GRAHAM D GLASS (NPI# 1306882147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306882147 |
| Entity Type | Individual |
| Full Name | GRAHAM D GLASS |
| Credential | MD |
| Practice Address |
222 Ne Park Plaza Dr Siute 100 Vancouver WA 98684-5895 |
| Practice Telephone | 3602548025 |
| Practice Fax Number | 3602548618 |
| Mailing Telephone | 3602548025 |
| Mailing Fax Number | 3602548618 |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2008-06-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | MD00037803 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8244923 | 05 | |
| WA | RAILROAD MEDICARE | 110187987 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881671907 | Graham A Glass | Psychiatry & Neurology | 3739 Balboa St, Pmb #219, San Francisco, CA 94121-2605 | 2005-12-29 |
| Street Address |
222 NE PARK PLAZA DR SIUTE 100 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98684-5895 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740226893 | Stephen S Kim | Internal Medicine | 222 Ne Park Plaza Dr, Suite 100, Vancouver, WA 98684-5895 | 2006-06-20 |
| 1770743023 | Pt Elite, Inc. | Clinic/Center | 222 Ne Park Plaza Dr, Suite 120, Vancouver, WA 98684-5895 | 2008-06-11 |
| 1023152642 | John D Kojis | Chiropractor | 222 Ne Park Plaza Dr, Suite 114, Vancouver, WA 98684-5895 | 2007-02-16 |
| 1194823054 | Amit K Gosalia | Audiologist | 222 Ne Park Plaza Dr, #105, Vancouver, WA 98684 | 2006-09-21 |
| 1740297639 | Michelle Kathryn Tonkinson | Physical Therapist | 222 Ne Park Plaza Dr, Suite 120, Vancouver, WA 98684-5895 | 2006-08-02 |
| 1780604413 | Noel Guzman | Family Medicine | 222 Ne Park Plaza Dr, Siute 100, Vancouver, WA 98684-5895 | 2006-07-19 |
| 1306862834 | Katalin Wolford | Internal Medicine | 222 Ne Park Plaza Dr, Siute 100, Vancouver, WA 98684-5895 | 2006-07-15 |
| 1558397042 | Northwest Medical Associates,ps | Specialist | 222 Ne Park Plaza Dr, Suite 100, Vancouver, WA 98684-5895 | 2006-06-25 |
| 1982640710 | Alan V Jones | Internal Medicine | 222 Ne Park Plaza Dr, Suite 100, Vancouver, WA 98684-5895 | 2006-06-21 |
| 1497791230 | Stanley M Sugarman | Specialist | 222 Ne Park Plaza Dr, Suite 100, Vancouver, WA 98684-5899 | 2006-06-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285291849 | Pacifica Sylvan Park LLC | Alzheimer Center (Dementia Center) | 2400 Ne 112th Avenue, Vancouver, WA 98684 | 2019-05-20 |
| 1699242826 | Heidi Ericka Jackson | Registered Nurse | 15606 Ne 12th Way, Vancouver, WA 98684 | 2018-10-25 |
| 1477076727 | Brian Benasa Bardeloza | Dentist | 605 Se 164th Ave Ste 103, Vancouver, WA 98684 | 2017-07-19 |
| 1992226062 | Judith Moreno-castro | Massage Therapist | 2501 Ne 138th Ave., #60, Vancouver, WA 98684 | 2017-06-29 |
| 1346790706 | Samuel Joonsang Lee | Registered Nurse | 501 Se 172nd Ave Ste 210, Vancouver, WA 98684 | 2016-10-10 |
| 1912353178 | Cheryl A. Hamilton-jefferson | Counselor | 11818 Se Mill Plain Blvd Ste 311g, Vancouver, WA 98684 | 2016-05-06 |
| 1063866424 | Kim Forgione | Optometrist | 1900 Ne 162nd Ave Ste D103, Vancouver, WA 98684 | 2016-04-21 |
| 1700254257 | Desiree Haggart | Registered Nurse | 406 Se 131st St., Suite A101, Vancouver, WA 98684 | 2015-09-14 |
| 1215318068 | Paige M. King | Behavioral Analyst | 11818 Se Mill Plain Blvd Ste 203, Vancouver, WA 98684 | 2015-06-17 |
| 1417354366 | Amanda Hilkey, Lmp | Massage Therapist | 108 Se 24th Ave, Ste 9, Vancouver, WA 98684 | 2014-11-20 |
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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 |
|---|---|---|---|---|
| 1386039550 | Sean Vikram Bhatia | Internal Medicine | Kaiser Salmon Creek, 14406 Ne 20th Ave, Vancouver, WA 98686 | 2015-04-03 |
| 1609215987 | Sonam Ravindra Kiwalkar | Internal Medicine | 700 Ne 87th Ave Ste 330, Vancouver, WA 98664-4896 | 2013-06-19 |
| 1205279585 | Marla Mcknight | Internal Medicine | St. Paul's Hospital, 1081 Burrard Street, Vancouver, BRITISH COLUMBIA V6Z1Y6 | 2013-04-16 |
| 1245577675 | John Adam Staples | Internal Medicine | 1081 Burrard St, Room 5910b, Vancouver, BC V6Z1Y6 | 2013-01-04 |
| 1598051252 | Joshua Grant | Internal Medicine | 200 Ne Mother Joseph Pl Ste 400, Vancouver, WA 98664-3290 | 2011-06-21 |
| 1235422023 | Gurleen Dhami | Internal Medicine | 8821 Ne 5th St, Vancouver, WA 98664 | 2011-05-26 |
| 1487810073 | Charul Sen | Internal Medicine | 2101 Ne 139th St Ste 460, Vancouver, WA 98686-2325 | 2008-08-02 |
| 1730351529 | Troy Harris Dillard | Internal Medicine | 2312 Ne 129th St Ste 120, Vancouver, WA 98686-3236 | 2008-04-01 |
| 1538381884 | Vancouver Primary Care Ps | Internal Medicine | 11719 Ne 95th St, Suite F, Vancouver, WA 98682-2444 | 2007-05-03 |
| 1821115064 | Elaheh N. Tehranchi | Internal Medicine | 2525 Ne 139th St Ste 230, Vancouver, WA 98686 | 2007-03-23 |
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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.