EDWARD I DAGHER MD PLLC (NPI# 1144659947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144659947 |
| Entity Type | Organization |
| Organization Name | EDWARD I DAGHER MD PLLC |
| Other Organization Name | CENTER FOR MUSCULOSKELETAL EVALUATIONS |
| Practice Address |
1822 Black Lake Blvd Sw Suite 102 Olympia WA 98512-5628 |
| Mailing Address |
Po Box 13316 Olympia WA 98508-3316 |
| Practice Telephone | 3603583255 |
| Enumeration Date | 2013-11-02 |
| Last Update Date | 2013-11-27 |
| Authorized Official Name | DR. EDWARD DAGHER (OWNER) |
| Authorized Official Telephone | 3603583255 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
MD60025245 | WA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Center for Musculoskeletal Evaluations | Doing Business As Name - Organization |
| Street Address |
1822 BLACK LAKE BLVD SW SUITE 102 |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98512-5628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487732145 | Edward I. Dagher | Physical Medicine & Rehabilitation | 1822 Black Lake Blvd Sw, Suite 102, Olympia, WA 98512-5628 | 2006-11-01 |
| 1720242969 | Brenda Marie Corkum | Counselor | 1822 Black Lake Blvd Sw, Suite 102-d, Olympia, WA 98512-5628 | 2008-07-16 |
| 1891835310 | Fred E Ellis | Denturist | 1822 Black Lake Blvd Sw, Suite 101, Olympia, WA 98512 | 2007-02-07 |
| 1710057666 | Dixie Rhodes Havlak | Dietitian, Registered | 1822 Black Lake Blvd Sw, Suite 102-c, Olympia, WA 98512-5628 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578161402 | Yavonnie Leslie Griggs | Peer Specialist | 3285 Ferguson Ln Sw, Tumwater, Wa 98512, Tumwater, WA 98512 | 2020-10-13 |
| 1205465622 | Falina Marie Luce | Counselor | 3285 Ferguson St, Olympia, WA 98512 | 2020-04-07 |
| 1881234912 | Andres Enrique Velazquez | Counselor | 3285 Ferguson St Sw Wa 98512, Tumwater, WA 98512 | 2020-01-07 |
| 1700432507 | Maria E Zavala Negrete | Behavior Technician | 3285 Ferguson Street Southwest, Tumwater, WA 98512 | 2019-08-16 |
| 1669026951 | Bradley Allen Labrador | Social Worker | 3285 Ferguson St, Sw, Tumwater, WA 98512 | 2019-07-25 |
| 1033762893 | Janice Lapreal Swanzey | Licensed Practical Nurse | 3285 Ferguson Lane St Sw, Olympia, WA 98512 | 2019-07-22 |
| 1821569195 | Linda Marie Moffitt | Registered Nurse | 7741 Littlerock Rd. Sw, Tumwater, WA 98512 | 2018-12-16 |
| 1427534577 | Matthew Hart | Occupational Therapist | 2620 Rw Johnson Boulevard Southwest Suite 112, Tumwater, WA 98512 | 2018-07-12 |
| 1558858019 | Amy Louise Cline | Counselor | 6005 Tyee Drive Sw, Tumwater, WA 98512 | 2018-04-19 |
| 1669998183 | Bradley Ross Bishop | Registered Nurse | 3285 Ferguson Street Sw, Tumwater, WA 98512 | 2017-08-16 |
| Find all providers in zip 98512 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
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|---|---|---|---|---|
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| 1013131374 | Gerald G. Randolph, M.d., Inc., P.s. | Clinic/Center | 406 Yauger Way Sw, Suite B, Olympia, WA 98502-8151 | 2007-04-11 |
| 1639440084 | Olympia Chiropractic Center Ps | Clinic/Center | 2716 Pacific Ave Se, Suite A, Olympia, WA 98501-8804 | 2012-01-17 |
| 1386940328 | Frances C Andriacchi Md Inc Ps | Clinic/Center | 3624 Ensign Rd Ne Ste D, Olympia, WA 98506-5074 | 2011-02-09 |
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| 1487700407 | Dr. Dallas Carr and Associates | Clinic/Center | 625 Black Lake Blvd Sw, Suite 110, Olympia, WA 98502-5066 | 2007-01-25 |
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| 1477097251 | Cynthia D Gray Md PC | Clinic/Center | 2101 Ne 139th St Ste 285, Vancouver, WA 98686-2326 | 2016-12-13 |
| 1811377484 | Knead To Heal, LLC | Clinic/Center | 2312 Rucker Ave, Everett, WA 98201-2723 | 2015-06-09 |
| 1699185348 | Duane Fredrick Hopp | Clinic/Center | 22612 126th Ave E, Graham, WA 98338-6725 | 2014-05-03 |
| 1689919292 | Poma Fertility, LLC | Clinic/Center | 12039 Ne 128th St Ste 110, Kirkland, WA 98034-3030 | 2012-12-07 |
| 1275888232 | Massage Mundo | Clinic/Center | 423 Eastlake Ave E, Seattle, WA 98109-5408 | 2012-07-16 |
| 1588982060 | Assured Imaging Womens Wellness of Washington, LLC | Clinic/Center | 565 Andover Park W Ste 110, Tukwila, WA 98188-3357 | 2010-05-10 |
| 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.