PETER EISENFELD (NPI# 1396785465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396785465 |
| Entity Type | Individual |
| Full Name | PETER EISENFELD |
| Credential | M.D. |
| Practice Address |
700 Ne 87th Ave Vancouver WA 98664-1913 |
| Practice Telephone | 3602541240 |
| Practice Fax Number | 3603973128 |
| Mailing Telephone | 3602541240 |
| Mailing Fax Number | 3603973128 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2007-12-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MD00019020 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1787902 | 05 |
| Street Address |
700 NE 87TH AVE |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98664-1913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447255112 | Lewis Mark Steinberg | Internal Medicine | 700 Ne 87th Ave, Vancouver, WA 98664-1913 | 2005-06-17 |
| 1598398141 | Blakely Garrity | Physician Assistant | 700 Ne 87th Ave, Vancouver, WA 98664-4896 | 2020-02-21 |
| 1851958797 | Rosa Pham | Nurse Practitioner | 700 Ne 87th Ave, Vancouver, WA 98664-1913 | 2019-05-28 |
| 1902368319 | Alexandria Eunsong Yeo | Nurse Practitioner | 700 Ne 87th Ave, Vancouver, WA 98664-4896 | 2019-04-03 |
| 1568961100 | Jill Renee Bradley | Nurse Practitioner | 700 Ne 87th Ave, Vancouver, WA 98664-4896 | 2018-02-09 |
| 1245757939 | Matthew Elamparo | Pharmacist | 700 Ne 87th Ave, Vancouver, WA 98664-1913 | 2017-08-24 |
| 1174051023 | Fred Meyer Stores Inc | Durable Medical Equipment & Medical Supplies | 700 Ne 87th Ave, Suite 180, Vancouver, WA 98664-1913 | 2017-05-23 |
| 1952833741 | Jeanne Lothrop Gurney | Nurse Practitioner | 700 Ne 87th Ave, Vancouver, WA 98664-1913 | 2017-03-30 |
| 1730639626 | Cameron M Schmidt | Physician Assistant | 700 Ne 87th Ave, Vancouver, WA 98664-1913 | 2016-10-04 |
| 1164971610 | David C Turro Jr. | Physician Assistant | 700 Ne 87th Ave, Suite 140, Vancouver, WA 98664-1913 | 2016-09-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285249938 | Angelica Maria Parle-fresquez | Speech-Language Pathologist | Early Childhood Assessment Center - Lieser School, 301 S. Lieser Rd, Vancouver, WA 98664 | 2020-09-10 |
| 1467923441 | Elizabeth Steen | Counselor | 230 E. State St., Mossyrock, WA 98664 | 2018-12-17 |
| 1497241657 | Chelsey Nicole Parker | Peer Specialist | 9815 Ne 3rd St, Vancouver, WA 98664 | 2018-07-10 |
| 1881145431 | Brent Homan | Occupational Therapist | 807 Se Morgan Rd., Vancouver, WA 98664 | 2016-10-19 |
| 1114474277 | Rebecca Marie Stefan | Nurse's Aide | 10025 Ne 19th St, Vancouver, WA 98664 | 2016-09-07 |
| 1528454105 | Alicia Ford | Dietitian, Registered | 700 Ne 87th Ave Ste 280, Vancouver, WA 98664 | 2015-04-10 |
| 1033504261 | Reid Roberts Bennett | Anesthesiology | 505 Ne 87th Ave Ste 210, Vancouver, WA 98664 | 2015-04-03 |
| 1235550856 | Nikolay Nikolaevich Chernukhin Jr. | Chiropractor | 221-a Ne 104th Ave, Suite 205, Vancouver, WA 98664 | 2013-12-27 |
| 1013278712 | Serena Harker | Physical Therapy Assistant | 221a Ne 104th Ave, Suite #205, Vancouver, WA 98664 | 2012-05-30 |
| 1295091080 | Rebeca C Johnson | Massage Therapist | 11015 Ne 4th Plain Suite B, Vancouver, WA 98664 | 2012-04-05 |
| Find all providers in zip 98664 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710490545 | Jessica Lynn Jacoby | Pediatrics | 2404 Ne 187th Pl, Vancouver, WA 98684-6448 | 2017-11-15 |
| 1891215109 | Khalid Taha | Pediatrics | 4480 Oak Street, K4-151, Bc Children's Hospital, Vancouver, BRITISH COLUMBIA V6H 3V4 | 2017-06-27 |
| 1265798821 | Paul Joshua Goodwin | Pediatrics | 505 Ne 87th Ave Ste 120, Evergreen Pediatrics Clinic, Vancouver, WA 98664-1965 | 2012-04-09 |
| 1265722342 | Calvin Clayton Clark | Pediatrics | 6701 Se Evergreen Hwy, Vancouver, WA 98661 | 2011-04-11 |
| 1598977209 | Jason Daniel Wister | Pediatrics | 400 Northeast Mother Joseph Place, Vancouver, WA 98664 | 2007-05-04 |
| 1578589784 | Stacy Lynn Drasen | Pediatrics | 501 Se 172nd Ave Ste 150, Vancouver, WA 98684-9542 | 2006-07-14 |
| 1194704445 | Jean Marie Haggerty | Pediatrics | 7101 Ne 137th Ave Ofc, Vancouver, WA 98682-4933 | 2006-01-14 |
| 1104177450 | Megan M Klenow | Pediatrics | 2211 Ne 139th St, Vancouver, WA 98686-2742 | 2012-09-26 |
| 1043536980 | Jing Jing Wang | Pediatrics | 700 Ne 87th Ave, Vancouver, WA 98664-1913 | 2010-04-16 |
| 1396931523 | Lijuan Leslie Yu | Pediatrics | 11719 Ne 95th St, #f, Vancouver, WA 98682-2444 | 2007-09-21 |
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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.