SUKANYA KANTHAWATANA (NPI# 1447250741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447250741 |
| Entity Type | Individual |
| Full Name | SUKANYA KANTHAWATANA |
| Credential | MD |
| Practice Address |
703 Lilly Rd Ne Suite 103 Olympia WA 98506-5191 |
| Mailing Address |
304 W Bay Dr Nw Ste 301 Olympia WA 98502-4958 |
| Practice Telephone | 3604138760 |
| Practice Fax Number | 3604138839 |
| Mailing Telephone | 3604138760 |
| Mailing Fax Number | 3604138839 |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2013-10-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | MD00037188 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | MEDICARE | GAB20352 | 01 |
| WA | 8240210 | 05 |
| Street Address |
703 LILLY RD NE SUITE 103 |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98506-5191 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801373683 | South Sound Family Dentistry | Clinic/Center | 703 Lilly Rd Ne, Olympia, WA 98506-5191 | 2018-07-24 |
| 1194198614 | Watershed Wellness LLC | Acupuncturist | 703 Lilly Rd Ne, Ste 102, Olympia, WA 98506-5191 | 2015-11-05 |
| 1790077345 | Lynn M Okita Arnp Pllc | Nurse Practitioner | 703 Lilly Rd Ne, Suite 101, Olympia, WA 98506-5191 | 2011-05-13 |
| 1053641183 | Mount Rainier Urology, Inc, Ps | Urology | 703 Lilly Rd Ne, Suite 106, Olympia, WA 98506-5191 | 2010-01-13 |
| 1891934378 | Performance Modalities Inc. | Durable Medical Equipment & Medical Supplies | 703 Lilly Rd Ne, Suite 101, Olympia, WA 98506-5191 | 2009-02-06 |
| 1861527525 | Terri L Fox | Dietitian, Registered | 703 Lilly Rd Ne, Suite E, Olympia, WA 98506-5191 | 2007-02-22 |
| 1124020110 | Simon P Zadina | Urology | 703 Lilly Rd Ne, Suite 106, Olympia, WA 98506-5191 | 2005-08-10 |
| 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 | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801953559 | Albert Yi Tsien | Allergy & Immunology | 700 Lilly Rd Ne, Olympia, WA 98506-5115 | 2007-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306265483 | Rayna Doll | Allergy & Immunology | 508 W 6th Ave Ste 700, Spokane, WA 99204-2730 | 2014-04-15 |
| 1902168107 | Andrew R Parker | Allergy & Immunology | 3015 Squalicum Pkwy Ste 180, Bellingham, WA 98225-1946 | 2012-06-13 |
| 1548571284 | Jennifer Ann Regan | Allergy & Immunology | 1740 Nw Maple St Ste 211, Issaquah, WA 98027-8127 | 2010-06-28 |
| 1144547662 | John Sherman Hardy Jr. | Allergy & Immunology | 7153 Seawitch Ln Nw, Seabeck, WA 98380-9593 | 2010-04-23 |
| 1841429743 | Advanced Allergy and Asthma, Pllc | Allergy & Immunology | 2430 Nw Myhre Rd Ste 101, Silverdale, WA 98383-7669 | 2009-07-13 |
| 1104081314 | Ronald L. Case | Allergy & Immunology | 4705 8th Avenue N.e., Lacey, WA 98516-6301 | 2008-07-28 |
| 1033234075 | Yakima Allergy & Longevity Clinic | Allergy & Immunology | 302 S 12th Ave, Yakima, WA 98902 | 2007-03-20 |
| 1912048745 | Allergy & Asthma Center of Sw Washington LLC | Allergy & Immunology | 1406 Se 164th Ave Ste 250, Vancouver, WA 98683-9663 | 2007-02-12 |
| 1255406617 | Northwest Asthma & Allergy Center | Allergy & Immunology | 1801 E Division St, Mount Vernon, WA 98274-4632 | 2006-11-21 |
| 1063581775 | Terance R Kordash | Allergy & Immunology | 6312 E Jamieson Rd, Spokane, WA 99223 | 2006-11-07 |
| 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.