ALISON JOY PETTINGER (NPI# 1144703984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144703984 |
| Entity Type | Individual |
| Full Name | ALISON JOY PETTINGER |
| Credential | PA |
| Practice Address |
1703 S Meridian Ste 101 Puyallup WA 98371 |
| Mailing Address |
6512 407th St E Eatonville WA 98328-9277 |
| Practice Telephone | 2538483000 |
| Mailing Telephone | 2533550220 |
| Enumeration Date | 2018-09-07 |
| Last Update Date | 2019-09-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208200000X | Plastic Surgery | 61003696 | WA | Allopathic & Osteopathic Physicians |
| Y | 363A00000X | Physician Assistant | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11216 Sunrise Blvd E Ste 3-102, Puyallup, WA 983748848 | 2538483000 | |
| 5225 Cirque Dr W Ste 200, University Place, WA 98467 | 2535643365 |
| Street Address |
1703 S MERIDIAN STE 101 |
| City | PUYALLUP |
| State | WA |
| Zip Code | 98371 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275534919 | Roy J Park | Ophthalmology | 1703 S Meridian Ste 101, Puyallup, WA 98371-7590 | 2005-08-03 |
| 1982067450 | Tara Oetken | Dermatology | 1703 S Meridian Ste 101, Puyallup, WA 98371-7590 | 2016-04-01 |
| 1649413741 | Andrea Jones | Physician Assistant | 1703 S Meridian Ste 101, Puyallup, WA 98371-7590 | 2009-04-20 |
| 1881868370 | Evelyn X Fu | Ophthalmology | 1703 S Meridian Ste 101, Puyallup, WA 98371-7590 | 2008-04-16 |
| 1134276280 | Adam G Buchanan | Ophthalmology | 1703 S Meridian Ste 101, Puyallup, WA 98371-7590 | 2007-01-04 |
| 1326126814 | Susan L. Sullivan | Dermatology | 1703 S Meridian Ste 101, Puyallup, WA 98371-7590 | 2006-11-01 |
| 1053496919 | Cheryl Dawn Croft | Optometrist | 1703 S Meridian Ste 101, Puyallup, WA 98371-7590 | 2006-10-26 |
| 1144327289 | Rikk Jeremy Schlaffman | Optometrist | 1703 S Meridian Ste 101, Puyallup, WA 98371-7590 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588141550 | Karen Lynn Sorensen | Massage Therapist | 922 Valley Ave Nw Suite 101, Puyallup, WA 98371 | 2018-07-23 |
| 1487140257 | Bradley Dupea | Specialist/Technologist | 5702 44th St Se, Puyallup, WA 98371 | 2018-07-05 |
| 1740778695 | Pedraum Heydari | Dentist | 109 N Meridian Suite A, Puyallup, WA 98371 | 2018-04-26 |
| 1487030359 | Jennifer Block | Dental Hygienist | 601 4th Ave Sw, Puyallup, WA 98371 | 2015-08-03 |
| 1023423431 | On Your Own Inc. | Registered Nurse | 1602 Peach Park Ln Nw, Puyallup, WA 98371 | 2014-06-24 |
| 1841614997 | Enrique Somera | Registered Nurse | 1107 29th St Nw, Puyallup, WA 98371 | 2014-02-10 |
| 1033540893 | Ching Ju Chuang | Dentist | 1002 N. Meridian, Suite 104a, Puyallup, WA 98371 | 2013-12-04 |
| 1104161876 | Denise L. Vanaman | Registered Nurse | 214 W. Main, Puyallup, WA 98371 | 2012-12-06 |
| 1336491018 | Tacoma School District | Physical Therapy Assistant | 1721 8th Ave. S.w., Puyallup, WA 98371 | 2012-10-05 |
| 1275882052 | Robert Francis Saxton | Health Educator | 1121 W. Stewart, Puyallup, WA 98371 | 2012-09-07 |
| Find all providers in zip 98371 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336621267 | Cara Tseng | Physician Assistant | 2940 S Meridian, Suite 200, Puyallup, WA 98373 | 2018-09-06 |
| 1265925911 | Erika A Euker | Physician Assistant | 3801 5th St Se Ste 110, Puyallup, WA 98374-2106 | 2018-06-07 |
| 1912446543 | Amber Keavey Huynh | Physician Assistant | 1450 5th St Se Ste 2100, Puyallup, WA 98372-4693 | 2017-02-15 |
| 1073056511 | Jordan Albano | Physician Assistant | 15214 Canyon Rd E Fl 1, Puyallup, WA 98375-7457 | 2016-12-01 |
| 1346642832 | Tracie Marie Jefferson | Physician Assistant | 11216 Sunrise Blvd E Ste 3-106, Puyallup, WA 98374-8848 | 2014-09-16 |
| 1225468036 | Natalie Tajipour-glass | Physician Assistant | 11216 Sunrise Blvd. E. # 3-106, Puyallup, WA 98374-8848 | 2013-11-14 |
| 1043444300 | Sean Donohue | Physician Assistant | 1801 31st Ave Se, Puyallup, WA 98374-6320 | 2009-05-14 |
| 1245409911 | Jason S Hussey | Physician Assistant | 120 14th Ave Se Ste D, Puyallup, WA 98372 | 2008-02-26 |
| 1366582744 | Claudia May Devlin | Physician Assistant | 800 Meridian St S, Suite A, Puyallup, WA 98371-6995 | 2007-02-07 |
| 1396816682 | Consuelo Epistola | Physician Assistant | 800 S Meridian Ste A, Puyallup, WA 98371-6994 | 2006-11-10 |
| Find all providers in PUYALLUP | ||||
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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.