KLINTON CHAD KILGORE (NPI# 1295267631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295267631 |
| Entity Type | Individual |
| Full Name | KLINTON CHAD KILGORE |
| Credential | D.O. |
| Practice Address |
982 E Columbia Ave Colville WA 99114-3316 |
| Mailing Address |
624 E Front Ave Spokane WA 99202-2139 |
| Practice Telephone | 5096855100 |
| Mailing Telephone | 5096269900 |
| Mailing Fax Number | 5096269920 |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2020-07-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 60944690 | WA | Allopathic & Osteopathic Physicians |
| Street Address |
982 E COLUMBIA AVE |
| City | COLVILLE |
| State | WA |
| Zip Code | 99114-3316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366430464 | Patrick S Markel | Emergency Medicine | 982 E Columbia Ave, Colville, WA 99114-3316 | 2005-10-12 |
| 1093363327 | Nichole Paige Alexander | Pharmacist | 982 E Columbia Ave, Colville, WA 99114-3316 | 2019-08-29 |
| 1730568114 | Kyle Rattray | Family Medicine | 982 E Columbia Ave, Colville, WA 99114-3316 | 2015-05-19 |
| 1316264088 | Providence Physician Services Co | Surgery | 982 E Columbia Ave, Colville, WA 99114-3316 | 2010-04-21 |
| 1558598250 | Ashlee Jean Weimar | Emergency Medicine | 982 E Columbia Ave, Colville, WA 99114-3316 | 2009-06-19 |
| 1134371628 | Providence Health & Services - Washington | Medicare Defined Swing Bed Unit | 982 E Columbia Ave, Colville, WA 99114-3316 | 2008-10-16 |
| 1841442332 | Providence Health & Services - Washington | General Acute Care Hospital | 982 E Columbia Ave, Colville, WA 99114-3316 | 2008-10-16 |
| 1003067679 | Providence Health & Services - Washington | General Acute Care Hospital | 982 E Columbia Ave, Colville, WA 99114-3316 | 2008-10-01 |
| 1578730180 | Providence Physician Services Co | Internal Medicine | 982 E Columbia Ave, Colville, WA 99114-3316 | 2008-05-13 |
| 1790963874 | Providence Health Care Dba Mt. Carmel Hospital | Nurse Anesthetist, Certified Registered | 982 E Columbia Ave, Colville, WA 99114-3316 | 2008-01-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033774799 | Salamia Mikheyeva | Massage Therapist | 697 Gillette Rd., Colville, WA 99114 | 2019-05-07 |
| 1053897694 | Rochelle Diconti | Counselor | 358 E Birch Ave Ste 101, Colville, WA 99114 | 2018-07-17 |
| 1679073928 | Laurel Shull | Massage Therapist | 298 S. Main St., Suite 208, Colville, WA 99114 | 2018-02-13 |
| 1235638123 | Taylor Vanwicklen | Nurse's Aide | 165 E. Hawthorne Ave, Colville, WA 99114 | 2018-02-06 |
| 1932608833 | Sandra Ingram | Registered Nurse | 165 E. Hawthorne Avenue, Colville, WA 99114 | 2018-02-06 |
| 1831451350 | Catherine M Lochner | Occupational Therapist | 1366 Onion Creek Rd., Colville, WA 99114 | 2012-06-11 |
| 1245552215 | Georgia Rae Goot | Hearing Instrument Specialist | 519 S. Main St., Colville, WA 99114 | 2010-02-18 |
| 1801018619 | David W King | Counselor | 165 E Hawthorne Avenue, Colville, WA 99114 | 2007-05-02 |
| 1497976484 | Jack Darrell Esvelt | Dentist | 181 E 1st, Colville, WA 99114 | 2007-05-01 |
| 1730229709 | Carol H Leach | Registered Nurse | 982 E Columbia Ave Ste 201, Colville, WA 99114 | 2007-02-07 |
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| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386632487 | Ramon G Canto | Internal Medicine | 143 Garden Homes Dr, Colville, WA 99114-9229 | 2005-10-12 |
| 1962494831 | John N Klim | Internal Medicine | 143 Garden Homes Drive, Northeaster Washington Medical Group, Colville, WA 99114-0000 | 2005-08-17 |
| 1578730180 | Providence Physician Services Co | Internal Medicine | 982 E Columbia Ave, Colville, WA 99114-3316 | 2008-05-13 |
| 1467440578 | Patrick A Barker | Internal Medicine | 1200 E Columbia Ave, Colville, WA 99114-3354 | 2005-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790382224 | Heart Central of Washington | Internal Medicine | 1006 S 64th Ave Ste 110, Yakima, WA 98908-2090 | 2020-10-07 |
| 1265049829 | Robert I Hustrulid Md Pllc | Internal Medicine | 3807 S Sommer Rd, Veradale, WA 99037-9136 | 2020-09-28 |
| 1659987485 | David James Sanders | Internal Medicine | 1100 Ninth Avenue: Attention David Sanders, G2-pmr, Seattle, WA 98101 | 2020-09-17 |
| 1710590179 | Direct Urgent Care Inc | Internal Medicine | 220 6th Avenue North, Seattle, WA 98109 | 2020-08-26 |
| 1740898766 | Abx Medical Pllc | Internal Medicine | 2523 Simon Ln Ne, Olympia, WA 98506-3553 | 2020-07-15 |
| 1225656614 | Sentinel Healthcare Corporation | Internal Medicine | 2220 76th Ave Se, Mercer Island, WA 98040-2114 | 2020-07-11 |
| 1730718628 | Brendan Eugene Raney | Internal Medicine | 202 N Borough Rd, Tacoma, WA 98403-2804 | 2020-04-03 |
| 1609404136 | Abigail Anne Cano Deleon | Internal Medicine | 4252 E Roosevelt Ave, Tacoma, WA 98404-4658 | 2020-03-30 |
| 1528691706 | Blue Med Inc. | Internal Medicine | 1222 N Sunset Dr, Tacoma, WA 98406-1027 | 2020-02-17 |
| 1194372896 | Dunia Health Clinic LLC | Internal Medicine | 11625 Rainier Ave S Ste 102, Seattle, WA 98178-3983 | 2019-08-19 |
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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.