VM PROVISION CARE LLC (NPI# 1164072765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164072765 |
| Entity Type | Organization |
| Organization Name | VM PROVISION CARE LLC |
| Practice Address |
3640 S Cedar St Ste O Tacoma WA 98409-5700 |
| Mailing Address |
Po Box 64375 Tacoma WA 98464-0375 |
| Practice Telephone | 2536512498 |
| Mailing Telephone | 2536512498 |
| Enumeration Date | 2019-09-16 |
| Last Update Date | 2019-09-16 |
| Authorized Official Name | DR. ATIF MIAN (CEO) |
| Authorized Official Telephone | 2536512498 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | VM PROVISION CARE LLC | 3640 S Cedar St Ste M, Tacoma, WA 98409-5700 |
| Street Address |
3640 S CEDAR ST STE O |
| City | TACOMA |
| State | WA |
| Zip Code | 98409-5700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053942805 | Terah Jo Barker | Behavior Technician | 4301 South Pine St., Suite 505, Tacoma, WA 98409 | 2020-01-30 |
| 1427526797 | Carrissa Bentley | Social Worker | 3901 S. Fife Street, Tacoma, WA 98409 | 2018-11-05 |
| 1396255972 | Julie Ann Sunada | Nurse Practitioner | 2505 S 38th St Ste 109, Tacoma, WA 98409 | 2017-10-09 |
| 1306389820 | Laura Town | Chiropractor | 3640 S Cedar St, Ste P, Tacoma, WA 98409 | 2016-12-01 |
| 1114476082 | Chelsea Marie Jensen | Massage Therapist | 701 Commerce Street Apartment 307, Tacoma, WA 98409 | 2016-10-03 |
| 1831574730 | Artika Naidu | Optometrist | 4502 South Steele #700, Located Inside Macy's Lenscrafters, Tacoma, WA 98409 | 2015-07-22 |
| 1972918399 | Tacoma Dental and Implant Center Ps | Clinic/Center | 4704 South Oakes St #103, Tacoma, WA 98409 | 2014-06-24 |
| 1457795957 | Ana Amparo Penas Vasquez | Clinical Nurse Specialist | 2505 South 38th St, Bldg A Suite 109, Tacoma, WA 98409 | 2013-04-26 |
| 1033452156 | Richard William Solitaire | Counselor | 4301 S. Pine St., 30-19, Tacoma, WA 98409 | 2013-03-27 |
| 1790042810 | Tara Kerin Garland | Counselor | 5921 S. Verde St., Tacoma, WA 98409 | 2012-04-13 |
| Find all providers in zip 98409 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497953947 | Diane A. Faran | Internal Medicine | 9040 Jacksonave, Tacoma, WA 98431-2306 | 2007-07-06 |
| 1790869303 | Ranjy Concha Basa | Internal Medicine | American Lake Va, 9600 Veterans Drive, Tacoma, WA 98493-0001 | 2006-10-24 |
| 1245336064 | Steven Brooks Gist | Internal Medicine | Puget Sound Health Care System, 9600 Veterans Drive, Tacoma, WA 98493-5000 | 2006-09-16 |
| 1508887647 | Iris Maria Tio-matos | Internal Medicine | Pshcs American Lake Division, A-111-pc, Tacoma, WA 98493-5000 | 2006-07-22 |
| 1124087093 | Sharon Falzgraf | Internal Medicine | 9600 Veterans Dr Sw, Tacoma, WA 98493-0003 | 2006-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619507662 | 6m Geriatrics & Hospital Medicine | Internal Medicine | 620 Terry Ave Unit 202, Seattle, WA 98104-2020 | 2020-01-17 |
| 1285977983 | Martha and Mary Lutheran Services | Internal Medicine | 19160 Front Street Ne, Poulsbo, WA 98370-0127 | 2013-04-01 |
| 1285995365 | Jazmin Ivette Yepez Kuri | Internal Medicine | 1200 N 14th Ave Ste 300, Our Lady of Lourdes Hospital At Pasco, Pasco, WA 99301-4195 | 2012-06-05 |
| 1851684914 | Lissette Ramirez Suero | Internal Medicine | 560 Gage Blvd Ste 203, Kadlec Clinic Senior Health, Richland, WA 99352-8650 | 2011-05-24 |
| 1568751097 | Delia Lee Takagi | Internal Medicine | 560 Gage Blvd Suite 102, Richland, WA 99325 | 2011-04-05 |
| 1780982694 | Shirley Newell | Internal Medicine | 1126 38th Ave E, Seattle, WA 98112-4434 | 2011-03-02 |
| 1407088016 | Daniel Raskind Md Pllc | Internal Medicine | 5320 135th Pl Se, Bellevue, WA 98006-4238 | 2009-08-14 |
| 1518164052 | Elaine Liu | Internal Medicine | 4515 Martin Luther King Jr Way S Ste 100, Seattle, WA 98108-2183 | 2007-06-28 |
| 1851596837 | Dawnrenee Cinocco | Internal Medicine | 2100 Se 187th Ave, Vancouver, WA 98683-9740 | 2007-06-19 |
| 1649327776 | Benjamin N Pinto | Internal Medicine | 3980 129th Pl Se, B-201, Bellevue, WA 98006-5291 | 2007-01-04 |
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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.