DR. FLOY EVON DETWILER (NPI# 1306840020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306840020 |
Entity Type | Individual |
Full Name | DR. FLOY EVON DETWILER |
Other Name | MISS FLOY EVON DITMARS |
Credential | MD |
Practice Address |
100 Highline Dr East Wenatchee WA 98802-5341 |
Mailing Address |
820 N Chelan Ave Wenatchee WA 98801-2028 |
Practice Telephone | 5098840614 |
Mailing Telephone | 5096638711 |
Enumeration Date | 2005-06-09 |
Last Update Date | 2013-05-28 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | MD00037715 | WA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | 8249468 | 05 |
Street Address |
100 HIGHLINE DR |
City | EAST WENATCHEE |
State | WA |
Zip Code | 98802-5341 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821580960 | Megan E Lenz | Pharmacist | 100 Highline Dr, East Wenatchee, WA 98802-5341 | 2018-06-05 |
1164830626 | Jessica Maria Jacobo | Pharmacist | 100 Highline Dr, East Wenatchee, WA 98802 | 2014-07-29 |
1649517467 | Wenatchee Valley Hospital | Clinic/Center | 100 Highline Dr, East Wenatchee, WA 98802-5341 | 2013-01-14 |
1114072113 | Robert Michael Norman | Physician Assistant | 100 Highline Dr, East Wenatchee, WA 98802-5341 | 2007-01-23 |
1427109974 | Kelly Ryan Gillespie | Family Medicine | 100 Highline Dr, East Wenatchee, WA 98802-5341 | 2007-01-12 |
1629134960 | Paul Robert Larson | Nurse Practitioner | 100 Highline Dr, East Wenatchee, WA 98802-5341 | 2006-12-29 |
1548322456 | Shawn E Nixon | Family Medicine | 100 Highline Dr, East Wenatchee, WA 98802-5341 | 2006-12-15 |
1447266382 | Francince K Morgen | Nurse Practitioner | 100 Highline Dr, East Wenatchee, WA 98802-5341 | 2006-07-31 |
1144240375 | Patrick Lynch | Internal Medicine | 100 Highline Dr, East Wenatchee, WA 98802-5341 | 2006-07-20 |
1962421230 | Katherine M Davies | Physician Assistant | 100 Highline Dr, East Wenatchee, WA 98802-5341 | 2006-07-18 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699215483 | Nicole Christinia Johnson | Dietitian, Registered | 50 Simon Street Se Suite A, East Wenatchee, WA 98802 | 2017-02-28 |
1013394337 | Robbie Bowling | Counselor | 636 Valley Mall Parkway, Suite 200, East Wenatchee, WA 98802 | 2015-05-06 |
1437572203 | Aging & Adult Care of Central Washington | Case Management | 270 9th Street Ne Suite 100, East Wenatchee, WA 98802 | 2014-01-29 |
1417379900 | Kathryn Marie Gallik Maccallum | Occupational Therapist | 1983 Legendary Ln Se, East Wenatchee, WA 98802 | 2014-01-17 |
1649606328 | Hilary Kathleen Mann | Massage Therapist | 304 Grant Road, Suite #1, East Wenatchee, WA 98802 | 2013-09-25 |
1932544988 | Sound Oxygen Service, Inc. | Durable Medical Equipment & Medical Supplies | 640 Valley Mall Pkwy Ste B, East Wenatchee, WA 98802 | 2013-05-03 |
1346519329 | Lindsay N Grode | Massage Therapist | 667 Grant Road, Suite 3, East Wenatchee, WA 98802 | 2011-12-21 |
1952601726 | Lizette Corral | Massage Therapist | 2434 Bellanca St, East Wenatchee, WA 98802 | 2010-10-27 |
1548415615 | Ashley Cristine Neumann | Counselor | 558 Morning View Ave, Ste 100, East Wenatchee, WA 98802 | 2008-11-17 |
1962528950 | Diana Maria Villalobos | Counselor | 220 Eastmont Ave Childrens Home Society of Washington, Suite B, East Wenatchee, WA 98802 | 2007-03-21 |
Find all providers in zip 98802 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346231354 | Malcolm A Butler | Family Medicine | 900 Eastmont Ave, East Wenatchee, WA 98802-6602 | 2005-10-31 |
1427109974 | Kelly Ryan Gillespie | Family Medicine | 100 Highline Dr, East Wenatchee, WA 98802-5341 | 2007-01-12 |
1548322456 | Shawn E Nixon | Family Medicine | 100 Highline Dr, East Wenatchee, WA 98802-5341 | 2006-12-15 |
1467478859 | Debra Lapo | Family Medicine | 100 Highline Dr, East Wenatchee, WA 98802-5341 | 2006-07-15 |
1689690380 | Susan Westerlund | Family Medicine | 100 Highline Dr, East Wenatchee, WA 98802-5341 | 2006-07-14 |
1033135058 | Ted O'donnell | Family Medicine | 100 Highline Dr, East Wenatchee, WA 98802-5341 | 2006-07-14 |
1972534832 | Jason M Grosdidier | Family Medicine | 100 Highline Dr, East Wenatchee, WA 98802-5341 | 2006-07-06 |
1295765824 | Barbara J Bates | Family Medicine | 100 Highline Dr, East Wenatchee, WA 98802-5341 | 2006-07-03 |
1336179928 | Michael J Abbott | Family Medicine | 100 Highline Dr, East Wenatchee, WA 98802-5341 | 2006-07-03 |
1144256298 | Joel T Banken | Family Medicine | 100 Highline Dr, East Wenatchee, WA 98802-5341 | 2006-06-23 |
Find all providers in EAST WENATCHEE |
City | EAST WENATCHEE |
Zip Code | 98802 |
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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.