MS. ANN MARGARET PUTMAN (NPI# 1396888715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396888715 |
| Entity Type | Individual |
| Full Name | MS. ANN MARGARET PUTMAN |
| Other Name | MS. ANN MARGARET KOEHLER PUTMAN & COUGHLIN |
| Credential | PAC |
| Practice Address |
518 E Clay Ave Chewelah WA 99109-8947 |
| Mailing Address |
518 E Clay Ave Po Box 198 Chewelah WA 99109-8947 |
| Practice Telephone | 5099358424 |
| Practice Fax Number | 5099358402 |
| Mailing Telephone | 5099358424 |
| Mailing Fax Number | 5099358402 |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA10004381 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8416125 | 05 | |
| WA | LABOR & INDUSTRIES ID # | 0194431 | 01 |
| Street Address |
518 E CLAY AVE |
| City | CHEWELAH |
| State | WA |
| Zip Code | 99109-8947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679537575 | New Health Programs Association | Clinic/Center | 518 E Clay Ave, Chewelah, WA 99109-8947 | 2006-04-17 |
| 1225659949 | Alexis Peters | Registered Nurse | 518 E Clay Ave, Chewelah, WA 99109-8947 | 2020-05-04 |
| 1386285054 | Thomas J Bell | Naturopath | 518 E Clay Ave, Chewelah, WA 99109-8947 | 2019-10-03 |
| 1235610403 | New Health Programs Association | Pharmacy | 518 E Clay Ave, Chewelah, WA 99109-8947 | 2018-08-27 |
| 1427328731 | John H Kabosky | Nurse Practitioner | 518 E Clay Ave, Chewelah, WA 99109-8947 | 2012-01-03 |
| 1063743243 | Aaric Ross | Pharmacist | 518 E Clay Ave, Chewelah, WA 99109-8947 | 2010-01-27 |
| 1124287859 | Liesl Pavlic | Internal Medicine | 518 E Clay Ave, Chewelah, WA 99109-8947 | 2008-06-06 |
| 1851518625 | Michael R Dunniway | Physician Assistant | 518 E Clay Ave, Chewelah, WA 99109-8947 | 2007-04-20 |
| 1477654416 | Maja Zugec | Family Medicine | 518 E Clay Ave, Chewelah, WA 99109-8947 | 2006-09-25 |
| 1821021478 | Ellen L Imsland | Nurse Practitioner | 518 E Clay Ave, Chewelah, WA 99109-8947 | 2006-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609322528 | Providence Health & Services | In Home Supportive Care | 110 S. Third Street E., Chewelah, WA 99109 | 2016-08-31 |
| 1639525157 | Shelley Gail Schreibman | Specialist | 101 N Park Street, Po, Chewelah, WA 99109 | 2016-05-13 |
| 1518361831 | David Stroyan | Pharmacist | 518 E Clay, New Health Programs, Chewelah, WA 99109 | 2014-10-15 |
| 1942554712 | Renee S Thompson | Psychologist | 208 E Clay St, Chewelah, WA 99109 | 2012-11-01 |
| 1356616759 | Paul Michael Cockerham | Physical Therapist | 101 N. Park St., Chewelah, WA 99109 | 2012-03-19 |
| 1669768479 | Lori S King | Veterinarian | 1505 N Pinebrook Dr, Chewelah, WA 99109 | 2011-06-21 |
| 1619268281 | Providence Physician Services Co | Family Medicine | 100 W. South Ave Chewelah, Chewelah, WA 99109 | 2011-04-29 |
| 1245557917 | Providence Physician Services Co | Obstetrics & Gynecology | 518 Clay Street, Chewelah, WA 99109 | 2010-04-21 |
| 1033340088 | Scott Anthony Lake | Dentist | 616 E Main, Chewelah, WA 99109 | 2009-08-06 |
| 1659560787 | Robin D Bowman | Counselor | 2264 C. Sand Canyon Road, Chewelah, WA 99109 | 2007-10-15 |
| Find all providers in zip 99109 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134317803 | Nellie Lucille Boone | Physician Assistant | 500 E Webster Ave, Chewelah, WA 99109-9523 | 2007-10-09 |
| 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 |
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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.