EAR,NOSE,THROAT & ALLERGY ASSOCIATES PS (NPI# 1154488732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154488732 |
| Entity Type | Organization |
| Organization Name | EAR,NOSE,THROAT & ALLERGY ASSOCIATES PS |
| Practice Address |
104 27th Ave Se Puyallup WA 98374-1145 |
| Practice Telephone | 2537708454 |
| Mailing Telephone | 2537709000 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2008-01-17 |
| Authorized Official Name | RANDALL BENNETT (OWNER) |
| Authorized Official Telephone | 2537708454 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 7078017 | 05 |
| Street Address |
104 27TH AVE SE |
| City | PUYALLUP |
| State | WA |
| Zip Code | 98374-1145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760459283 | Wayne Joseph Harsha | Otolaryngology | 104 27th Ave Se, Puyallup, WA 98374-1145 | 2006-03-02 |
| 1407223985 | Proliance Surgeons, Inc., P.s. | Allergy & Immunology | 104 27th Ave Se, Puyallup, WA 98374 | 2015-08-31 |
| 1104149210 | Ear, Nose, Throat & Allergy Assoicaties Ps | Audiologist | 104 27th Ave Se, Puyallup, WA 98374-1145 | 2010-03-03 |
| 1851517528 | Ear,nose,throat &allergy Associates Ps | Audiologist-Hearing Aid Fitter | 104 27th Ave Se, Puyallup, WA 98374-1145 | 2007-04-18 |
| 1427192988 | Vivian Mae Yu | Otolaryngology | 104 27th Ave Se, Puyallup, WA 98374-1145 | 2007-02-17 |
| 1508902081 | Julie Allina Gustafson | Otolaryngology | 104 27th Ave Se, Puyallup, WA 98374-1145 | 2007-01-30 |
| 1679689145 | Greg E. Davis | Otolaryngology | 104 27th Ave Se, Puyallup, WA 98374-1145 | 2006-08-21 |
| 1619907953 | Randall Paul Bennett | Otolaryngology | 104 27th Ave Se, Puyallup, WA 98374-1145 | 2006-07-03 |
| 1780610220 | Proliance Surgeons Inc Ps | Clinic/Center | 104 27th Ave Se, Puyallup, WA 98374-1145 | 2006-06-25 |
| 1851327324 | Charles V. Edmond Jr. | Otolaryngology | 104 27th Ave Se, Puyallup, WA 98374-1145 | 2006-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073173977 | Courtney Yant | Registered Nurse | 300 3rd St Se, Puyallup, WA 98374 | 2019-06-13 |
| 1013480508 | Tracy Pina | Massage Therapist | 16909 123rd Ave E, Puyallup, WA 98374 | 2019-01-07 |
| 1922524917 | Edith M Wood | Registered Nurse | 13517 152nd St Ct E, Puyallup, WA 98374 | 2017-08-21 |
| 1669875993 | Jillian C S Longway | Registered Nurse | 11102 Sunrise Blvd E Ste 103, Puyallup, WA 98374 | 2014-10-01 |
| 1427302025 | Nadeem Jaffer | Internal Medicine | 3800 3rd St. Se, Puyallup, WA 98374 | 2012-11-04 |
| 1851605356 | Madigan Army Medical Ctr | Clinic/Center | 15600 Meridan Ave, Sunrise Village Center, East Puyallup, WA 98374 | 2010-07-27 |
| 1326368135 | Matt Karl Jahns | Massage Therapist | 2402 20th St Se, Puyallup, WA 98374 | 2010-06-03 |
| 1982833208 | Roxy Sturgeon | Speech-Language Pathologist | 2309 43rd Ave Se, Puyallup, WA 98374 | 2009-07-08 |
| 1497921191 | Morgan Counseling Services Inc. | Substance Abuse Rehabilitation Facility | 10312 120th Street East, Suite #3, Puyallup, WA 98374 | 2008-05-02 |
| 1700055795 | Walter Royal Patterson Jr. | Registered Nurse | 11102 Sunrise Blvd. E., Ste. 103, Woodcreek Healthcare, Puyallup, WA 98374 | 2008-02-25 |
| Find all providers in zip 98374 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124643978 | Roxanne Grant-duell | Specialist | 12811 Canyon Rd E Ste D, Puyallup, WA 98373-6301 | 2020-06-08 |
| 1568903664 | Lolita Arevalo | Specialist | 2535 S Meridian Apt W104, Puyallup, WA 98373-2735 | 2017-03-09 |
| 1578918207 | Audra Sisak | Specialist | 7711 156th Street Ct E, Puyallup, WA 98375-7653 | 2016-05-02 |
| 1104286921 | Karen Escudero | Specialist | 7503 144th St E, Puyallup, WA 98375-8269 | 2016-03-07 |
| 1346650967 | Bethany Bevier | Specialist | 502 14th St Sw, Puyallup, WA 98371-5758 | 2014-05-05 |
| 1598106114 | Susan Carol Richards | Specialist | 2717 E Main, Puyallup, WA 98372-3165 | 2013-07-11 |
| 1487931945 | Dawn K. Hammer | Specialist | 105 W Main Ste A, Puyallup, WA 98371-5388 | 2011-11-12 |
| 1134412596 | Jackie Marie Bennett | Specialist | 10508 123rd Street Ct E, Puyallup, WA 98374-2626 | 2011-05-18 |
| 1023336070 | Whitney Lin Smith | Specialist | 8112 112th Street Ct E, Puyallup, WA 98373-7815 | 2010-05-13 |
| 1194057604 | Ruth Keheley Burnett | Specialist | 818 39th Ave Sw Ste A, Puyallup, WA 98373-3308 | 2010-02-08 |
| 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.