BAILEY BANGERTER


Address: 1901 South Union, A-233, Tacoma, WA 98405
Phone: 2534596570

BAILEY BANGERTER (NPI# 1336618040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336618040
Entity Type Individual
Full Name BAILEY BANGERTER
Credential PA-C
Practice Address 1901 South Union
A-233
Tacoma
WA 98405
Mailing Address 2712 Madrona St
Bellingham
WA 98225-1523
Practice Telephone 2534596570
Mailing Telephone 2069305168
Enumeration Date 2018-11-26
Last Update Date 2018-11-26
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA60900605 WA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
WA WASHINGTON STATE DEPARTMENT OF HEALTH PA60900605 01
NCCPA 1155569 01

Office Location

Street Address 1901 SOUTH UNION
A-233
City TACOMA
State WA
Zip Code 98405

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609486026 Joanna Christine Hope Physician Assistant 2502 S Union Avenue, Tacoma, WA 98405 2020-08-01
1467077891 Richard Jimenez Student in an Organized Health Care Education/Training Program 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 2020-06-11
1669008785 Mariana Sanchez Corona Behavior Technician 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 2020-03-20
1811534845 Jasmine Gregory Social Worker 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 2019-12-10
1548807506 Holly Rebecca Brezynski Student in an Organized Health Care Education/Training Program Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 2019-12-09
1972064392 Logan Brau Student in an Organized Health Care Education/Training Program 1202 M.l.k. Jr Way, Tacoma, WA 98405 2019-03-28
1629532536 Preferred Orthotic and Prosthetic Services Inc Prosthetic/Orthotic Supplier 1708 Yakima Ave Ste 60, Tacoma, WA 98405 2019-01-24
1669945911 Heidi Weakley Counselor 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 2019-01-09
1972074011 Taviance Benet Laster Behavior Technician 1416 S 9th St, Tacoma, WA 98405 2018-12-16
1720564925 Acts Pharmacy and Healthcare Services, LLC Pharmacy 1901 S Union Ave Bldg B Ste 2011, Tacoma, WA 98405 2018-07-11
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609486026 Joanna Christine Hope Physician Assistant 2502 S Union Avenue, Tacoma, WA 98405 2020-08-01
1831663442 Noah C Chance Physician Assistant 9040 Jackson Ave Attn:credentials, Tacoma, WA 98431-4604 2019-01-16
1518448539 Kimberly Bui Physician Assistant 112 S 8th St Ste 200, Tacoma, WA 98402-5294 2018-08-27
1568942621 Michelle Lynn Scott Physician Assistant 1201 Pacific Ave Ste C6, Tacoma, WA 98402-4393 2018-08-17
1548770670 Bradley Richard Poe Physician Assistant 209 M.l.k. Jr Way, Tacoma, WA 98405 2017-10-03
1326588369 Alyssa K. Leaning Physician Assistant 1724 W Union Ave Ste 100, Tacoma, WA 98405-2099 2017-02-23
1356609218 Rebecca Ann Sciandra Physician Assistant 9040a Jackson Ave Madigan Army Medical Center, Tacoma, WA 98431-7037 2012-04-30
1023392529 Kristie Michelle Mattern Physician Assistant 5427 S Birmingham St, Tacoma, WA 98409-5417 2011-10-03
1700100385 Colleen Anne Carette Physician Assistant 1500 N. Warner St., #1035, Tacoma, WA 98416-1035 2010-03-25
1114156411 Brett C Gendron Physician Assistant 9040 Reid Street, Dem, Tacoma, WA 98431-1100 2009-07-08
Find all providers in TACOMA

Competitor

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City TACOMA
Zip Code 98405

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Dataset Information

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.

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