MR. LANCE JOHN MAYFIELD (NPI# 1376529644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376529644 |
| Entity Type | Individual |
| Full Name | MR. LANCE JOHN MAYFIELD |
| Credential | PHYSICIAN ASSISTANT |
| Practice Address |
1 Ediz Hook U.S. Coast Guard Clinic Port Angeles WA 98362-2201 |
| Mailing Address |
1113 Craig St Port Angeles WA 98362-2720 |
| Practice Telephone | 3604175891 |
| Practice Fax Number | 3604175988 |
| Mailing Telephone | 3604170695 |
| Mailing Fax Number | 3604175899 |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2007-07-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA10004207 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1 EDIZ HOOK U.S. COAST GUARD CLINIC |
| City | PORT ANGELES |
| State | WA |
| Zip Code | 98362-2201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023363892 | Samantha Jane Martinez | Emergency Medical Technician, Basic | 1 Ediz Hook, Uscg Sfo Clinic, Port Angeles, WA 98362-2201 | 2012-07-18 |
| 1154552024 | William Joesel | Military Health Care Provider | 1 Ediz Hook, Port Angeles, WA 98362-2201 | 2009-07-27 |
| 1083861413 | Rebecca Perron | Technician, Other | 1 Ediz Hook, Port Angeles, WA 98362-2201 | 2008-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831735778 | Jayme Marie Williams | Technician | 518 S. Liberty St., Port Angeles, WA 98362 | 2019-11-26 |
| 1780229559 | Barbara Amsler Nutrition, Pllc | Dietitian, Registered | 320 E. 5th St., Port Angeles, WA 98362 | 2019-11-15 |
| 1902315005 | Barbara Amsler | Nutritionist | 116 S. Ennis St, Port Angeles, WA 98362 | 2017-09-21 |
| 1134659667 | Janet Li Hanson | Registered Nurse | 532 South Alder Lane, Port Angeles, WA 98362 | 2017-06-18 |
| 1790220192 | Monica Kay Henry | Massage Therapist | 102 1/2 East 1st Street Suite #7, Port Angeles, WA 98362 | 2016-12-21 |
| 1124491725 | Gabrielle Carter | Naturopath | 1126 Columbia St, Port Angeles, WA 98362 | 2015-11-04 |
| 1912301185 | Danya Lyn Davis | Massage Therapist | 106 W. Lauridsen Blvd., Port Angeles, WA 98362 | 2014-10-17 |
| 1528470861 | Richard Dean Thorson | Orthopaedic Surgery | 719 S. Laurel St, Olympic Chiropractic, Port Angels, WA 98362 | 2014-05-21 |
| 1780001743 | Dr Adam Cramer Pllc | Clinic/Center | 104 W. 3rd St, Port Angeles, WA 98362 | 2014-03-27 |
| 1588089189 | Melanie Mccaughan | Counselor | 933 E First St, Port Angeles, WA 98362 | 2014-02-19 |
| Find all providers in zip 98362 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023326386 | Matthew Thomas James | Physician Assistant | 234511 Hwy 101 West, Port Angeles, WA 98363-2412 | 2010-09-21 |
| 1538415302 | Maia R Gala | Physician Assistant | 433 E 8th St, Port Angeles, WA 98362-6219 | 2012-07-31 |
| 1467591883 | Bradley Mark Krall | Physician Assistant | 433 E 8th St, Port Angeles, WA 98362 | 2007-02-05 |
| 1386651420 | Marilyn V. Stucker | Physician Assistant | 240 W Front St Ste A, Port Angeles, WA 98362-2609 | 2006-08-02 |
| 1407871718 | Connie M Walker | Physician Assistant | 433 E 8th St, Port Angeles, WA 98362-6219 | 2006-07-13 |
| 1245209311 | Deborah J Turner | Physician Assistant | 939 Caroline St, Port Angeles, WA 98362-3909 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033735618 | Gavin Guard | Physician Assistant | 818 Mullis St Ste 6, Friday Harbor, WA 98250-7986 | 2020-06-19 |
| 1578110862 | Kaitlin E. Brotman | Physician Assistant | 315 Holton Ave Ste 100, Yakima, WA 98902-3245 | 2019-08-21 |
| 1700345196 | Kara Lynn Kime | Physician Assistant | 1200 Cooper Point Rd Sw Ste 100, Olympia, WA 98502-1172 | 2019-03-15 |
| 1679056824 | Katharine Loco-marshall | Physician Assistant | 4816 She-nah-num Drive, Olympia, WA 98513 | 2018-09-13 |
| 1841791274 | Sjs, Pllc | Physician Assistant | 900 Ocean Beach Hwy Ste B, Longview, WA 98632-4013 | 2018-02-21 |
| 1063928448 | Heidi April | Physician Assistant | 1410 N Pittsburgh St, Building A, Kennewick, WA 99336-8211 | 2017-12-20 |
| 1194251983 | Christopher Joseph Stanley | Physician Assistant | 1010 Ne Lilac St Apt 301, Issaquah, WA 98029-7878 | 2017-05-11 |
| 1366993362 | Vanessa Julie Iglesias Mehta | Physician Assistant | 5128 Yelm Hwy Se, Suite E, Lacey, WA 98503 | 2016-10-14 |
| 1801344601 | Jessica Ann Pettitt | Physician Assistant | 21200 Ne 190th Ct, Battle Ground, WA 98604-9636 | 2016-09-21 |
| 1407300098 | Joshua David Evans | Physician Assistant | 9040 Jackson Ave Mchj Clq C, Tacoma, WA 98431-1100 | 2016-08-11 |
| Find all providers with the same taxonomy | ||||
| City | PORT ANGELES |
| Zip Code | 98362 |
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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.