MR. MICAH LASLEY (NPI# 1225381130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225381130 |
| Entity Type | Individual |
| Full Name | MR. MICAH LASLEY |
| Credential | PA-C |
| Practice Address |
4029 Northwest Ave Ste 301 Bellingham WA 98226-9077 |
| Practice Telephone | 3607520518 |
| Mailing Telephone | 3607520518 |
| Enumeration Date | 2012-10-17 |
| Last Update Date | 2017-03-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 60509731 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
5224 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | WA STATE PA LICENSE | 60509731 | 01 |
| Street Address |
4029 NORTHWEST AVE STE 301 |
| City | BELLINGHAM |
| State | WA |
| Zip Code | 98226-9077 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891785606 | Matthew R Peterson | Anesthesiology | 4029 Northwest Ave Ste 301, Bellingham, WA 98226-9077 | 2005-10-24 |
| 1649776394 | Sound Pain Alliance | Clinic/Center | 4029 Northwest Ave Ste 301, Bellingham, WA 98226-9077 | 2018-04-02 |
| 1952716607 | Alexander Hartwell Nowlin | Anesthesiology | 4029 Northwest Ave Ste 301, Bellingham, WA 98226-9077 | 2014-06-20 |
| 1366752586 | Casey Mcconnell Inman | Registered Nurse | 4029 Northwest Ave Ste 301, Bellingham, WA 98226-9077 | 2010-10-21 |
| 1851628333 | Mt Baker Pain Clinic, P.s. | Clinic/Center | 4029 Northwest Ave Ste 301, Bellingham, WA 98226-9077 | 2009-11-04 |
| 1225298466 | Marijo L Wienkers | Anesthesiology | 4029 Northwest Ave Ste 301, Bellingham, WA 98226-9077 | 2008-06-11 |
| 1871649129 | Finese V Buendia | Nurse Practitioner | 4029 Northwest Ave Ste 301, Bellingham, WA 98226-9077 | 2007-01-26 |
| 1295804748 | Arthur S Watanabe | Pharmacist | 4029 Northwest Ave Ste 301, Bellingham, WA 98226-9077 | 2006-11-07 |
| 1689780751 | Brent A Richardson | Anesthesiology | 4029 Northwest Ave Ste 301, Bellingham, WA 98226-9077 | 2006-08-22 |
| 1235143793 | Kathryn Marie Glynn | Anesthesiology | 4029 Northwest Ave Ste 301, Bellingham, WA 98226-9077 | 2006-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558901090 | Advancement Northwest, LLC | Community/Behavioral Health | 410 W Bakerview Rd Suite 110, Space 107, Bellingham, WA 98226 | 2020-01-13 |
| 1295374882 | Unity Care Northwest | Community/Behavioral Health | Roosevelt Elementary School Bh Services, 2900 Yew St., Bellingham, WA 98226 | 2019-12-30 |
| 1710454913 | Shane Humason | Pharmacist | 1225 East Sunset Drive, Ste 110, Bellingham, WA 98226 | 2018-10-26 |
| 1508342759 | Lydia Place A Nonprofit Corporation | Counselor | 1430 North Garden Street, Bellingham, WA 98226 | 2018-07-11 |
| 1609384486 | Lindsay Grace Davis | Massage Therapist | 1572 Huntley Rd, Bellingham, WA 98226 | 2018-01-16 |
| 1760900765 | Melissa Peters | Massage Therapist | 823 W Larson Rd, Bellingham, WA 98226 | 2017-08-30 |
| 1245754001 | Amber Michelle Wilson | Physical Therapy Assistant | 4860 Cordata Pkwy, North Cascades Health and Rehab, Bellingham, WA 98226 | 2017-08-02 |
| 1063935310 | Sophie Elizabeth Kangas | Speech-Language Pathologist | 4152 Meridian Street, Suite 105, Pmb 159, Bellingham, WA 98226 | 2017-07-19 |
| 1639607849 | Sharon Lynn Katz-kunde | Physical Therapist | 317 E Mcleod Rd #101, Bellingham, WA 98226 | 2017-06-01 |
| 1376998179 | Hyowon Choi | Podiatrist | 2075 Barkley Blvd Ste 220, Bellingham, WA 98226 | 2016-04-28 |
| Find all providers in zip 98226 | ||||
| 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 |
|---|---|---|---|---|
| 1285248492 | Katelyn Coelho | Physician Assistant | 511 Lake St, Bellingham, MA 02019-1859 | 2020-09-04 |
| 1043743610 | Olga Olegovna Pavlova-rios | Physician Assistant | 1344 King St Ste 104, Bellingham, WA 98229-6215 | 2017-04-10 |
| 1396290532 | Michael Skare | Physician Assistant | 4545 Cordata Pkwy Ste 2d, Bellingham, WA 98226-7264 | 2016-08-17 |
| 1669658993 | Jenny Violet Walter | Physician Assistant | 2616 Kwina Rd, Bellingham, WA 98226-9291 | 2008-01-16 |
| 1447308333 | Christopher J Benafel | Physician Assistant | 709 W. Orchard Drive, Suite 4, Bellingham, WA 98225 | 2007-01-08 |
| 1942394515 | Corinne E Sayler | Physician Assistant | 3105 Old Fairhaven Pkwy, Suite 101, Bellingham, WA 98225 | 2006-10-03 |
| 1952368441 | Timothy J Pasquarello | Physician Assistant | 2979 Squalicum Pkwy Ste 101, Peacehealth Cardiology, Bellingham, WA 98225-1813 | 2006-04-27 |
| 1245296615 | Kevin P Mcclurg | Physician Assistant | 709 W Orchard Dr, Suite 4, Bellingham, WA 98225-1766 | 2006-04-25 |
| 1699774661 | Earl B. Franklin | Physician Assistant | 1345 King St, Bellingham, WA 98229-6223 | 2005-07-20 |
| 1508865676 | Darla I. Woolman | Physician Assistant | 722 N State St, Bellingham, WA 98225-5334 | 2005-07-20 |
| Find all providers in BELLINGHAM | ||||
| City | BELLINGHAM |
| Zip Code | 98226 |
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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.