MISS WAND Y GAN (NPI# 1205120805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205120805 |
| Entity Type | Individual |
| Full Name | MISS WAND Y GAN |
| Credential | M.D. |
| Practice Address |
4420 76th St Ne Marysville WA 98270-3726 |
| Mailing Address |
Po Box 5127 Everett WA 98206-5127 |
| Practice Telephone | 3606517495 |
| Mailing Telephone | 4252583900 |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2014-11-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD60407944 | WA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 125-059952 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2036028 | 05 |
| Street Address |
4420 76TH ST NE |
| City | MARYSVILLE |
| State | WA |
| Zip Code | 98270-3726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184613846 | Diane L Cashman | Nurse Practitioner | 4420 76th St Ne, Marysville, WA 98270-3726 | 2005-10-17 |
| 1972112506 | Ana Elisa Colmenero Gargari | Family Medicine | 4420 76th St Ne, Marysville, WA 98270-3726 | 2020-07-29 |
| 1952969701 | Patrick Schmees | Pharmacist | 4420 76th St Ne, Marysville, WA 98270-3726 | 2019-06-05 |
| 1083134944 | Si Jung Suh | Internal Medicine | 4420 76th St Ne, Marysville, WA 98270-3726 | 2017-06-22 |
| 1346772563 | Kylanne Berry | Physician Assistant | 4420 76th St Ne, Marysville, WA 98270-3726 | 2017-03-28 |
| 1235591058 | Janna Lam Keenan | Pediatrics | 4420 76th St Ne, Marysville, WA 98270 | 2016-03-22 |
| 1467862581 | Jonathon Hodges | Family Medicine | 4420 76th St Ne, Marysville, WA 98270-3726 | 2014-04-28 |
| 1346675527 | Theressa Marie Hecht | Pharmacist | 4420 76th St Ne, Marysville, WA 98270-3726 | 2013-09-06 |
| 1285079822 | The Bartell Drug Co | Pharmacy | 4420 76th St Ne, Marysville, WA 98270-3726 | 2013-05-09 |
| 1265778849 | Brett Alan Schweizer | Internal Medicine | 4420 76th St Ne, Marysville, WA 98270-3726 | 2012-12-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730706631 | Amy Jean Tuengel | Massage Therapist | 4731 61st Ne, Marysville, WA 98270 | 2020-06-26 |
| 1821569534 | Andrew M Reid | Physical Therapist | Marysville Physical Therapy, 919 State Avenue Suite 101, Marysville, WA 98270 | 2018-12-07 |
| 1861989162 | Jenna Celine Schmidt | Student in an Organized Health Care Education/Training Program | Seamar Marysville Family Medicine Residency Program, 9710 State Ave, Marysville, WA 98270 | 2018-04-23 |
| 1497103162 | Kyoung Craddock | Registered Nurse | 5722 65th St Ne, Marysville, WA 98270 | 2016-06-02 |
| 1235553348 | Marysville School District | Speech-Language Pathologist | 4220 80th Street Ne, Marysville School District, Marysville, WA 98270 | 2014-02-10 |
| 1386085694 | Malgorzata Cassidy | Counselor | 4308 76th. St. Ne, Marysville, WA 98270 | 2013-07-15 |
| 1972852374 | Suzanne Leboeuf | Counselor | 1227 2nd St., Marysville, WA 98270 | 2012-08-31 |
| 1508121161 | Tricia Nicole Davis | Pharmacy Technician | 6602 74th St Ne, Marysville, WA 98270 | 2012-07-10 |
| 1962774216 | Lynae Marie Swinheart | Community/Behavioral Health | 6418 66th Pl Ne, Marysville, WA 98270 | 2012-02-02 |
| 1598042459 | Jamie Rae Isaacson | Speech-Language Pathologist | 1820 Grove St., Marysville, WA 98270 | 2011-11-07 |
| Find all providers in zip 98270 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508270067 | Nathan E Billington | Family Medicine | 140 Colemans Xing Ste 210, Marysville, OH 43040-7080 | 2014-06-12 |
| 1265684047 | Leticia Dantes | Family Medicine | 845 Michigan Ave, Marysville, MI 48040-1404 | 2008-10-13 |
| 1811154909 | Michael Shaffer | Family Medicine | 17853 State Route 31 Ste B, Marysville, OH 43040-8835 | 2008-05-17 |
| 1134201122 | Whole Family Care Clinic | Family Medicine | 330 H St # A, Marysville, CA 95901-5815 | 2006-10-19 |
| 1679653976 | Joseph Wayne Cassady | Family Medicine | 5730 Packard Avenue, Suite 500, Marysville, CA 95901 | 2006-10-17 |
| 1720199292 | Ann Carol Kammeyer | Family Medicine | 1416 8th Street, Ste #1, Marysville, WA 98270-4274 | 2006-08-31 |
| 1396850459 | Steven Alan Ledtke | Family Medicine | 875 Michigan Ave, Marysville, MI 48040-1404 | 2006-08-20 |
| 1992726525 | William J Irvine | Family Medicine | 11271 Loma Rica Rd, Marysville, CA 95901-8728 | 2006-07-21 |
| 1811913270 | John M Ryan | Family Medicine | 1902 May St, Marysville, KS 66508-1200 | 2006-07-15 |
| 1821029687 | Jay Donald Grassell | Family Medicine | 414 G Street, Ste 210, Marysville, CA 95901 | 2006-07-06 |
| Find all providers in MARYSVILLE | ||||
| City | MARYSVILLE |
| Zip Code | 98270 |
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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.