KAMOL LOHAVANICHBUTR (NPI# 1306880638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306880638 |
| Entity Type | Individual |
| Full Name | KAMOL LOHAVANICHBUTR |
| Credential | MD |
| Practice Address |
307 S 13th St Suite 300 Mount Vernon WA 98274-4100 |
| Mailing Address |
1400 E. Kincaid St. Attn: Credentialing Mount Vernon WA 98274-4127 |
| Practice Telephone | 3603369757 |
| Practice Fax Number | 3608145237 |
| Mailing Telephone | 3604282500 |
| Mailing Fax Number | 3604286485 |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2016-03-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD00036595 | WA | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
MD00036595 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8417024 | 05 |
| Street Address |
307 S 13TH ST SUITE 300 |
| City | MOUNT VERNON |
| State | WA |
| Zip Code | 98274-4100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922076173 | Mehrdad Jafari | Internal Medicine | 307 S 13th St, Suite 100, Mount Vernon, WA 98274-4100 | 2006-03-12 |
| 1457716995 | Anna Catherine Cairns | Nurse Practitioner | 307 S 13th St, Suite 100, Mount Vernon, WA 98274-4100 | 2015-12-29 |
| 1689052730 | Michael Daniel Earley | Psychologist | 307 S 13th St, Suite 200, Mount Vernon, WA 98274-4100 | 2015-05-09 |
| 1821401696 | Sujatha Nilavar | Family Medicine | 307 S 13th St, Suite 200, Mount Vernon, WA 98274-4100 | 2014-06-09 |
| 1023428075 | Robin Dembeck | Audiologist | 307 S 13th St, Suite 200, Mount Vernon, WA 98274-4100 | 2014-04-29 |
| 1538435615 | Western Washington Cardiology Trust | Internal Medicine | 307 S 13th St, Suite 300, Mount Vernon, WA 98274-4100 | 2012-03-22 |
| 1366715708 | Laurie V Rechholtz | Registered Nurse | 307 S 13th St, Suite 200, Mount Vernon, WA 98274-4100 | 2012-02-15 |
| 1265724256 | Denise Dianne Johnson | Pharmacist | 307 S 13th St, Suite 100, Mount Vernon, WA 98274-4100 | 2011-05-09 |
| 1598071888 | Kari K Ranum | Nurse Practitioner | 307 S 13th St, Suite 300, Mount Vernon, WA 98274-4100 | 2010-08-24 |
| 1265747380 | Evelyn Larsen | Social Worker | 307 S 13th St, Suite 200, Mount Vernon, WA 98274-4100 | 2010-08-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881123438 | Ankur Tarun Sanghvi | Peer Specialist | 209 Milwaukee Steet, 209, Mount Vernon, WA 98274 | 2017-06-07 |
| 1932647187 | Claudia Diaz | Counselor | 23550 Garden St, Mount Vernon, WA 98274 | 2017-02-08 |
| 1871042002 | Richard Simcock Dds, Ps | Dentist | 130 S 15th St Suite 101, Mount Vernon, WA 98274 | 2016-09-29 |
| 1528228186 | Parampreet Singh Ghuman | Internal Medicine | 121 S. 12th St, Ste B, Mount Vernon, WA 98274 | 2008-06-16 |
| 1699940874 | Eugene Villanueva De Guzman | Internal Medicine | 208 S Hospital Pkwy, Mount Vernon, WA 98274 | 2008-04-28 |
| 1871775122 | Matthew John Novak | Internal Medicine | 208 Hospital Pkwy, Mount Vernon, WA 98274 | 2007-11-28 |
| 1568658797 | Emily A K Bianconi | Nurse Practitioner | 2101 Little Mountain Lane, Mount Vernon, WA 98274 | 2007-09-21 |
| 1659576981 | Peggy Randall | Counselor | 1420 S 12th, Mount Vernon, WA 98274 | 2007-06-18 |
| 1194937037 | Cascade Neurologic Clinic, Inc, P.s. | Clinic/Center | 1315 East Division St., Mt. Vernon, WA 98274 | 2007-05-04 |
| 1427171297 | Keri L D Halgren | Dentist | 1711 E Division Street, Mt Vernon, WA 98274 | 2007-04-09 |
| Find all providers in zip 98274 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982905923 | J. Randall Farrar, Md | Internal Medicine | 1155 Jadwin Ave, Richland, WA 99352-3434 | 2010-11-08 |
| 1679522106 | Inland Cardiology Associates, P.s. | Internal Medicine | 122 West 7th Avenue, Suite 450, Spokane, WA 99204-4332 | 2006-05-10 |
| 1871986455 | Sunnyside Community Hospital Association | Internal Medicine | 812 Miller Ave, Sunnyside, WA 98944-2374 | 2015-03-06 |
| 1568892586 | Shenjing Li | Internal Medicine | 200 Ne Mother Joseph Pl Ste 400, Vancouver, WA 98664-3290 | 2013-11-13 |
| 1023389061 | Henry Chu | Internal Medicine | 700 Ne 87th Ave Ste 210, Vancouver, WA 98664 | 2012-01-23 |
| 1225311756 | Danny Dvir | Internal Medicine | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2011-09-21 |
| 1841510310 | Kenta Nakamura | Internal Medicine | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2010-06-08 |
| 1588989032 | Patrick John Goleski | Internal Medicine | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2010-03-27 |
| 1508196833 | Jacob Appel Doll | Internal Medicine | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2010-01-08 |
| 1811225923 | Gopal Ghimire | Internal Medicine | 500 Lilly Rd Ne Ste 100, Providence Cardiology Associates, Olympia, WA 98506-5195 | 2009-12-01 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT VERNON |
| Zip Code | 98274 |
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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.