JENMARK (NPI# 1184182008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184182008 |
| Entity Type | Organization |
| Organization Name | JENMARK |
| Practice Address |
805 Front St S Issaquah WA 98027-4205 |
| Mailing Address |
10991 Echo Rock Pl Gig Harbor WA 98332-5111 |
| Practice Telephone | 4253921271 |
| Mailing Telephone | 2068327078 |
| Enumeration Date | 2019-03-10 |
| Last Update Date | 2019-03-10 |
| Authorized Official Name | DR. JENNIFER HAMMON (OWNER/PHYSICIAN) |
| Authorized Official Telephone | 2068327078 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 805 Front St S, Issaquah, WA 980274205 | 4253921271 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Jenmark Education, LLC | 3565 Tranquility Trail, Castle Rock, CO 80109 |
| Washington State Corporations | JENMARK ENTERPRISES LLC | 1255 Gilcrest St, Wenatchee, WA 98801-8208 |
| Colorado Business Entities | JenMark LLC | 2963 S Ivan Way, Denver, CO 80227 |
| Massachusetts Corporations | JENMARK, LLC | 46 Charles St., Boston, MA 02114 |
| Oklahoma Business Registrations | JENMARK, LLC | 503 N Broadway, Tecumseh, OK 74873 |
| Street Address |
805 FRONT ST S |
| City | ISSAQUAH |
| State | WA |
| Zip Code | 98027-4205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992700249 | Bouchy, LLC | Skilled Nursing Facility | 805 Front St S, Issaquah, WA 98027-4205 | 2005-06-14 |
| 1023563962 | Jayne K Ciarlanti | Nurse Practitioner | 805 Front St S, Issaquah, WA 98027-4205 | 2016-08-21 |
| 1497138077 | Kimberly Thomas | Speech-Language Pathologist | 805 Front St S, Issaquah, WA 98027-4205 | 2015-07-01 |
| 1770963126 | Michael Zarate | Physical Therapist | 805 Front St S, Issaquah, WA 98027-4205 | 2015-06-01 |
| 1841679438 | Ryan Face | Physical Therapist | 805 Front St S, Issaquah, WA 98027-4205 | 2015-05-28 |
| 1184037988 | Emma Loftus | Nurse Practitioner | 805 Front St S, Issaquah, WA 98027-4205 | 2014-06-09 |
| 1124364906 | Shaily Arya | Nurse Practitioner | 805 Front St S, Issaquah, WA 98027-4205 | 2012-12-22 |
| 1205123478 | Salony Majmudar | Physical Medicine & Rehabilitation | 805 Front St S, Issaquah, WA 98027-4205 | 2011-07-07 |
| 1619136538 | Huiru Kang | Physical Therapy Assistant | 805 Front St S, Issaquah, WA 98027-4205 | 2008-06-05 |
| 1629265871 | Northwest Care-issaquah, Inc. | Skilled Nursing Facility | 805 Front St S, Issaquah, WA 98027-4205 | 2007-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780281840 | Cascade Hand & Orthopedic Rehab, Inc. | Clinic/Center | 1301 4th Avenue Nw, Suite 200, Issaquah, WA 98027 | 2020-10-01 |
| 1700494630 | Genevieve S Ward | Counselor | 22500 Se 64th Place, Building G, Suite 150, Issaquah, WA 98027 | 2020-07-16 |
| 1891338604 | Amy Mezulis | Psychologist | 1740 Nw Maple St. #210, Issaquah, WA 98027 | 2019-10-24 |
| 1578055083 | Vivian Yu-en Hsiao | Physical Therapist | 1301 4th Ave Nw Ste 300, Issaquah, WA 98027 | 2018-05-31 |
| 1831698000 | Peter James Carlson | Physical Therapist | 22500 Se 64th Place, Building G, Suite 115, Issaquah, WA 98027 | 2018-02-02 |
| 1902323553 | David Robert Primrose | Dentist | 600 Nw Gilman Blvd Ste B, Issaquah, WA 98027 | 2017-08-24 |
| 1083135446 | Tara Rose | Massage Therapist | 680 Nw Gilman Blvd., Ste. A, Issaquah, WA 98027 | 2017-07-06 |
| 1295276194 | Amy Davenport | Occupational Therapist | 1871 Nw Gilman Blvd #2, Issaquah, WA 98027 | 2017-03-13 |
| 1942751771 | Krista L Gibbons | Counselor | 1700 Nw Blvd, Suite #200, Issaquah, WA 98027 | 2016-10-17 |
| 1376903237 | Kari Wathen Torres | Occupational Therapist | 710 Nw Juniper St Ste 100, Issaquah, WA 98027 | 2016-03-03 |
| Find all providers in zip 98027 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1891182705 | Gordon Brandt | Internal Medicine | 790 Kalmia Ct Nw, Issaquah, WA 98027-2609 | 2015-04-17 |
| 1245626779 | Clement Sung-jay Sun | Internal Medicine | 5188 Nw Sammamish Rd, Issaquah, WA 98027 | 2015-04-10 |
| 1871703322 | Nancy Sharma | Internal Medicine | 751 Ne Blakely Dr Ste 1090, Issaquah, WA 98029-6201 | 2007-05-23 |
| 1417091802 | Yunyu Cao | Internal Medicine | 1455 11th Ave Nw, Issaquah, WA 98027-5319 | 2007-02-18 |
| 1841357381 | Randy Brian Mandell | Internal Medicine | 1740 Nw Maple St Ste 100, Issaquah, WA 98027 | 2007-01-03 |
| 1699755652 | Issaquah Internal Medicine Associates, Pllc | Internal Medicine | 450 Nw Gilman Blvd Ste 301a, Issaquah, WA 98027 | 2006-01-18 |
| 1750759429 | Vivaa Pllc | Internal Medicine | 1301 4th Ave Nw, Suite: 302, Issaquah, WA 98027-9371 | 2015-09-10 |
| 1023428364 | Yi Huang | Internal Medicine | 1740 Nw Maple St Ste 100, Issaquah, WA 98027-8127 | 2014-05-07 |
| 1023217734 | Alice J. Kim | Internal Medicine | 100 Ne Gilman Blvd, Issaquah, WA 98027-2925 | 2007-07-12 |
| 1013128651 | Jessica Allison Brzana | Internal Medicine | 751 Ne Blakely Dr Ste 5010, Issaquah, WA 98029 | 2007-05-25 |
| Find all providers in ISSAQUAH | ||||
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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.