JOHNATHAN R PERRY (NPI# 1467433706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467433706 |
| Entity Type | Individual |
| Full Name | JOHNATHAN R PERRY |
| Credential | MD |
| Practice Address |
6703 W Rio Grande Ave Kennewick WA 99336-2623 |
| Practice Telephone | 5094605588 |
| Practice Fax Number | 5097835438 |
| Mailing Telephone | 5094605588 |
| Mailing Fax Number | 5097835438 |
| Enumeration Date | 2005-11-11 |
| Last Update Date | 2019-07-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | MD00034127 | WA | Allopathic & Osteopathic Physicians |
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
MD00034127 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8403784 | 05 | |
| WA | RR MEDICARE | P00815483 | 01 |
| LABOR & INDUSTRIES | 246488 | 01 |
| Street Address |
6703 W RIO GRANDE AVE |
| City | KENNEWICK |
| State | WA |
| Zip Code | 99336-2623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578101374 | Jessica Justo Alvarez | Physician Assistant | 6703 W Rio Grande Ave, Kennewick, WA 99336-2623 | 2019-12-12 |
| 1235637208 | Earlein Smith | Registered Nurse | 6703 W Rio Grande Ave, Kennewick, WA 99336-2623 | 2018-01-24 |
| 1851826408 | Jason E Higgs | Physician Assistant | 6703 W Rio Grande Ave, Kennewick, WA 99336-2623 | 2017-04-20 |
| 1962956185 | Ricardo Melendrez Jr. | Orthopaedic Surgery | 6703 W Rio Grande Ave, Kennewick, WA 99336-2623 | 2016-08-04 |
| 1205125945 | Judd R Fitzgerald | Orthopaedic Surgery | 6703 W Rio Grande Ave, Kennewick, WA 99336-2623 | 2011-04-04 |
| 1023314820 | Matthew Corey Woolf | Orthopaedic Surgery | 6703 W Rio Grande Ave, Kennewick, WA 99336-2623 | 2011-01-27 |
| 1073813424 | Richard L Withers | Orthopaedic Surgery | 6703 W Rio Grande Ave, Kennewick, WA 99336-2623 | 2010-11-01 |
| 1477862878 | Cameron Ritchie | Orthopaedic Surgery | 6703 W Rio Grande Ave, Kennewick, WA 99336-2623 | 2010-10-02 |
| 1598076622 | Tri-city Orthopaedic Clinic, Psc | Physical Therapist | 6703 W Rio Grande Ave, Kennewick, WA 99336-2623 | 2010-06-23 |
| 1275866139 | Julie Ann Israelsen | Orthopaedic Surgery | 6703 W Rio Grande Ave, Kennewick, WA 99336 | 2009-09-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497393888 | Kelsie D Parvinen | Massage Therapist | 8350 W. Grandridge Blvd, Suite 100, Kennewick, WA 99336 | 2019-12-16 |
| 1508403858 | New U Women's Clinic & Aesthetics Pllc | Nurse Practitioner | 35 S Louisiana St, Suite A120, Kennewick, WA 99336 | 2019-12-05 |
| 1457901944 | Solar Mobility LLC | Durable Medical Equipment & Medical Supplies | 949 S Keller St, Kennewick, WA 99336 | 2019-09-17 |
| 1023662590 | Shane Arthur Gulley | Counselor | 500 N. Morain St Suite 1250, Kennewick, WA 99336 | 2019-08-01 |
| 1063973873 | Farah Saleem | Student in an Organized Health Care Education/Training Program | 212 W. 10th Avenue,suite 202, Kennewick, WA 99336 | 2019-03-26 |
| 1255897690 | Thomas Stanley Mcgowan | Student in an Organized Health Care Education/Training Program | Tri-cities Cancer Center, 7350 W. Deschutes Ave, Building A, Kennewick, WA 99336 | 2019-02-11 |
| 1770068280 | Remedy Urgent Mobile Medicine Pllc | Nurse Practitioner | 3311 West Clearwater Avenue, Suite D210, Kennewick, WA 99336 | 2018-10-01 |
| 1740767011 | Zachary Wilber Fournier | Specialist/Technologist | Toyota Center - 7000 West Grandridge Blvd, Kennewick, WA 99336 | 2018-07-19 |
| 1649780693 | Alan Arnold Hanson | Chiropractor | 8350 W. Grandridge Blvd #100, Kennewick, WA 99336 | 2017-10-04 |
| 1922528827 | Sarah Nicole Childress | Counselor | 415 North Morain St, Kennewick, WA 99336 | 2017-06-21 |
| Find all providers in zip 99336 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548411341 | Joseph I Webb | Orthopaedic Surgery | 6703 Rio Grande Ave, Kennewick, WA 99336-2623 | 2008-10-10 |
| 1558308056 | Christopher Kontogianis | Orthopaedic Surgery | 711 S Auburn St, Kennewick, WA 99336-5665 | 2006-06-01 |
| 1124501358 | James R Hazel Md Pllc | Orthopaedic Surgery | 4309 W 27th Pl Ste 300, Kennewick, WA 99338-2909 | 2018-09-13 |
| 1962956185 | Ricardo Melendrez Jr. | Orthopaedic Surgery | 6703 W Rio Grande Ave, Kennewick, WA 99336-2623 | 2016-08-04 |
| 1407226590 | Tri City Orthopaedic Clinic, Psc | Orthopaedic Surgery | 6699 W Rio Grande Ave, Kennewick, WA 99336-3301 | 2015-10-01 |
| 1205125945 | Judd R Fitzgerald | Orthopaedic Surgery | 6703 W Rio Grande Ave, Kennewick, WA 99336-2623 | 2011-04-04 |
| 1023314820 | Matthew Corey Woolf | Orthopaedic Surgery | 6703 W Rio Grande Ave, Kennewick, WA 99336-2623 | 2011-01-27 |
| 1073813424 | Richard L Withers | Orthopaedic Surgery | 6703 W Rio Grande Ave, Kennewick, WA 99336-2623 | 2010-11-01 |
| 1477862878 | Cameron Ritchie | Orthopaedic Surgery | 6703 W Rio Grande Ave, Kennewick, WA 99336-2623 | 2010-10-02 |
| 1275866139 | Julie Ann Israelsen | Orthopaedic Surgery | 6703 W Rio Grande Ave, Kennewick, WA 99336 | 2009-09-10 |
| Find all providers in KENNEWICK | ||||
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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.