EYOB G KIDANE (NPI# 1215349998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215349998 |
| Entity Type | Individual |
| Full Name | EYOB G KIDANE |
| Credential | PA-C |
| Practice Address |
7425 Wrigley Dr Ste 100 Pasco WA 99301-5292 |
| Mailing Address |
520 N 4th Ave Pasco WA 99301-5257 |
| Practice Telephone | 5094168888 |
| Practice Fax Number | 5095456842 |
| Mailing Telephone | 5094168849 |
| Mailing Fax Number | 5095423059 |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2020-08-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 60564696 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 51493 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
7425 WRIGLEY DR STE 100 |
| City | PASCO |
| State | WA |
| Zip Code | 99301-5292 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861475915 | Ravinder Samra | Obstetrics & Gynecology | 7425 Wrigley Dr, Suite 206, Pasco, WA 99301-5292 | 2005-11-22 |
| 1104477132 | Andrea Marie Billings | Pharmacist | 7425 Wrigley Dr, Pasco, WA 99301-5292 | 2019-09-20 |
| 1770967390 | Dianna Lang | Pediatrics | 7425 Wrigley Dr, Pasco, WA 99301-5292 | 2015-07-14 |
| 1922433473 | Tracy Sue Clark | Pharmacist | 7425 Wrigley Dr, Ste 104, Pasco, WA 99301-5292 | 2013-09-03 |
| 1871737130 | Elma Tirol Deleon | Obstetrics & Gynecology | 7425 Wrigley Dr, Pasco, WA 99301-5286 | 2009-04-29 |
| 1720127020 | Ryan Paul Duarte | Counselor | 7425 Wrigley Dr, Suite 100, Pasco, WA 99301-5292 | 2007-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710504550 | Kayshuv Enterprises | Pharmacy | 7505 Sandifur Pkwy, Suite 102, Pasco, WA 99301 | 2020-06-27 |
| 1558883157 | Cecilia Carmen Asenjo | Registered Nurse | 715 W Court Street, Pasco, WA 99301 | 2017-07-14 |
| 1528451085 | Felix Ramos | Dentist | 7425 Wrigley Dr Ste 201, Pasco, WA 99301 | 2015-03-09 |
| 1861896631 | Tri-cities Community Health | General Practice | 1801 E Sheppard St, Pasco, WA 99301 | 2014-10-22 |
| 1649617861 | Thompson.ferguson,steinhart. James.pllc | Dentist | 6525 Burden Blvd, Pasco, WA 99301 | 2013-05-29 |
| 1598008880 | Thompson. Ferguson. Steinhart. James, Pllc | Dentist | 6525 Burden Boulevard, Pasco, WA 99301 | 2013-04-04 |
| 1639421720 | Comprehensive Healthcare | Community/Behavioral Health | 2715 Saint Andrews Loop, Suite C, Pasco, WA 99301 | 2012-10-12 |
| 1497065395 | Danny M Trapp Jr. | Counselor | 516 W. Margaret, Pasco, WA 99301 | 2010-10-14 |
| 1740510486 | Columbia Basin College | Dental Hygienist | 2600 N 20th Ave, Ms T-1, Pasco, WA 99301 | 2009-12-31 |
| 1417286386 | Wanda Marie Good | Surgery | 1200 N 14th Ave Ste 255, Pasco, WA 99301 | 2009-12-23 |
| Find all providers in zip 99301 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538269378 | Robert Charles Shirey | Physician Assistant | 5304 N Road 68, Pasco, WA 99301-9189 | 2006-09-22 |
| 1629008222 | Robert R Mitchell | Physician Assistant | 9915 Sandifur Pkwy, Pasco, WA 99301-8941 | 2006-07-03 |
| 1285611871 | Javier A Huerta | Physician Assistant | 515 W Court St, Pasco, WA 99301 | 2005-12-27 |
| 1760017164 | Alyssa Dawn Neil | Physician Assistant | 520 N 4th Ave, Pasco, WA 99301-5257 | 2020-03-05 |
| 1972079192 | Monica Taylor | Physician Assistant | 1608 N Road 44, Pasco, WA 99301-2667 | 2018-10-15 |
| 1942781232 | Joseph Dominic Schiavo | Physician Assistant | 7425 Wrigley Dr Ste 100, Pasco, WA 99301-5292 | 2018-08-24 |
| 1033637582 | Jesse Manuel Clossey | Physician Assistant | 520 N 4th Ave, Pasco, WA 99301 | 2017-09-05 |
| 1376093294 | Jennelle Ashley Thompson | Physician Assistant | 1608 N Road 44, Pasco, WA 99301-2667 | 2016-10-04 |
| 1548612153 | Tyler Jay Shaw | Physician Assistant | 5304 Road 68, Pasco, WA 99301-8078 | 2016-07-07 |
| 1346593050 | Paul Michael Carbaugh | Physician Assistant | 520 N 4th Ave, Pasco, WA 99301-5257 | 2012-10-18 |
| Find all providers in PASCO | ||||
Please comment or provide details below to improve the information on EYOB G KIDANE.
| 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.