CHEWELAH ASSOCIATED PHYSICIANS (NPI# 1316167638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316167638 |
| Entity Type | Organization |
| Organization Name | CHEWELAH ASSOCIATED PHYSICIANS |
| Practice Address |
410 E King St Chewelah WA 99109 |
| Practice Telephone | 5099358711 |
| Practice Fax Number | 5099354882 |
| Mailing Telephone | 5099358711 |
| Mailing Fax Number | 5099354882 |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2008-03-06 |
| Authorized Official Name | DR. THOMAS JOHN BOONE (CEO) |
| Authorized Official Telephone | 5099358711 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 7590946 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063632388 | Chewelah Associated Physicians | Family Medicine | 410 E King St, Chewelah, WA 99109 | 2007-04-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | CHEWELAH ASSOCIATED PHYSICIANS, P.S. | 401 E King Ave, Chewelah, WA 99109 |
| Street Address |
410 E KING ST |
| City | CHEWELAH |
| State | WA |
| Zip Code | 99109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528128907 | Kimberlyn Ann Johnstone | Family Medicine | 410 E King St, Chewelah, WA 99109-0137 | 2006-12-08 |
| 1063632388 | Chewelah Associated Physicians | Family Medicine | 410 E King St, Chewelah, WA 99109 | 2007-04-27 |
| 1104971365 | Chewelah Associated Physicians Ps | Family Medicine | 410 E King St, Chewelah, WA 99109-0137 | 2007-01-25 |
| 1275686669 | Carolyn Starr Fullmer | Physician Assistant | 410 E King St, Chewelah, WA 99109-0137 | 2007-01-19 |
| 1447310347 | James Gregory Sisco | Family Medicine | 410 E King St, Chewelah, WA 99109-0137 | 2006-12-11 |
| 1821158734 | Robin Nelson Moyer | Family Medicine | 410 E King St, Chewelah, WA 99109-0137 | 2006-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609322528 | Providence Health & Services | In Home Supportive Care | 110 S. Third Street E., Chewelah, WA 99109 | 2016-08-31 |
| 1639525157 | Shelley Gail Schreibman | Specialist | 101 N Park Street, Po, Chewelah, WA 99109 | 2016-05-13 |
| 1518361831 | David Stroyan | Pharmacist | 518 E Clay, New Health Programs, Chewelah, WA 99109 | 2014-10-15 |
| 1942554712 | Renee S Thompson | Psychologist | 208 E Clay St, Chewelah, WA 99109 | 2012-11-01 |
| 1356616759 | Paul Michael Cockerham | Physical Therapist | 101 N. Park St., Chewelah, WA 99109 | 2012-03-19 |
| 1669768479 | Lori S King | Veterinarian | 1505 N Pinebrook Dr, Chewelah, WA 99109 | 2011-06-21 |
| 1619268281 | Providence Physician Services Co | Family Medicine | 100 W. South Ave Chewelah, Chewelah, WA 99109 | 2011-04-29 |
| 1245557917 | Providence Physician Services Co | Obstetrics & Gynecology | 518 Clay Street, Chewelah, WA 99109 | 2010-04-21 |
| 1033340088 | Scott Anthony Lake | Dentist | 616 E Main, Chewelah, WA 99109 | 2009-08-06 |
| 1659560787 | Robin D Bowman | Counselor | 2264 C. Sand Canyon Road, Chewelah, WA 99109 | 2007-10-15 |
| Find all providers in zip 99109 | ||||
| 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 |
|---|---|---|---|---|
| 1619268281 | Providence Physician Services Co | Family Medicine | 100 W. South Ave Chewelah, Chewelah, WA 99109 | 2011-04-29 |
| 1528128907 | Kimberlyn Ann Johnstone | Family Medicine | 410 E King St, Chewelah, WA 99109-0137 | 2006-12-08 |
| 1346325750 | Thomas John Boone | Family Medicine | 410 E King Street, Chewelah, WA 99109-0137 | 2006-10-25 |
| 1720189749 | Paul Richard Larsen | Family Medicine | 100 W South Ave, Chewelah, WA 99019 | 2006-09-25 |
| 1124438338 | Caleb Christman Holtzer | Family Medicine | 100 W South Ave, Chewelah, WA 99109-9684 | 2014-04-28 |
| 1063632388 | Chewelah Associated Physicians | Family Medicine | 410 E King St, Chewelah, WA 99109 | 2007-04-27 |
| 1104971365 | Chewelah Associated Physicians Ps | Family Medicine | 410 E King St, Chewelah, WA 99109-0137 | 2007-01-25 |
| 1447310347 | James Gregory Sisco | Family Medicine | 410 E King St, Chewelah, WA 99109-0137 | 2006-12-11 |
| 1821158734 | Robin Nelson Moyer | Family Medicine | 410 E King St, Chewelah, WA 99109-0137 | 2006-12-11 |
| 1477654416 | Maja Zugec | Family Medicine | 518 E Clay Ave, Chewelah, WA 99109-8947 | 2006-09-25 |
| Find all providers in CHEWELAH | ||||
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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.