CEDAR MEDICAL SPECIALTIES, PLLC (NPI# 1194774265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194774265 |
| Entity Type | Organization |
| Organization Name | CEDAR MEDICAL SPECIALTIES, PLLC |
| Other Organization Name | CEDAR LASER AND SURGERY CENTER |
| Practice Address |
2202 S Cedar St Ste 150 Tacoma WA 98405-2318 |
| Practice Telephone | 2538305432 |
| Practice Fax Number | 2538305433 |
| Mailing Telephone | 2538305432 |
| Mailing Fax Number | 2538305433 |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2010-09-08 |
| Authorized Official Name | ROBYN WALLACE (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 2538305432 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
FX00057086 | WA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 7109994 | 05 |
| Other Name | Type Code |
|---|---|
| Cedar Laser and Surgery Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760515084 | Cedar Medical Specialties, Pllc | Technician/Technologist | 2202 S Cedar St Ste 100, Tacoma, WA 98405-2318 | 2007-03-14 |
| 1558486969 | Cedar Medical Specialties, Pllc | Surgery | 34503 9th Ave S, Suite 230, Federal Way, WA 98003-8727 | 2007-03-21 |
| 1265563175 | Cedar Medical Specialties, Pllc | Optometrist | 2202 S Cedar St, Suite 300, Tacoma, WA 98405-2318 | 2007-03-09 |
| 1841322567 | Cedar Medical Specialties, Pllc | Plastic Surgery | 2202 S Cedar St, Suite 300, Tacoma, WA 98405-2318 | 2007-03-09 |
| Street Address |
2202 S CEDAR ST STE 150 |
| City | TACOMA |
| State | WA |
| Zip Code | 98405-2318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760486286 | Ali Afrassiabi | Anesthesiology | 2202 S Cedar St, Ste 150, Tacoma, WA 98405-2321 | 2005-06-13 |
| 1558974766 | Sammantha Hildur Paulsen | Dietitian, Registered | 2202 S Cedar St, Tacoma, WA 98405-2318 | 2020-08-26 |
| 1467987537 | Shirley Matenda | Nutritionist | 2202 S Cedar St, 300, Tacoma, WA 98405-2318 | 2017-04-26 |
| 1992240063 | Brandy Morgan Minks | Dietitian, Registered | 2202 S Cedar St, Suite Number 300, Tacoma, WA 98405-2318 | 2016-12-28 |
| 1891239471 | Jacquelyn Allyse Crews | Dietitian, Registered | 2202 S Cedar St, Suite 300, Tacoma, WA 98405-2318 | 2016-12-15 |
| 1144622994 | Caroline Segall | Dietitian, Registered | 2202 S Cedar St, Ste 330, Tacoma, WA 98405-2318 | 2014-09-24 |
| 1316358567 | Katie Alenick | Registered Nurse | 2202 S Cedar St, Suite 150, Tacoma, WA 98405-2318 | 2014-05-09 |
| 1821379538 | The Aesthetic Surgery Centre, Pllc | Clinic/Center | 2202 S Cedar St, Suite 150, Tacoma, WA 98405-2318 | 2011-09-08 |
| 1952682767 | The Aesthetic Surgery Centre, Pllc | Specialist | 2202 S Cedar St, Suite 100, Tacoma, WA 98405-2318 | 2011-09-07 |
| 1023312618 | Brown Anesthesia Pllc | Nurse Anesthetist, Certified Registered | 2202 S Cedar St, Tacoma, WA 98405-2318 | 2010-12-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609486026 | Joanna Christine Hope | Physician Assistant | 2502 S Union Avenue, Tacoma, WA 98405 | 2020-08-01 |
| 1467077891 | Richard Jimenez | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 | 2020-06-11 |
| 1669008785 | Mariana Sanchez Corona | Behavior Technician | 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 | 2020-03-20 |
| 1811534845 | Jasmine Gregory | Social Worker | 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 | 2019-12-10 |
| 1548807506 | Holly Rebecca Brezynski | Student in an Organized Health Care Education/Training Program | Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 | 2019-12-09 |
| 1972064392 | Logan Brau | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way, Tacoma, WA 98405 | 2019-03-28 |
| 1629532536 | Preferred Orthotic and Prosthetic Services Inc | Prosthetic/Orthotic Supplier | 1708 Yakima Ave Ste 60, Tacoma, WA 98405 | 2019-01-24 |
| 1669945911 | Heidi Weakley | Counselor | 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 | 2019-01-09 |
| 1972074011 | Taviance Benet Laster | Behavior Technician | 1416 S 9th St, Tacoma, WA 98405 | 2018-12-16 |
| 1336618040 | Bailey Bangerter | Physician Assistant | 1901 South Union, A-233, Tacoma, WA 98405 | 2018-11-26 |
| Find all providers in zip 98405 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891722609 | Eye Mds of Puget Sound Pllc | Clinic/Center | 4717 S 19th St, Ste 10, Tacoma, WA 98405-1167 | 2006-06-27 |
| 1992765986 | Western Washington Endoscopy Centers LLC | Clinic/Center | 3209 South 23rd St, 2nd Floor, Tacoma, WA 98405 | 2006-03-24 |
| 1295700086 | Western Washington Endoscopy Centers, LLC | Clinic/Center | 3209 S. 23rd Street, Ste 200, Tacoma, WA 98405 | 2006-02-23 |
| 1104465012 | Evergreen Eye Center Inc., P.s. | Clinic/Center | 502 S M St, Tacoma, WA 98405-3728 | 2019-12-26 |
| 1750663084 | Pnw Eye Pllc | Clinic/Center | 3602 S 19th St, Tacoma, WA 98405-1919 | 2011-09-13 |
| 1821379538 | The Aesthetic Surgery Centre, Pllc | Clinic/Center | 2202 S Cedar St, Suite 150, Tacoma, WA 98405-2318 | 2011-09-08 |
| 1407011570 | Artistic Plastic Surgery Center Pllc | Clinic/Center | 3515 S 15th St, Suite 101, Tacoma, WA 98405-1952 | 2008-07-28 |
| 1780807081 | Proliance Surgeons, Inc., P.s. | Clinic/Center | 502 S M St, Tacoma, WA 98405-3728 | 2007-04-11 |
| 1336265263 | Kaiser Foundation Health Plan of Washington | Clinic/Center | 209 Martin Luther King Jr Way, Tacoma, WA 98405-4265 | 2007-03-22 |
| 1144297003 | Tacoma Endoscopy Center | Clinic/Center | 1112 6th Ave, 200, Tacoma, WA 98405-4040 | 2006-02-28 |
| Find all providers in TACOMA | ||||
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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.