MR. JERRY A. BRAVERMAN (NPI# 1538122346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538122346 |
Entity Type | Individual |
Full Name | MR. JERRY A. BRAVERMAN |
Credential | PAC |
Practice Address |
1037 Chatham Dr Se Olympia WA 98513 |
Mailing Address |
3908 10th St Se Puyallup WA 98374-2188 |
Practice Telephone | 9313382607 |
Mailing Telephone | 2538485951 |
Mailing Fax Number | 2538457073 |
Enumeration Date | 2006-04-11 |
Last Update Date | 2018-05-16 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1037 CHATHAM DR SE |
City | OLYMPIA |
State | WA |
Zip Code | 98513 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760095962 | Katrina-nadine Maanao Perez | Occupational Therapist | Meadows Elementary School, 836 Deerbrush Drive Se, Lacey, WA 98513 | 2020-08-26 |
1679056824 | Katharine Loco-marshall | Physician Assistant | 4816 She-nah-num Drive, Olympia, WA 98513 | 2018-09-13 |
1881113439 | Riley Cruz | Massage Therapist | 10135 Stedman Rd Se, Olympia, WA 98513 | 2017-09-14 |
1174071948 | Kirby Healthcare, LLC | Nursing Care | 244 Dutterow Rd Se, Olympia, WA 98513 | 2016-09-21 |
1477980134 | Angela Karr | Pharmacist | 4918 Balustrade Blvd Se, Lacey, WA 98513 | 2013-09-26 |
1174875876 | Sheila Lynn Emmons | Massage Therapist | 8321 Valley Green Dr., Olympia, WA 98513 | 2012-10-05 |
1407081391 | Nicole Justine Adamson | Chiropractor | 4631 Whitman Lane, Suite B, Lacey, WA 98513 | 2009-05-20 |
1568628410 | Molly Carolyn Ostrander | Counselor | 5026 70th Way South East, Lacey, WA 98513 | 2008-07-31 |
1063674430 | Wayne Lawrence Franks | Counselor | 4816 She-nah-num Drive Se, Nisqually Indiantribe, Olympia, WA 98513 | 2008-06-27 |
1356521405 | Mikki R Bosman | Massage Therapist | 5515 93rd Ave Se, Olympia, WA 98513 | 2007-11-06 |
Find all providers in zip 98513 |
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 |
---|---|---|---|---|
1649750555 | Stephanie Mcclymond | Physician Assistant | 5519 Donnelly Dr Se, Olympia, WA 98501-5019 | 2018-08-20 |
1265972814 | Holmes Howard Stoner IIi | Physician Assistant | 2229 Cooper Crest Pl Nw, Olympia, WA 98502-4079 | 2017-03-01 |
1598112054 | Jason Nathaniel Shepherd | Physician Assistant | 1620 Cooper Point Rd Sw Ste 200, Olympia, WA 98502-5736 | 2016-05-14 |
1972990281 | Ryan David Richards | Physician Assistant | 3627 Ensign Rd Ne Ste A, Olympia, WA 98506-6104 | 2015-04-24 |
1841590502 | Barbara Ann Krulich | Physician Assistant | 2700 Evergreen Parkway Nw, Seminar I 2100, Olympia, WA 98505 | 2010-10-28 |
1295889087 | Brad Goldworm | Physician Assistant | 2950 Limited Ln Nw, Olympia, WA 98502-4577 | 2007-01-22 |
1083723746 | Stephen R Fischer | Physician Assistant | 615 Lilly Rd Ne Ste 100, Olympia, WA 98506-5117 | 2006-08-29 |
1326063462 | John Richard Hill | Physician Assistant | 7125 101st Ave Sw, Olympia, WA 98512-2139 | 2006-07-12 |
1164464053 | John C Schira | Physician Assistant | 6700 Martin Way E, Suite 117, Olympia, WA 98516-6502 | 2006-06-12 |
1205885290 | Kathy Lucia Savatini | Physician Assistant | 615 Lilly Rd Ne, Ste 100, Olympia, WA 98506-5117 | 2006-05-08 |
Find all providers in OLYMPIA |
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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.