NOLAN DERR (NPI# 1447782933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447782933 |
| Entity Type | Individual |
| Full Name | NOLAN DERR |
| Credential | MD |
| Practice Address |
1119 Highland Ave Clarkston WA 99403-2836 |
| Mailing Address |
1119 Highland Ave Ste 4 Clarkston WA 99403-2836 |
| Practice Telephone | 5092542722 |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2020-05-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 1447782933 | OH | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3535 Southern Blvd, Kettering, OH 454291221 | 9373846800 | 9373846938 |
| Street Address |
1119 HIGHLAND AVE |
| City | CLARKSTON |
| State | WA |
| Zip Code | 99403-2836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851369227 | Yellow Rock Clinic Pllc | Family Medicine | 1119 Highland Ave, Suite 3, Clarkston, WA 99403-2836 | 2006-03-10 |
| 1861740300 | Carson Douglas Seeber | Family Medicine | 1119 Highland Ave, Suite A, Clarkston, WA 99403-2836 | 2012-08-15 |
| 1376866590 | Donald Anthony Norman | Obstetrics & Gynecology | 1119 Highland Ave, Suite 6, Clarkston, WA 99403-2836 | 2010-03-02 |
| 1588992721 | Lewis Clark Oral Surgery | Clinic/Center | 1119 Highland Ave, Number 6, Clarkston, WA 99403-2836 | 2009-11-30 |
| 1740479914 | Lewiston-clarkston Oral & Max. Surg. PC | Dentist | 1119 Highland Ave, Suite 6, Clarkston, WA 99403-2836 | 2007-10-23 |
| 1073697512 | Tri-state S.p.o.r.t. Physical Therapy Clinic | Clinic/Center | 1119 Highland Ave, Ste 2, Clarkston, WA 99403-2836 | 2006-10-24 |
| 1285645630 | Jose Y Garcia Jr. | Internal Medicine | 1119 Highland Ave, Suite 5, Clarkston, WA 99403-2836 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306409669 | Jessica Elaine Krull | Specialist/Technologist | 807 3rd Street, Clarkston, WA 99403 | 2019-04-22 |
| 1477006526 | Idaho County Rideshare | Non-emergency Medical Transport (VAN) | 1470 Elm Street, Clarkston, WA 99403 | 2016-07-25 |
| 1679921340 | Jonathan Preszler | Counselor | 629 6th Street, Educational and Psychological Services, Clarkston, WA 99403 | 2016-06-02 |
| 1104204957 | Optimal Health and Wellness | Clinic/Center | 1267 Belmont Way, Clarkston, WA 99403 | 2015-05-13 |
| 1326456351 | David Nygren | Pharmacist | 506 5th St, Clarkston, WA 99403 | 2014-07-22 |
| 1255672895 | Alpowa Healthcare, Inc. | Hospice Care, Community Based | 1370 Bridge Street, Clarkston, WA 99403 | 2013-03-06 |
| 1265799407 | Elizabeth Bagnulo Dacey | Pathology | 1225 Highland Avenue, Clarkston, WA 99403 | 2012-04-12 |
| 1649586256 | Zeeshan Afzal | Internal Medicine | 1119 Highland Ave Ste 3, Clarkston, WA 99403 | 2010-08-20 |
| 1154657955 | Twin River Vision, Inc. | Optometrist | 306 5th Street, Clarkston, WA 99403 | 2009-10-29 |
| 1649429317 | Elizabeth Marie Allen-racicot | Specialist | 1013 Bridge Street, Clarkston, WA 99403 | 2008-09-17 |
| Find all providers in zip 99403 | ||||
| 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 |
|---|---|---|---|---|
| 1134562549 | Ramy Mansour | Internal Medicine | 5701 Bow Pointe Dr Ste 370, Clarkston, MI 48346-5403 | 2013-04-16 |
| 1962744599 | Vincenzo Guglielmetti Md P C | Internal Medicine | 8031 Ortonville Rd, Suite 130, Clarkston, MI 48348-4484 | 2013-03-21 |
| 1437418829 | Sean R Lindsey | Internal Medicine | 4122 E Ponce De Leon Ave Ste 5, Clarkston, GA 30021-1838 | 2012-05-07 |
| 1649586256 | Zeeshan Afzal | Internal Medicine | 1119 Highland Ave Ste 3, Clarkston, WA 99403 | 2010-08-20 |
| 1083858856 | Steven Allan Sumner | Internal Medicine | 3996 E Ponce De Leon Ave, Clarkston, GA 30021-1814 | 2009-04-23 |
| 1417085085 | Clarkston Internal Medicine, P.C. | Internal Medicine | 7188 N Main St, Clarkston, MI 48346-1571 | 2007-03-02 |
| 1801959168 | Anthony Aenlle Md PC | Internal Medicine | 6815 Dixie Highway, Clarkston, MI 48346 | 2006-12-18 |
| 1336194117 | Tarlika Chirpriya Dhabuwala | Internal Medicine | 5790 South Main Street, Ste J, Clarkston, MI 48346 | 2006-05-23 |
| 1598733693 | Narin Tanir-avci | Internal Medicine | 5905 S Main St, Suite 2, Clarkston, MI 48346-2990 | 2006-03-14 |
| 1689641664 | Abdallah M. Rizk | Internal Medicine | 6815 Dixie Hwy, Suite 1, Clarkston, MI 48346-2092 | 2006-03-08 |
| Find all providers in CLARKSTON | ||||
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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.