OPEN ADVANCED MRI OF VANCOUVER PS (NPI# 1508203944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508203944 |
| Entity Type | Organization |
| Organization Name | OPEN ADVANCED MRI OF VANCOUVER PS |
| Practice Address |
221g Ne 104th Ave Suite 106 Vancouver WA 98664-4587 |
| Practice Telephone | 3602532525 |
| Practice Fax Number | 3602533611 |
| Mailing Telephone | 3602532525 |
| Mailing Fax Number | 3602533611 |
| Enumeration Date | 2013-05-24 |
| Last Update Date | 2013-05-24 |
| Authorized Official Name | MRS. ELIZABETH A RICE (BILLING MANAGER) |
| Authorized Official Telephone | 3604026739 |
| Authorized Official Credential | CPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZS0410X |
Specialist/Technologist, Other Specialization: Surgical Technologist |
MD00038333 | WA | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | H11563 | MEDICARE | 01 |
| WA | 8251449 | 05 | |
| WA | MEDICARE PTAN | G8886867 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | OPEN ADVANCED MRI OF VANCOUVER PS | 221 Ne 104th Ave, Vancouver, WA 98664-4505 |
| Street Address |
221G NE 104TH AVE SUITE 106 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98664-4587 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770530560 | Open Advanced Mri of Vancouver, LLC | Radiology | 221g Ne 104th Ave, #106, Vancouver, WA 98664-4587 | 2006-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285249938 | Angelica Maria Parle-fresquez | Speech-Language Pathologist | Early Childhood Assessment Center - Lieser School, 301 S. Lieser Rd, Vancouver, WA 98664 | 2020-09-10 |
| 1467923441 | Elizabeth Steen | Counselor | 230 E. State St., Mossyrock, WA 98664 | 2018-12-17 |
| 1497241657 | Chelsey Nicole Parker | Peer Specialist | 9815 Ne 3rd St, Vancouver, WA 98664 | 2018-07-10 |
| 1881145431 | Brent Homan | Occupational Therapist | 807 Se Morgan Rd., Vancouver, WA 98664 | 2016-10-19 |
| 1114474277 | Rebecca Marie Stefan | Nurse's Aide | 10025 Ne 19th St, Vancouver, WA 98664 | 2016-09-07 |
| 1528454105 | Alicia Ford | Dietitian, Registered | 700 Ne 87th Ave Ste 280, Vancouver, WA 98664 | 2015-04-10 |
| 1033504261 | Reid Roberts Bennett | Anesthesiology | 505 Ne 87th Ave Ste 210, Vancouver, WA 98664 | 2015-04-03 |
| 1235550856 | Nikolay Nikolaevich Chernukhin Jr. | Chiropractor | 221-a Ne 104th Ave, Suite 205, Vancouver, WA 98664 | 2013-12-27 |
| 1013278712 | Serena Harker | Physical Therapy Assistant | 221a Ne 104th Ave, Suite #205, Vancouver, WA 98664 | 2012-05-30 |
| 1295091080 | Rebeca C Johnson | Massage Therapist | 11015 Ne 4th Plain Suite B, Vancouver, WA 98664 | 2012-04-05 |
| Find all providers in zip 98664 | ||||
| Taxonomy Code | 246ZS0410X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Technologist |
| Surgical technologists are allied health professionals, who are an integral part of the team of medical practitioners providing surgical care to patients. Surgical technologists work under the supervision of a surgeon to facilitate the safe and effective conduct of invasive surgical procedures, ensuring that the operating room environment is safe, that equipment functions properly, and that the operative procedure is conducted under conditions that maximize patient safety. Surgical technologists possess expertise in the theory and application of sterile and aseptic technique and combine the knowledge of human anatomy, surgical procedures, and implementation tools and technologies to facilitate a physician's performance of invasive therapeutic and diagnostic procedures. |
| Notes: Source: Association of Surgical Technologists, "Job Description: Surgical Technologist," 2014. [7/1/2014: code modified, title modified, definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114119062 | Theresa F. Walker | Specialist/Technologist, Other | 9008 Ne 102nd St, Vancouver, WA 98662-1426 | 2007-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306227103 | Andrea Votava | Specialist/Technologist, Other | 3411 E Congress Ave, Spokane, WA 99223-5432 | 2015-06-17 |
| 1578869251 | Maria Alicia Barrera I | Specialist/Technologist, Other | 1114 Ione Drive, Benton City, WA 99320 | 2011-01-28 |
| 1720384746 | Rose Ann Cowan | Specialist/Technologist, Other | 13114 120th Ave Ne, Kirkland, WA 98034-3014 | 2011-02-09 |
| 1649575820 | Joshua M Kennedy | Specialist/Technologist, Other | 21911 76th Ave W, Suite 106, Edmonds, WA 98026-7918 | 2011-01-19 |
| 1124338025 | Surgical Neuromonitoring Pllc | Specialist/Technologist, Other | 10900 Ne 4th St Ste 2300, Bellevue, WA 98004-5882 | 2010-10-14 |
| 1831427012 | Stacey Jean Iwaniec | Specialist/Technologist, Other | 1550 N 115th St, Seattle, WA 98133-8401 | 2009-11-25 |
| 1326239682 | Michael Jess Aquirre | Specialist/Technologist, Other | 3333 N Whitman St, Tacoma, WA 98407-1547 | 2007-08-01 |
| 1083828701 | Amanda Lyn Paulson | Specialist/Technologist, Other | 3900 Capitol Mall Dr Sw, Olympia, WA 98502-8654 | 2007-05-10 |
| 1447470372 | Julie A Henegan | Specialist/Technologist, Other | 10922 Gentry Ct Sw, Olympia, WA 98512-9396 | 2007-04-25 |
| 1659403715 | Janice Eileen Davis-niles | Specialist/Technologist, Other | 600 Broadway, Suite 280, Seattle, WA 98122-5395 | 2007-03-12 |
| 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.