GARY M PODHAISKY (NPI# 1528168432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528168432 |
Entity Type | Individual |
Full Name | GARY M PODHAISKY |
Credential | MD |
Practice Address |
3900 Zintel Way Kennewick WA 99338 |
Mailing Address |
3900 S Zintel Way Fl 2 Kennewick WA 99337-5092 |
Practice Telephone | 5099423125 |
Practice Fax Number | 5097832167 |
Mailing Telephone | 5099423125 |
Mailing Fax Number | 5095858173 |
Enumeration Date | 2006-09-22 |
Last Update Date | 2018-11-05 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208000000X | Pediatrics | 9069 | NV | Allopathic & Osteopathic Physicians |
Y | 208000000X | Pediatrics | MD00048590 | WA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | 8493496 | 05 |
Street Address |
3900 ZINTEL WAY |
City | KENNEWICK |
State | WA |
Zip Code | 99338 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467974170 | Madiha Haque | Internal Medicine | Trios Care Center, 3730 Plaza, 4th Floor, Kennewick, WA 99338 | 2017-07-13 |
1053719864 | Christine Boynton Tano | Speech-Language Pathologist | 10411 E Vaca Rd, Kennewick, WA 99338 | 2014-12-10 |
1992058895 | Jennifer Kathleen Webb | Massage Therapist | 4206 W. 24th Ave. Suite A 101, Kennewick, WA 99338 | 2012-10-17 |
1881999639 | Tyler Rex Thornock | Nurse Anesthetist, Certified Registered | 15205 S. Mountain Ridge Ct, Kennewick, WA 99338 | 2011-01-25 |
1528205812 | Christina Ann Hofstetter | Massage Therapist | 4206 W. 24th Ave, Suite B103, Kennewick, WA 99338 | 2009-01-08 |
1619184025 | Jennifer Candice Charron | Family Medicine | 3900 S. Zintel Way, Kennewick, WA 99338 | 2007-05-16 |
1821211640 | Brandon P Campbell | Chiropractor | 4303 W. 27th Avenue, Suite E, Kennewick, WA 99338 | 2007-04-10 |
1902936206 | Stuart Lee Smithson | Chiropractor | 2411 S. Union St., Suite C, Kennewick, WA 99338 | 2007-03-06 |
1467580845 | Theodore J Weber Sr. | Specialist/Technologist | 3520 Southridge Blvd, Kennewick, WA 99338 | 2007-02-28 |
1093868572 | Canyonview Family Eye Care LLC | Optometrist | 4309 W 27th Place, Suite 102, Kennewick, WA 99338 | 2007-01-19 |
Find all providers in zip 99338 |
Taxonomy Code | 208000000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467752659 | Cynthia M. De Los Reyes, Md, Pllc | Pediatrics | 923 South Auburn St, Kennewick, WA 99336 | 2010-10-22 |
1891817227 | Helen Santos Tatunay | Pediatrics | 8108 W Grandridge Blvd, Kadlec Clinic Center for Pediatrics, Kennewick, WA 99336 | 2007-04-05 |
1679652135 | Shakti K Matta | Pediatrics | 6802 W Rio Grande Ave Ste 1, Kennewick, WA 99336-7684 | 2006-11-03 |
1538276050 | Cynthia Marcelo Delosreyes | Pediatrics | 923 S Auburn St, Kennewick, WA 99336-5662 | 2006-08-23 |
1770697021 | Sharon L Ahart | Pediatrics | 815 S Auburn St, Kennewick, WA 99336-5661 | 2006-08-17 |
1902883598 | Reuben Amrit Singer | Pediatrics | 3900 S Zintel Way, Kennewick, WA 99337 | 2005-12-27 |
1194195412 | Sonika Loona | Pediatrics | 8108 W Grandridge Blvd, Kennewick, WA 99336-7157 | 2015-09-29 |
1205253184 | Scott Terry | Pediatrics | 3180 W Clearwater Ave Ste A, Kennewick, WA 99336-2765 | 2014-03-27 |
1326335712 | Our Lady of Lourdes Health Center | Pediatrics | 815 S Auburn St, Kennewick, WA 99336-5661 | 2011-07-06 |
1528374220 | Nancy Elizabeth Baxter | Pediatrics | 320 W 10th Ave Ste 102, Kennewick, WA 99336-6302 | 2010-08-19 |
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.