JAMES BRAD DIESTELHORST (NPI# 1336148766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336148766 |
| Entity Type | Individual |
| Full Name | JAMES BRAD DIESTELHORST |
| Credential | M.D. |
| Practice Address |
4545 Cordata Pkwy Bellingham WA 98226-7123 |
| Mailing Address |
Po Box 5096 Bellingham WA 98227-5096 |
| Practice Telephone | 3607382200 |
| Practice Fax Number | 3607525687 |
| Mailing Telephone | 3607382200 |
| Mailing Fax Number | 3607525687 |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2010-09-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
MD00041071 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | ALASKA MEDICAID | MD4918W | 01 |
| WA | L&I AND CRIME VICTIMS | 0230369 | 01 |
| WA | AETNA | 7704353 | 01 |
| WA | REGENCE | 4912DI | 01 |
| WA | L&I/CRIME VICTIMS | 0230369 | 01 |
| WA | 1336148766 | 05 |
| Street Address |
4545 CORDATA PKWY |
| City | BELLINGHAM |
| State | WA |
| Zip Code | 98226-7123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437155892 | Kenneth B. Gass | Pediatrics | 4545 Cordata Pkwy, Bellingham, WA 98226-7123 | 2005-06-21 |
| 1447723168 | Ruth Louise Hidy | Nurse Practitioner | 4545 Cordata Pkwy, Bellingham, WA 98226-7263 | 2019-01-04 |
| 1952840324 | Sabra Napolitano | Physician Assistant | 4545 Cordata Pkwy, Suite 1c, Bellingham, WA 98226-7263 | 2017-02-18 |
| 1952846248 | Shelley Johnson | Occupational Therapist | 4545 Cordata Pkwy, Suite Ll4, Bellingham, WA 98226-7263 | 2016-12-22 |
| 1134575608 | Katrina Michelle Murphy | Physician Assistant | 4545 Cordata Pkwy, Suite 2a & 2b, Bellingham, WA 98226-7263 | 2016-05-13 |
| 1821492281 | Rajinder Claire | Pharmacist | 4545 Cordata Pkwy, Bellingham, WA 98226-7263 | 2014-10-14 |
| 1508289521 | Travis Callender | Nurse Practitioner | 4545 Cordata Pkwy, Cordata Main, Bellingham, WA 98226-7263 | 2014-01-27 |
| 1548683774 | Lisa N. Brodsky | Nurse Practitioner | 4545 Cordata Pkwy, Suite 2c, Bellingham, WA 98226-7263 | 2014-01-23 |
| 1790106839 | Eric Johnson | Physician Assistant | 4545 Cordata Pkwy, Bellingham, WA 98226-7263 | 2013-12-16 |
| 1245678986 | Erika Lynn Myers | Nurse Practitioner | 4545 Cordata Pkwy, Bellingham, WA 98226-7263 | 2013-06-04 |
| Find all providers in the same location | ||||
| 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 | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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 |
|---|---|---|---|---|
| 1578569927 | Donald F Berry | Internal Medicine | 4545 Cordata Pkwy, Bellingham, WA 98226-7123 | 2005-06-21 |
| 1184620536 | Janet Seltzer | Internal Medicine | 4545 Cordata Pkwy, Bellingham, WA 98226-7123 | 2005-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386004638 | Kent N Sullivan Md Pllc | Internal Medicine | 19219 51st Ave Ne, Lake Forest Park, WA 98155-2940 | 2016-02-29 |
| 1215363676 | Lawrence Edward Klock Jr. | Internal Medicine | 4115 S Bellgrove Ln, Spokane, WA 99223-6185 | 2013-09-17 |
| 1427495274 | Mohammed Nayeemuddin | Internal Medicine | 16259 Sylvester Rd Sw Ste 404, Burien, WA 98166 | 2013-06-03 |
| 1174864912 | Steven Chase Springmeyer | Internal Medicine | 219 Terry Ave N Ste 100, Seattle, WA 98109-5230 | 2013-03-04 |
| 1326364688 | Surafel Befekadu Gezahegne | Internal Medicine | 4011 Talbot Rd S Ste 460, Renton, WA 98055-5791 | 2010-04-12 |
| 1649439209 | Allison A Lambert | Internal Medicine | 105 W 8th Ave Ste 660e, Spokane, WA 99204-2302 | 2008-06-08 |
| 1114192937 | Richard Clark Redman | Internal Medicine | 500 Lilly Road Ne, Suite 201, Olympia, WA 98506 | 2008-04-23 |
| 1467637058 | John E Sailer | Internal Medicine | 181 Saddle Drive, Port Townsend, WA 98368 | 2008-01-02 |
| 1891995882 | Bridget Collins | Internal Medicine | Uwmc 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2007-07-19 |
| 1538368360 | Vincent George Lerma Cunanan | Internal Medicine | 1100 Goethals Drive Third Floor, Kadlec Clinic Pulmonary, Richland, WA 99352 | 2007-07-12 |
| Find all providers with the same taxonomy | ||||
| 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.