DR. SUSAN OLDENKAMP (NPI# 1275669459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275669459 |
| Entity Type | Individual |
| Full Name | DR. SUSAN OLDENKAMP |
| Credential | M.D. |
| Practice Address |
12811 8th Ave W Suite D-109 Everett WA 98204-6335 |
| Practice Telephone | 4257437888 |
| Practice Fax Number | 4253553055 |
| Mailing Telephone | 4257437888 |
| Mailing Fax Number | 4253553055 |
| Enumeration Date | 2007-02-24 |
| Last Update Date | 2010-06-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | MD00023394 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | TAX ID | 91-1504734 | 01 |
| WA | 1011832 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265718753 | Susan D Oldenkamp | Counselor | 717 N 11th St, Boise, ID 83702-5365 | 2011-10-27 |
| Street Address |
12811 8TH AVE W SUITE D-109 |
| City | EVERETT |
| State | WA |
| Zip Code | 98204-6335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023090149 | Natalie Brenda Lew | Physical Therapist | 12811 8th Ave W, A-205, Everett, WA 98204-6335 | 2005-11-15 |
| 1467704973 | Connect Hearing, Inc. | Audiologist | 12811 8th Ave W, Suite B203, Everett, WA 98204-6335 | 2012-10-08 |
| 1194707216 | Puget Orthopedic Rehabilitation PC | Clinic/Center | 12811 8th Ave W, A-205, Everett, WA 98204-6335 | 2005-11-15 |
| 1588646699 | Robert Carl Rinke | Chiropractor | 12811 8th Ave W, A-205, Everett, WA 98204-6335 | 2005-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588262869 | Samuel Lin, Nd, Pllc | Naturopath | 13410 Hwy 99, Ste 202, Everett, WA 98204 | 2020-10-09 |
| 1003458225 | Svetlana A Gayevskaya | Technician | 12605 E. Gibson Rd. Unit # 87, Everett, WA 98204 | 2019-10-09 |
| 1821555921 | Kymberly Ann Shepherd | Counselor | 1011 128th St Sw, E201, Everett, WA 98204 | 2019-02-25 |
| 1609392653 | Mohammed Bayo | Nurse's Aide | 9217 4th Ave. West, Everett, WA 98204 | 2017-08-21 |
| 1962951582 | Abreham Shoangizaw | Pharmacist | 802 134th S B C, Everett, WA 98204 | 2016-09-23 |
| 1588012694 | Tammy J Laird | Counselor | 9300 Evergreen Way, Everett, WA 98204 | 2016-05-31 |
| 1083011282 | Bernadette K Stanek | Massage Therapist | 13410 Washington 99 #204, Everett, WA 98204 | 2014-12-03 |
| 1356771067 | Dixon Stopper | Hearing Instrument Specialist | 12811 8th Ave W Ste B203, Everett, WA 98204 | 2013-11-15 |
| 1427312495 | Dan Huy Nguyen | Respiratory Therapist, Registered | 1919 112th Street Southwest, Everett, WA 98204 | 2012-06-25 |
| 1942571880 | Alena A Klimenko | Specialist | 12811 8th- Ave W, Suite B-103, Everett, WA 98204 | 2012-01-24 |
| Find all providers in zip 98204 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568427623 | Linda S Gabourel | Dermatology | 4004 Colby Ave, Everett, WA 98201-6203 | 2006-04-19 |
| 1043294473 | Mark Conrad Valentine | Dermatology | 3327 Colby Ave, Everett, WA 98201-6403 | 2005-11-30 |
| 1336599208 | Teerawit Supakorndej | Dermatology | 4004 Colby Ave, Everett, WA 98201-6203 | 2016-06-21 |
| 1821356924 | Matthew Majerus | Dermatology | 4004 Colby Ave, Everett, WA 98201-6203 | 2012-04-25 |
| 1205135092 | Ge Zhao | Dermatology | 4004 Colby Ave, Everett, WA 98201-6203 | 2011-03-21 |
| 1912158023 | Providence Health & Services - Wa | Dermatology | 12800 Bothell Everett Hwy, Suite 260, Everett, WA 98208-6642 | 2008-10-07 |
| 1235394560 | Zarry Tavakkol | Dermatology | 4004 Colby Ave, Everett, WA 98201-6203 | 2008-07-25 |
| 1578720512 | Meredith Pierce Sheedy | Dermatology | 4004 Colby Ave, Everett, WA 98201-6203 | 2008-05-19 |
| 1649454026 | Michael L. Tjoelker, M.d. | Dermatology | 3327 Colby Ave, Everett, WA 98201-6403 | 2007-12-20 |
| 1932270360 | Providence Physician Group | Dermatology | 12800 Bothell Everett Hwy, Suite 260, Everett, WA 98208-6642 | 2006-11-09 |
| Find all providers in EVERETT | ||||
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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.