MARY VANORDEN (NPI# 1356742613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356742613 |
Entity Type | Individual |
Full Name | MARY VANORDEN |
Other Name | MARY KLASSEN |
Credential | CPT |
Practice Address |
1246 Yellowstone Ave Ste F2 Pocatello ID 83201-4372 |
Practice Telephone | 2089041270 |
Practice Fax Number | 2089041270 |
Mailing Telephone | 2089041270 |
Mailing Fax Number | 2089041270 |
Enumeration Date | 2014-09-05 |
Last Update Date | 2014-09-05 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 225200000X | Physical Therapy Assistant | PTA-368 | ID | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Y | 225500000X | Specialist/Technologist | T178488 | ID | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
1246 YELLOWSTONE AVE STE F2 |
City | POCATELLO |
State | ID |
Zip Code | 83201-4372 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235765330 | Timothy Palmer | Social Worker | 400 S 11th Ave, Ste 204, Pocatello, ID 83201 | 2020-03-20 |
1225687759 | Hanna Percy | Nurse Practitioner | 1151 Hospital Way Ste 201, Pocatello, ID 83201 | 2019-09-07 |
1659935195 | Carol Jane Dillon | Counselor | 707 North 7th Avenue, Suite D, Pocatello, ID 83201 | 2019-04-30 |
1154801595 | Mv Pocatello Ent, LLC | Otolaryngology | 333 N 18th Ave Ste B3, Pocatello, ID 83201 | 2018-08-15 |
1306344346 | Ruth Anne Patton | Social Worker | 850 E Young St, Pocatello, ID 83201 | 2018-01-24 |
1598289274 | Lucas Alexander Bryan | Specialist/Technologist | 1535 E Terry St, Pocatello, ID 83201 | 2017-08-03 |
1205365632 | Geno Alan Giovanini | Denturist | 115 S. 15th Ave. Ste. D, Pocatello, ID 83201 | 2017-06-08 |
1518415942 | Kelli Fries-geslin | Nurse Practitioner | 500 South 11 Ave Suite 400, Pocatello, ID 83201 | 2016-09-14 |
1346797842 | Shailyn Jenkins | Specialist/Technologist | 665 Warren Ave., Pocatello, ID 83201 | 2016-09-01 |
1992258149 | Christopher Jared White | Social Worker | 300 N 7th Ave, Pocatello, ID 83201 | 2016-07-24 |
Find all providers in zip 83201 |
Taxonomy Code | 225500000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Specialist/Technologist |
General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447581665 | Tammy M Marr | Specialist/Technologist | 341 N. 4th Ave W., Middleton, ID 83644 | 2010-01-28 |
1063455608 | Lisa Marie Roper | Specialist/Technologist | 1900 W Pine Ave, Meridian, ID 83642-1961 | 2006-06-13 |
1902416753 | Rose Marie Brown | Specialist/Technologist | 3067 E Copper Point Dr, Meridian, ID 83642-1740 | 2020-08-06 |
1497365266 | Christian Mccord | Specialist/Technologist | 3067 E Copper Point Dr, Meridian, ID 83642-1740 | 2020-08-05 |
1457961229 | James Mccord | Specialist/Technologist | 3067 E Copper Point Dr, Meridian, ID 83642-1740 | 2020-08-05 |
1831755925 | Justin Law | Specialist/Technologist | 500 W Fort St, Boise, ID 83702-4501 | 2019-05-14 |
1447636998 | Michael William Stanton | Specialist/Technologist | 500 W Fort St, Boise, ID 83702-4501 | 2015-08-07 |
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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.