JEROD STANLEY (NPI# 1356758668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356758668 |
| Entity Type | Individual |
| Full Name | JEROD STANLEY |
| Credential | DPM |
| Practice Address |
3525 Ensign Rd Ne Ste N Olympia WA 98506-5065 |
| Practice Telephone | 3609439600 |
| Practice Fax Number | 3609439694 |
| Mailing Telephone | 3609439600 |
| Mailing Fax Number | 3609439694 |
| Enumeration Date | 2014-07-18 |
| Last Update Date | 2019-04-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
PO60750804 | WA | Podiatric Medicine & Surgery Service Providers |
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
PO60750804 | WA | Podiatric Medicine & Surgery Service Providers |
| Street Address |
3525 ENSIGN RD NE STE N |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98506-5065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518281930 | Marjorie Elizabeth Miller | Nurse Practitioner | 3525 Ensign Rd Ne Ste N, Olympia, WA 98506-5065 | 2010-03-15 |
| 1558897942 | Stanley & Utterback | Podiatrist | 3525 Ensign Rd Ne Ste N, Olympia, WA 98506-5065 | 2017-05-04 |
| 1831599521 | Aaron Utterback | Podiatrist | 3525 Ensign Rd Ne Ste N, Olympia, WA 98506-5065 | 2014-08-29 |
| 1508136714 | Louise Boxill | Naturopath | 3525 Ensign Rd Ne Ste N, Olympia, WA 98506-5065 | 2012-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477185460 | Chloe Harper | Technician, Other | 3443 Lilly Rd Se, Ste B, Olympia, WA 98506 | 2020-02-07 |
| 1912543539 | Jessica Marie Radakovich | Licensed Practical Nurse | 3426 Mary Elder Rd, Olympia, WA 98506 | 2019-11-19 |
| 1669014973 | Arlene Josephine Adams | Registered Nurse | 413 Lily Rd Ne, Olympia, WA 98506 | 2019-10-09 |
| 1861999120 | Debra Delores Barker | Licensed Practical Nurse | 3710 South Bay Rd Ne, Olympia, WA 98506 | 2018-04-12 |
| 1801304431 | Michelle Warner | Nurse Practitioner | 205 Lilly Rd Ne Ste A1, Olympia, WA 98506 | 2018-01-17 |
| 1396258364 | Institute for Family Development | Community/Behavioral Health | 204 Quince St. Ne, Suite 200, Olympia, WA 98506 | 2017-11-13 |
| 1083137715 | Cameron Kunkel | Specialist/Technologist | 2512 20th Ave Ne, Olympia, WA 98506 | 2017-07-25 |
| 1184144768 | Trevor Shane Kwan | Family Medicine | 525 Lilly Road Ne, Olympia, WA 98506 | 2017-06-23 |
| 1073043212 | Michael H Harburg | Behavior Technician | 3857 Martin Way Ne, Olympia, WA 98506 | 2017-06-19 |
| 1780114371 | Priscilla Kangyang Jadu | Counselor | 3857 Martin Way E., Olympia, WA 98506 | 2017-06-15 |
| Find all providers in zip 98506 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679025902 | Fasa Family Wellness, Pllc | Podiatrist | 2964 Limited Ln Nw, Suite B, Olympia, WA 98502-4577 | 2016-11-03 |
| 1750625919 | Mark D Hopkins | Podiatrist | 3525 Ensign Rd Ne Ste L, Olympia, WA 98506 | 2012-11-12 |
| 1720315518 | James A Wright Dpm Pllc | Podiatrist | 2964 Limited Lane Nw #b, Olympia, WA 98502-4577 | 2009-11-16 |
| 1528087293 | Mark K Williams | Podiatrist | 165 Lilly Rd Ne Ste A, Olympia, WA 98506-5028 | 2006-07-19 |
| 1699732693 | Molina Kaur Kochhar | Podiatrist | 520 Lilly Rd Ne Bldg 1, Olympia, WA 98506-5255 | 2006-04-26 |
| 1144706763 | M Hopkins Dpm Ps | Podiatrist | 3525 Ensign Rd Ne Ste L, Olympia, WA 98506-5065 | 2018-07-17 |
| 1750775037 | Kelley A. Gillroy-gill | Podiatrist | 165 Lilly Rd Ne, Olympia, WA 98506-5086 | 2015-03-24 |
| 1477574861 | Richard Edward Horsman | Podiatrist | 3525 Ensign Rd Ne, Suite L, Olympia, WA 98506-5065 | 2006-07-21 |
| 1114944865 | S Sound Foot & Ankle Inc Ps | Podiatrist | 3525 Ensign Rd Ne, Suite L, Olympia, WA 98506-5065 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598392599 | Northern Cascades Foot and Ankle, LLC | Podiatrist | 532 E. Woodin Ave, Chelan, WA 98816-1852 | 2020-03-27 |
| 1801433784 | South Hill Foot & Ankle Clinic Ps | Podiatrist | 3707 S Grand Blvd Ste A, Spokane, WA 99203-2762 | 2019-12-10 |
| 1356899363 | Emily Wagler | Podiatrist | 34509 9th Ave S Ste 303, Federal Way, WA 98003-8709 | 2016-09-19 |
| 1821546540 | Ata Podiatric and Integrative Medicine, Pllc | Podiatrist | 1950 Alaskan Way, Apt 526, Seattle, WA 98101-1075 | 2016-09-12 |
| 1376998179 | Hyowon Choi | Podiatrist | 2075 Barkley Blvd Ste 220, Bellingham, WA 98226 | 2016-04-28 |
| 1407210479 | Philip Matthew Woods | Podiatrist | 1812 N 13th Loop Rd # 1, Shelton, WA 98584-2169 | 2016-04-06 |
| 1063897916 | Yan Rong Cullen | Podiatrist | 13030 121st Way Ne Ste 204, Kirkland, WA 98034-3008 | 2015-07-21 |
| 1972982023 | Brittany Lynn Logan | Podiatrist | 10049 Kitsap Mall Blvd Nw Ste 109, Silverdale, WA 98383-8901 | 2015-05-21 |
| 1093194425 | Silas Klaver | Podiatrist | 1607 Creekside Loop Ste 140, Yakima, WA 98902 | 2015-05-18 |
| 1215322532 | Midori Higashi | Podiatrist | 515 Minor Ave Ste 200, Seattle, WA 98104 | 2015-04-02 |
| Find all providers with the same taxonomy | ||||
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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.