MR. NOSRAT AFLATOONI (NPI# 1508013764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508013764 |
| Entity Type | Individual |
| Full Name | MR. NOSRAT AFLATOONI |
| Credential | PA |
| Practice Address |
800 West Maple Street Medical Lake WA 99022-0800 |
| Practice Telephone | 5092993121 |
| Practice Fax Number | 5092997015 |
| Mailing Telephone | 5092993121 |
| Mailing Fax Number | 5092997015 |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2008-08-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA10001271 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
800 WEST MAPLE STREET |
| City | MEDICAL LAKE |
| State | WA |
| Zip Code | 99022-0800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437149440 | Imelda D. Goyanko-borrowmeo | Psychiatry & Neurology | 800 West Maple Street, Medical Lake, WA 99022-0800 | 2005-10-21 |
| 1316299381 | Sabrina Arnott Keckalo | Physician Assistant | 800 West Maple Street, Medical Lake, WA 99022-0800 | 2012-10-15 |
| 1912223454 | Robert Cory Fanto | Psychologist | 800 West Maple Street, Medical Lake, WA 99022-0800 | 2010-04-08 |
| 1184955874 | Sandra D Phillips | Dental Hygienist | 800 West Maple Street, Medical Lake, WA 99022-0800 | 2010-01-20 |
| 1275793671 | Miranda J Gordon | Occupational Therapist | 800 West Maple Street, Medical Lake, WA 99022-0800 | 2008-06-10 |
| 1043488570 | Michelle D Wellman | Occupational Therapy Assistant | 800 West Maple Street, Medical Lake, WA 99022-0800 | 2008-02-19 |
| 1689749277 | Timothy J Pinnell | Occupational Therapy Assistant | 800 West Maple Street, Medical Lake, WA 99022-0800 | 2006-11-21 |
| 1225107287 | Janice L Williams | Dental Hygienist | 800 West Maple Street, Medical Lake, WA 99022-0800 | 2006-11-06 |
| 1881763928 | Marcia L Ryan | Speech-Language Pathologist | 800 West Maple Street, Medical Lake, WA 99022-0800 | 2006-11-06 |
| 1679651970 | Eastern State Hospital Pharmacy | Psychiatric Hospital | 800 West Maple Street, Medical Lake, WA 99022-0800 | 2006-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417462227 | Alicia Burton Dds Pllc | Clinic/Center | 47 E. Wa 902, Medical Lake, WA 99022 | 2017-12-04 |
| 1487100038 | Tammy Lee Adler | Pharmacist | 1010 W Fir St, Medical Lake, WA 99022 | 2016-09-01 |
| 1902281959 | Carmen Joy Berg | Pharmacist | 2320 South Salnave Road, Medical Lake, WA 99022 | 2015-07-20 |
| 1033546288 | Torrance Whitney Baldwin | Speech-Language Pathologist | 116 West 3rd St., Medical Lake, WA 99022 | 2013-10-02 |
| 1144572710 | Keri Lea Wissink | Speech-Language Pathologist | 116 West Thrird Street, Medical Lake, WA 99022 | 2012-10-08 |
| 1609153766 | Dutton Veterinary Medicine Pllc | Special Hospital | 212 East Lake Street, Medical Lake, WA 99022 | 2011-11-03 |
| 1881912962 | Susan L Vanwormer | Counselor | 108 N. Jefferson, Medical Lake, WA 99022 | 2010-05-13 |
| 1467774232 | Ryan K Love | Dentist | N 123 Brower Street, Medical Lake, WA 99022 | 2010-02-22 |
| 1023263464 | Emily S Mildes | Nurse Practitioner | 1451 W Maple, Medical Lake, WA 99022 | 2008-11-26 |
| 1619005014 | Maria Lydia Montenegro | General Practice | 2320 Salnave Rd, Lakeland Village, Medical Lake, WA 99022 | 2007-02-28 |
| Find all providers in zip 99022 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245281534 | Barbara R Tritt | Physician Assistant | 317 N Broad St, Medical Lake, WA 99022-8763 | 2006-05-12 |
| 1891231841 | Cayla Makowski | Physician Assistant | 725 N Stanley St, Suite D, Medical Lake, WA 99022-8939 | 2017-01-15 |
| 1295095255 | Kimberly S. Lindell | Physician Assistant | 850 Maple Street, Eastern State Hospital, Medical Lake, WA 99022-0800 | 2012-05-24 |
| 1912018722 | Maria C. Cassel | Physician Assistant | 850 Maple Street, Medical Lake, WA 99022-0800 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790591 | Bailey Mantha-nagrant | Physician Assistant | 7912 170th Ave Ne Unit 301, Redmond, WA 98052-0907 | 2020-11-07 |
| 1518567791 | Addison Christine Richert | Physician Assistant | 121 Kingfisher Pl, Port Hadlock, WA 98339-8733 | 2020-10-28 |
| 1992312177 | Robert Monsees | Physician Assistant | 490 Packwood Ln, Ellensburg, WA 98926-8027 | 2020-09-30 |
| 1649887548 | Jesse E Davis | Physician Assistant | 3512 Serene Way, Lynnwood, WA 98087-5202 | 2020-09-25 |
| 1558977066 | Kimberly Ho | Physician Assistant | 23004 88th Ave W, Edmonds, WA 98026-8616 | 2020-09-20 |
| 1770198954 | Ashish Chaudhary | Physician Assistant | 1215 Dexter Ave N Apt 704, Seattle, WA 98109-3567 | 2020-09-14 |
| 1144835422 | Juleeann Stocking | Physician Assistant | 1517 17th Ave S, Seattle, WA 98144-3522 | 2020-09-13 |
| 1891309555 | Andrew Allyn Bloom | Physician Assistant | 5889 Bow St, Bow, WA 98232-8620 | 2020-09-01 |
| 1558973909 | Margaret Webster | Physician Assistant | 6501 36th Ave Nw, Seattle, WA 98117-6010 | 2020-08-18 |
| 1033720495 | Riley Richardson | Physician Assistant | 1008 E Windemere Ct, Spokane, WA 99223-6228 | 2020-08-11 |
| Find all providers with the same taxonomy | ||||
| City | MEDICAL LAKE |
| Zip Code | 99022 |
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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.