AMY BETH DETTORI (NPI# 1174751325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174751325 |
| Entity Type | Individual |
| Full Name | AMY BETH DETTORI |
| Other Name | AMY BETH CLARK |
| Credential | M.D. |
| Practice Address |
3475 N Saratoga St Bldg 993 Oak Harbor WA 98278-8800 |
| Mailing Address |
6110 Parkside Dr Anacortes WA 98221-4008 |
| Practice Telephone | 3602579406 |
| Enumeration Date | 2009-06-26 |
| Last Update Date | 2013-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083A0100X |
Preventive Medicine Specialization: Aerospace Medicine |
01068606A | IN | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
3475 N SARATOGA ST BLDG 993 |
| City | OAK HARBOR |
| State | WA |
| Zip Code | 98278-8800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164428116 | Jeffrey Howard Davis | Pediatrics | 3475 N Saratoga St, Oak Harbor, WA 98278-4927 | 2005-06-23 |
| 1467061978 | Michelle Kathryn Papadakis | Dentist | 3475 N Saratoga St, Oak Harbor, WA 98278-4927 | 2020-07-30 |
| 1497376362 | Carrie Crucian | Dental Hygienist | 3475 N Saratoga St, Oak Harbor, WA 98278-4927 | 2020-05-02 |
| 1538721949 | Tracy Dean | Registered Nurse | 3475 N Saratoga St, Oak Harbor, WA 98278-4927 | 2019-07-05 |
| 1487174108 | Byron William Crow | Dental Hygienist | 3475 N Saratoga St, Oak Harbor, WA 98278-4927 | 2017-06-23 |
| 1962932285 | Mary Claire Gundayao Matro | Dental Hygienist | 3475 N Saratoga St, Oak Harbor, WA 98278-4927 | 2017-06-19 |
| 1093245359 | Chaney Foote | Dental Hygienist | 3475 N Saratoga St, Oak Harbor, WA 98278-4927 | 2017-06-19 |
| 1073048773 | Lori Bjork | General Practice | 3475 N Saratoga St, Oak Harbor, WA 98278-5000 | 2017-05-01 |
| 1114478112 | Amy Ziezulewicz | Family Medicine | 3475 N Saratoga St, Oak Harbor, WA 98278 | 2016-10-14 |
| 1427504091 | Nathan Nakano | Dentist | 3475 N Saratoga St, Oak Harbor, WA 98278-4927 | 2016-09-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417219510 | Jonathan Glover Seavey | Orthopaedic Surgery | 3475 N Saratoga St Naval Health Clinic Oak Harbor, Oak Harbor, WA 98278 | 2012-06-13 |
| 1073020715 | Cassidy West-santos | Student in an Organized Health Care Education/Training Program | 3475 N Saratoga Street Naval Health Clinic Oak Harbor, Oak Harbor, WA 98278-0001 | 2018-01-03 |
| 1104105766 | Elise Cooper Brandon | Family Medicine | 3475 Saratoga Ave, Oak Harbor, WA 98278-0001 | 2011-08-12 |
| 1417268780 | Peter Lee Sone | Family Medicine | Naval Health Clinic Oak Harbor 3475 N Saratoga Ave, Oak Harbor, WA 98278-0001 | 2010-07-01 |
| 1396710935 | David James Damstra | Family Medicine | 9475 N. Saratoga, Oak Harbor, WA 98278-0001 | 2006-02-17 |
| 1215900139 | Mary Lou Stewart | Dentist | 3475 W Saratoga St, Oak Harbor, WA 98278-0001 | 2006-02-10 |
| 1396725172 | Michael J Oras | Preventive Medicine | Eodmu 11, 180 W Tulagi Ave, Oak Harbor, WA 98278-0001 | 2006-01-18 |
| 1043299647 | Herbert Anthony Johnson Jr. | Physician Assistant | Behavioral Health Clinic, Sarp, Naval Hospital, Oak Harbor, WA 98278-0001 | 2006-01-11 |
| 1790764710 | Jonie L. Mcbee | Nurse Practitioner | Naval Hospital Oak Harbor, 3475 N. Saratoga St., Oak Harbor, WA 98278-0001 | 2006-01-10 |
| 1437137569 | Mitchell Matthew Paynter | Dentist | Naval Hospital Oak Harbor Nas Whidbey Island, 3475 N. Saratoga St, Oak Harbor, WA 98278-0001 | 2006-01-09 |
| Find all providers in zip 98278 | ||||
| Taxonomy Code | 2083A0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Aerospace Medicine |
| Aerospace medicine focuses on the clinical care, research, and operational support of the health, safety, and performance of crewmembers and passengers of air and space vehicles, together with the support personnel who assist operation of such vehicles. This population often works and lives in remote, isolated, extreme, or enclosed environments under conditions of physical and psychological stress. Practitioners strive for an optimal human-machine match in occupational settings rich with environmental hazards and engineering countermeasures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538431721 | William Michael Waring | Preventive Medicine | 4127 Sw Kenyon St, Seattle, WA 98136-2332 | 2012-02-02 |
| 1033442298 | Gary Lee Henriksen | Preventive Medicine | 362 Greywolf Rd, Sequim, WA 98382-7574 | 2009-09-04 |
| 1174609341 | James Glazebrook Billingsley | Preventive Medicine | 1901 S Union, Tacoma, WA 98405 | 2006-10-31 |
| 1861582140 | Murl Edwin Leibrecht | Preventive Medicine | 578 Michael Way, Camano Island, WA 98282-8464 | 2006-10-15 |
| 1447343967 | Timothy J Ungs | Preventive Medicine | 6626 Chapel Hill Blvd Apt L104, Pasco, WA 99301-3880 | 2006-10-02 |
| 1639115892 | Harry Quigg Davis IIi | Preventive Medicine | Madiagn Army Medical Center, Mchj-fp (avn Med), Tacoma, WA 98431-0001 | 2006-06-22 |
| 1851356133 | Paul J Amoroso | Preventive Medicine | Credententials Office Madigan Army Medical Ctr, 9040 Fitzsimons Drive, Attn: Mchj-ci, Tacoma, WA 98431-0001 | 2006-04-19 |
| 1588638787 | Richard John Montminy | Preventive Medicine | 4320 196th St Sw Ste D, Us Healthworks Medical Group, Lynnwood, WA 98036-6753 | 2006-02-14 |
| 1447230123 | Nicholas Antony Davenport | Preventive Medicine | 1465 Scurlock Ln, Mukilteo, WA 98275-1734 | 2006-01-19 |
| 1477539989 | Jamin T Mcmahon | Preventive Medicine | 7811 Reliance Ridge Ln, Gig Harbor, WA 98335-1196 | 2005-12-16 |
| Find all providers with the same taxonomy | ||||
| City | OAK HARBOR |
| Zip Code | 98278 |
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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.