DR. EMMANUEL J. EUSEBIO (NPI# 1316936164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316936164 |
| Entity Type | Individual |
| Full Name | DR. EMMANUEL J. EUSEBIO |
| Credential | MD |
| Practice Address |
Peacehealth Medical Group 4545 Cordata Parkway, Suite 1f Bellingham WA 98226 |
| Mailing Address |
1115 Se 164th Ave Dept 358 Vancouver WA 98683-8004 |
| Practice Telephone | 3607382200 |
| Practice Fax Number | 3607525679 |
| Mailing Telephone | 3607291462 |
| Mailing Fax Number | 3607293104 |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2019-07-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MD00030270 | WA | Allopathic & Osteopathic Physicians |
| N | 103K00000X | Behavioral Analyst | MD00030270 | WA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1083229 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10416 5th Ave Ne, Seattle, WA 98125 | 2065176700 |
| Street Address |
PEACEHEALTH MEDICAL GROUP 4545 CORDATA PARKWAY, SUITE 1F |
| City | BELLINGHAM |
| State | WA |
| Zip Code | 98226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083159479 | Heather Juline Hawk | Nurse Practitioner | Peacehealth Medical Group, 4545 Cordata Parkway, Suite 1b, Bellingham, WA 98226 | 2016-12-21 |
| 1386040616 | Jimmy Yee | Internal Medicine | Peacehealth Medical Group, 2979 Squalicum Parkway, Suite 101, Bellingham, WA 98225 | 2014-11-13 |
| 1265872956 | Patrick Thomas Kehl | Family Medicine | Peacehealth Medical Group, 4545 Cordata Parkway, Suite 2c, Bellingham, WA 98226 | 2013-06-27 |
| 1235579004 | Lindsay D'amico Nelson | Nurse Practitioner | Peacehealth Medical Group, 3301 Squalicum Parkway, Bellingham, WA 98225 | 2013-06-26 |
| 1871641688 | Timothy P. Armstrong | Internal Medicine | Peacehealth Medical Group, 710 Birchwood, Suite 201, Bellingham, WA 98225 | 2007-01-08 |
| 1578624979 | Kevin Erik Steel | Internal Medicine | Peacehealth Medical Group, 2979 Squalicum Parkway, Suite 101, Bellingham, WA 98225 | 2006-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558901090 | Advancement Northwest, LLC | Community/Behavioral Health | 410 W Bakerview Rd Suite 110, Space 107, Bellingham, WA 98226 | 2020-01-13 |
| 1295374882 | Unity Care Northwest | Community/Behavioral Health | Roosevelt Elementary School Bh Services, 2900 Yew St., Bellingham, WA 98226 | 2019-12-30 |
| 1710454913 | Shane Humason | Pharmacist | 1225 East Sunset Drive, Ste 110, Bellingham, WA 98226 | 2018-10-26 |
| 1508342759 | Lydia Place A Nonprofit Corporation | Counselor | 1430 North Garden Street, Bellingham, WA 98226 | 2018-07-11 |
| 1609384486 | Lindsay Grace Davis | Massage Therapist | 1572 Huntley Rd, Bellingham, WA 98226 | 2018-01-16 |
| 1760900765 | Melissa Peters | Massage Therapist | 823 W Larson Rd, Bellingham, WA 98226 | 2017-08-30 |
| 1245754001 | Amber Michelle Wilson | Physical Therapy Assistant | 4860 Cordata Pkwy, North Cascades Health and Rehab, Bellingham, WA 98226 | 2017-08-02 |
| 1063935310 | Sophie Elizabeth Kangas | Speech-Language Pathologist | 4152 Meridian Street, Suite 105, Pmb 159, Bellingham, WA 98226 | 2017-07-19 |
| 1639607849 | Sharon Lynn Katz-kunde | Physical Therapist | 317 E Mcleod Rd #101, Bellingham, WA 98226 | 2017-06-01 |
| 1376998179 | Hyowon Choi | Podiatrist | 2075 Barkley Blvd Ste 220, Bellingham, WA 98226 | 2016-04-28 |
| Find all providers in zip 98226 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609138429 | Surjeet S Gill | Pediatrics | Peacehealth: Pediatrics Group, 4545 Cordata Parkway, Suite 1e, Bellingham, WA 98226-7123 | 2012-06-08 |
| 1538427554 | Rachel Westerfield | Pediatrics | 4545 Cordata Pkwy Ste 1e, Pediatrics Group, Bellingham, WA 98226-7264 | 2012-04-27 |
| 1265739684 | Amy Haley | Pediatrics | 4545 Cordata Pkwy Ste 1f, Pediatrics, Bellingham, WA 98226-7123 | 2011-02-21 |
| 1437155892 | Kenneth B. Gass | Pediatrics | 4545 Cordata Pkwy, Bellingham, WA 98226-7123 | 2005-06-21 |
| 1366816753 | Jennie Mclaurin | Pediatrics | 220 Unity St, Bellingham, WA 98225 | 2015-11-23 |
| 1295147924 | George Vana | Pediatrics | 2592 Kwina Rd, Bellingham, WA 98226 | 2014-05-29 |
| 1548502735 | David F Pavlik | Pediatrics | 4545 Cordata Pkwy, Bellingham, WA 98226-7263 | 2013-03-26 |
| 1891037842 | Brooke Allen Jardine | Pediatrics | 4545 Cordata Pkwy Ste 1e, Bellingham, WA 98226-7264 | 2013-03-17 |
| 1063773141 | Faiza Iram | Pediatrics | 4455 Cordata Pkwy, Bellingham, WA 98226-8037 | 2012-06-05 |
| 1487929683 | Rebecca Drooger | Pediatrics | Peacehealth Medical Group - Whatcom, 4545 Cordata Parkway, Suite 1e, Bellingham, WA 98226 | 2012-03-20 |
| Find all providers in BELLINGHAM | ||||
| City | BELLINGHAM |
| Zip Code | 98226 |
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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.