LYLE T. CALCAMUGGIO (NPI# 1255331922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255331922 |
| Entity Type | Individual |
| Full Name | LYLE T. CALCAMUGGIO |
| Credential | MD |
| Practice Address |
11311 Bridgeport Way Sw Ste 302 Lakewood WA 98499-3071 |
| Practice Telephone | 2539852920 |
| Practice Fax Number | 2539856812 |
| Mailing Telephone | 2539852920 |
| Mailing Fax Number | 2539856812 |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2015-10-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | MD60209694 | WA | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 35060887 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | PARAMOUNT | 01981 | 01 |
| OH | AETNA | 4557213 | 01 |
| WA | STATE L&I | 0301634 | 01 |
| OH | UHC | 13-50420 | 01 |
| OH | ANTHEM | 000000244956 | 01 |
| OH | 0933986 | 05 | |
| OH | RRMC | 160060036 | 01 |
| Street Address |
11311 BRIDGEPORT WAY SW STE 302 |
| City | LAKEWOOD |
| State | WA |
| Zip Code | 98499-3071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760481048 | Zhiqian Wang | Internal Medicine | 11311 Bridgeport Way Sw, Ste 214, Lakewood, WA 98499-3051 | 2005-07-19 |
| 1932597523 | Perri Connell | Physician Assistant | 11311 Bridgeport Way Sw, Suite 100, Lakewood, WA 98499-3071 | 2015-01-05 |
| 1730454489 | Laura Ann Murphy | Physician Assistant | 11311 Bridgeport Way Sw, Suite 214, Lakewood, WA 98499-3071 | 2012-03-14 |
| 1285905992 | Franciscan Health System | Pharmacist | 11311 Bridgeport Way Sw, Suite 300, Lakewood, WA 98499 | 2012-01-26 |
| 1992088991 | Tori Grace Franklin | Physician Assistant | 11311 Bridgeport Way Sw, Suite 205, Lakewood, WA 98499-3071 | 2011-09-26 |
| 1770863466 | Franciscan Medical Group | Internal Medicine | 11311 Bridgeport Way Sw, Ste 207, Lakewood, WA 98499-3071 | 2011-08-25 |
| 1962797027 | Franciscan Medical Group | Internal Medicine | 11311 Bridgeport Way Sw, Ste 202, Lakewood, WA 98499-3071 | 2011-06-16 |
| 1093009508 | Franciscan Medical Group | Orthopaedic Surgery | 11311 Bridgeport Way Sw, Ste 205, Lakewood, WA 98499-3071 | 2011-06-01 |
| 1962722868 | Franciscan Medical Group | Psychiatry & Neurology | 11311 Bridgeport Way Sw, Ste 205, Lakewood, WA 98499-3071 | 2010-06-03 |
| 1669708590 | Franciscan Medical Group | Dietitian, Registered | 11311 Bridgeport Way Sw, Ste 304, Lakewood, WA 98499-3071 | 2009-10-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275159592 | Sea Mar Community Health Centers | Clinic/Center | 5700 100th Street Se, Suite 510, Lakewood, WA 98499 | 2020-06-23 |
| 1568018828 | Heather Leigh Andrade | Behavioral Analyst | 6210 75th St W Ste 100, Lakewood, WA 98499 | 2019-08-13 |
| 1043870876 | Seoul Chinese Herbs Inc | Acupuncturist | 8705 S. Tacoma Way, Lakewood, WA 98499 | 2019-06-14 |
| 1013572064 | Puget Sound Kidney Centers | Clinic/Center | 11950 47th Ave Sw, Lakewood, WA 98499 | 2019-05-06 |
| 1447736657 | Marcela Cunan | Counselor | 9330 59th Avenue Southest, Lakewood, WA 98499 | 2018-07-11 |
| 1609382381 | Leroy Moore IIi | Counselor | 8811 S. Tacoma Way, 106, Lakewood, WA 98499 | 2017-12-18 |
| 1578077657 | Andrea Gaston | Behavior Technician | 8815 S. Tacoma Way, Suite 122, Lakewood, WA 98499 | 2017-11-27 |
| 1609389931 | Jennifer King | Social Worker | 5900 100th St Sw Ste 17b, Lakewood, WA 98499 | 2017-11-08 |
| 1750806337 | Wonyoung Lee | Counselor | 8811 South Tacoma Way, Suite 106, Lakewood, WA 98499 | 2017-08-04 |
| 1043749443 | Frederick Paltron Edwards | Counselor | 9500 Front Street, Suite 100, Lakewood, WA 98499 | 2017-06-08 |
| Find all providers in zip 98499 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376937839 | Jonathan Seibert | Obstetrics & Gynecology | 1450 Belle Ave Unit 300, Lakewood, OH 44107-4211 | 2015-03-23 |
| 1982001434 | Lakewood Obstetrics & Gynecology Pa | Obstetrics & Gynecology | 1382 Lanes Mill Rd Ste 201, Lakewood, NJ 08701 | 2014-11-28 |
| 1689975690 | Migdalia Zoe Bonilla Martir | Obstetrics & Gynecology | 101 Secon Street, Lakewood, NJ 08701-3324 | 2010-11-08 |
| 1871635227 | Douglas Haigh Kirkpatrick | Obstetrics & Gynecology | 255 Union Blvd Suite 200, Lakewood, CO 80228-1810 | 2007-02-13 |
| 1790831311 | Kelle Oberle | Obstetrics & Gynecology | 255 Union Blvd Ste 200, Lakewood, CO 80228-1833 | 2007-01-26 |
| 1871667097 | Flavius Thompson | Obstetrics & Gynecology | 149 Bristol Ct, Lakewood, NJ 08701-4635 | 2006-11-20 |
| 1548286016 | Miriam Mackovic-basic | Obstetrics & Gynecology | 3650 South St Ste 403, Lakewood, CA 90712-1504 | 2006-07-15 |
| 1619902046 | Adam N Repole | Obstetrics & Gynecology | 475 Route # 70, Suite 101, Lakewood, NJ 08701 | 2006-07-12 |
| 1871538520 | Vaishali C. Moghe | Obstetrics & Gynecology | 101 Second Street, Lakewood, NJ 08701-3324 | 2006-06-17 |
| 1417991399 | Jacob F. Palomaki | Obstetrics & Gynecology | 13956 Estill Drive, Lakewood, OH 44107-1455 | 2006-06-15 |
| Find all providers in LAKEWOOD | ||||
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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.