Obstetrics & Gynecology | 105 W 8th Ave Ste 6020, Spokane, WA 99204-2319 | 2006-08-07 |
| 1104835578 | Teresa M Kelly | Nurse Practitioner | 105 W 8th Ave Ste 6020, Spokane, WA 99204-2319 | 2006-08-05 |
| 1134138787 | Kathryn Margaret Miles | Obstetrics & Gynecology | 105 W 8th Ave Ste 6020, Spokane, WA 99204-2319 | 2006-08-05 |
| 1841210291 | Sharron E Bradley | Nurse Practitioner | 105 W 8th Ave Ste 6020, Spokane, WA 99204-2319 | 2006-07-20 |
| 1134147739 | Peter E Fern | Obstetrics & Gynecology | 105 W 8th Ave Ste 6020, Spokane, WA 99204-2319 | 2006-07-18 |
| 1114943669 | Northwest Ob-gyn, P.s. | Obstetrics & Gynecology | 105 W 8th Ave Ste 6020, Spokane, WA 99204-2319 | 2006-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982250957 | Megan Elizabeth Dibenedetto | Pharmacist | 105 West 8th Avenue, 350e, Spokane, WA 99204 | 2019-08-14 |
| 1619521168 | Evelyn R Cabon | Genetic Counselor, MS | 101 W. 8th Avenue Suite 1100, Spokane, WA 99204 | 2019-08-01 |
| 1346700655 | Christina Rose | Student in an Organized Health Care Education/Training Program | 120 W. 8th Avenue, Spokane, WA 99204 | 2019-03-22 |
| 1508339862 | Cody J French | Physical Therapist | Washington Outpatient Rehab, 507 S Washington, Spokane, WA 99204 | 2019-01-09 |
| 1730655598 | Washington Outpatient Rehabilitation, LLC | Physical Therapist | 507 S. Washington St., Suite 10, Spokane, WA 99204 | 2018-10-19 |
| 1013405547 | Joel James Hayden | Student in an Organized Health Care Education/Training Program | Providence Sacred Heart, 101 West 8th Avenue, Spokane, WA 99204 | 2018-04-30 |
| 1144694787 | Brooksjohnsonpllc | Dentist | 1004 S. Monroe Street, Ste 100, Spokane, WA 99204 | 2015-11-19 |
| 1497184196 | Kathalene M Cassels | Physician Assistant | 810 W. 5th Ave. Ste 510, Spokane, WA 99204 | 2013-11-04 |
| 1174880454 | Kelly E Wurzel | Psychiatry & Neurology | 624 E. Front Ave, Spokane, WA 99204 | 2012-04-11 |
| 1003190331 | Katie L Gomez | Nurse Practitioner | 805 W. 5th Ave, Suite 518, Spokane, WA 99204 | 2011-10-05 |
| Find all providers in zip 99204 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508201807 | Ashley Buxton Henderson | Obstetrics & Gynecology | 601 W 5th Ave Ste 301, Spokane, WA 99204-2714 | 2013-05-01 |
| 1346580842 | Justin Bruner | Obstetrics & Gynecology | 235 E Rowan Ave Ste 102, Spokane, WA 99207-1240 | 2013-02-20 |
| 1396030771 | Alison C. Spaniol | Obstetrics & Gynecology | 105 W 8th Ave Ste 6060, Spokane, WA 99204-2312 | 2011-06-14 |
| 1336310945 | Nathaniel R Miller | Obstetrics & Gynecology | 101 W 8th Ave Ste 100, Spokane, WA 99204 | 2008-03-22 |
| 1467563304 | Derrick Ray Havin | Obstetrics & Gynecology | 101 W 8th Ave Ste 1300, Spokane, WA 99204-2307 | 2006-08-31 |
| 1871518456 | Jody Marie Hechtman | Obstetrics & Gynecology | 601 W 5th Avenue, Suite #301, Spokane, WA 99204-2714 | 2006-07-13 |
| 1811989759 | John G Gollhofer | Obstetrics & Gynecology | 801 W 5th Ave, Suite 412, Spokane, WA 99204-2823 | 2005-08-17 |
| 1730660796 | Rhiannon Prince Evans | Obstetrics & Gynecology | 105 W 8th Ave Ste 6060, Spokane, WA 99204-2312 | 2018-08-27 |
| 1083000731 | Abigail Rose Prest | Obstetrics & Gynecology | 212 E Central Ave Ste 340, Spokane, WA 99208 | 2015-04-09 |
| 1891135158 | Jessica Kaye Cewe | Obstetrics & Gynecology | 910 W 5th Ave Ste 300, Spokane, WA 99204 | 2013-07-01 |
| Find all providers in SPOKANE | ||||
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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.