MAN ALIVE, LLC (NPI# 1437530185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437530185 |
| Entity Type | Organization |
| Organization Name | MAN ALIVE, LLC |
| Practice Address |
9430 Ne Vancouver Mall Dr Vancouver WA 98662-6172 |
| Practice Telephone | 3602536947 |
| Mailing Telephone | 3609845806 |
| Mailing Fax Number | 3609845994 |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2016-02-01 |
| Authorized Official Name | DEAN BARRUS (OWNER) |
| Authorized Official Telephone | 3609845806 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | MD00043839 | WA | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | MAN ALIVE, LLC | 9430 Ne Vancouver Mall Dr, Vancouver, WA 98662-6172 |
| Street Address |
9430 NE VANCOUVER MALL DR |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98662-6172 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316928765 | Michael Kent Mcquivey | Physical Therapist | 9430 Ne Vancouver Mall Dr, Vancouver, WA 98662-6172 | 2005-11-10 |
| 1912505892 | Tyler Erickson | Physical Therapist | 9430 Ne Vancouver Mall Dr, Vancouver, WA 98662-6172 | 2020-10-13 |
| 1710590633 | Alexa Jordan Burwell | Physical Therapist | 9430 Ne Vancouver Mall Dr, Vancouver, WA 98662-6172 | 2020-08-29 |
| 1396397261 | Khanh-uyen Tina Huu Nguyen | Family Medicine | 9430 Ne Vancouver Mall Dr, Vancouver, WA 98662-6172 | 2019-07-11 |
| 1689073348 | Elnathan Eldredge | Physical Therapist | 9430 Ne Vancouver Mall Dr, Vancouver, WA 98662-6172 | 2014-08-19 |
| 1982033171 | Bryan Thomas Rhoads | Physician Assistant | 9430 Ne Vancouver Mall Dr, Vancouver, WA 98662-6172 | 2013-11-07 |
| 1639479413 | Crystal Lynn Monaghan | Massage Therapist | 9430 Ne Vancouver Mall Dr, Vancouver, WA 98662-6172 | 2010-10-27 |
| 1598977746 | Richard Allen Enders Jr. | Physician Assistant | 9430 Ne Vancouver Mall Dr, Vancouver, WA 98662-6172 | 2007-05-03 |
| 1528109337 | Vancouver Rehabilitation and Therapy Clinic P.s. | Physical Therapist | 9430 Ne Vancouver Mall Dr, Vancouver, WA 98662-6172 | 2007-02-12 |
| 1740321553 | Urgent Medical Center Ps | Family Medicine | 9430 Ne Vancouver Mall Dr, Vancouver, WA 98662-6172 | 2007-02-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861024911 | Hillary Ann Devore | Behavior Technician | 9414 Ne Fouth Plain Road, Vancouver, WA 98662 | 2020-02-06 |
| 1073091781 | Jessica Edit Villasenor | Social Worker | 9800 Ne Oakview Dr, Vancouver, WA 98662 | 2018-08-03 |
| 1568991123 | Preferred Rx Pharmacy Inc | Pharmacy | 10303 Ne Fourth Plain Blvd Ste 109, Vancouver, WA 98662 | 2017-06-07 |
| 1982058814 | Nw Interventional Medicine and Orthopedic Rehab Pllc | Physician Assistant | 11802 Ne 65th St., Vancouver, WA 98662 | 2016-04-18 |
| 1942685664 | Silpa Nekkalapudi | Dentist | 11504 Ne 119th St, Suite 100, Vancouver, WA 98662 | 2015-07-23 |
| 1528468261 | Lidiya Chepa | Pharmacist | 14505 Ne Fourth Plain Boulevard, Vancouver, WA 98662 | 2014-08-29 |
| 1962827030 | Vanessa Wulff | Chiropractor | 6405 Ne 116th Ave Ste 106, Vancouver, WA 98662 | 2014-02-26 |
| 1326484080 | Precious Jewel Adult Family Home | Custodial Care Facility | 9707 Ne 115th Ct, Vancouver, WA 98662 | 2013-05-21 |
| 1457698466 | Elise C Jones | Counselor | 4400 Ne 77th Ave., Suite 275, Vancouver, WA 98662 | 2013-01-10 |
| 1396096103 | At Home Sleep Solutions | Clinic/Center | 9330 Ne Vancouver Mall Dr., Suite 202, Vancouver, WA 98662 | 2012-09-20 |
| Find all providers in zip 98662 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386039550 | Sean Vikram Bhatia | Internal Medicine | Kaiser Salmon Creek, 14406 Ne 20th Ave, Vancouver, WA 98686 | 2015-04-03 |
| 1609215987 | Sonam Ravindra Kiwalkar | Internal Medicine | 700 Ne 87th Ave Ste 330, Vancouver, WA 98664-4896 | 2013-06-19 |
| 1205279585 | Marla Mcknight | Internal Medicine | St. Paul's Hospital, 1081 Burrard Street, Vancouver, BRITISH COLUMBIA V6Z1Y6 | 2013-04-16 |
| 1245577675 | John Adam Staples | Internal Medicine | 1081 Burrard St, Room 5910b, Vancouver, BC V6Z1Y6 | 2013-01-04 |
| 1598051252 | Joshua Grant | Internal Medicine | 200 Ne Mother Joseph Pl Ste 400, Vancouver, WA 98664-3290 | 2011-06-21 |
| 1235422023 | Gurleen Dhami | Internal Medicine | 8821 Ne 5th St, Vancouver, WA 98664 | 2011-05-26 |
| 1487810073 | Charul Sen | Internal Medicine | 2101 Ne 139th St Ste 460, Vancouver, WA 98686-2325 | 2008-08-02 |
| 1730351529 | Troy Harris Dillard | Internal Medicine | 2312 Ne 129th St Ste 120, Vancouver, WA 98686-3236 | 2008-04-01 |
| 1538381884 | Vancouver Primary Care Ps | Internal Medicine | 11719 Ne 95th St, Suite F, Vancouver, WA 98682-2444 | 2007-05-03 |
| 1821115064 | Elaheh N. Tehranchi | Internal Medicine | 2525 Ne 139th St Ste 230, Vancouver, WA 98686 | 2007-03-23 |
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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.