DR. PAUL R LENTZ (NPI# 1538455977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538455977 |
| Entity Type | Individual |
| Full Name | DR. PAUL R LENTZ |
| Credential | D.O. |
| Practice Address |
401 15th Ave Se Puyallup WA 98372-3715 |
| Mailing Address |
3600 Nw Samaritan Dr Corvallis OR 97330-3737 |
| Practice Telephone | 2536974000 |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2019-11-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | OP60967755 | WA | Allopathic & Osteopathic Physicians |
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
OP60967755 | WA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457424343 | Paul E Lentz | Internal Medicine | 2145 5th Avenue, Oroville, CA 95965 | 2006-11-16 |
| 1386630838 | Paul J Lentz Jr. | Family Medicine | 777 Kimole Ln, Suite 230, Adrian, MI 49221-1478 | 2005-09-21 |
| Street Address |
401 15TH AVE SE |
| City | PUYALLUP |
| State | WA |
| Zip Code | 98372-3715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629020847 | Paul B Nutter | Physical Medicine & Rehabilitation | 401 15th Ave Se, Puyallup, WA 98372-3715 | 2006-05-16 |
| 1669089207 | Angela Enlow | Social Worker | 401 15th Ave Se, Puyallup, WA 98372-3715 | 2020-09-28 |
| 1740897644 | Erika Maria Bahler | Registered Nurse | 401 15th Ave Se, Puyallup, WA 98372-3715 | 2020-09-25 |
| 1750996963 | Katherine Anne Nelson | Registered Nurse | 401 15th Ave Se, Puyallup, WA 98372-3715 | 2020-09-14 |
| 1871105833 | Rebecca Danbe Kim | Pharmacy | 401 15th Ave Se, Puyallup, WA 98372-3715 | 2020-08-20 |
| 1366068637 | Danielle Broberg | Occupational Therapist | 401 15th Ave Se, Puyallup, WA 98372-3715 | 2020-06-22 |
| 1023639333 | Gordon Baldwin | Pharmacist | 401 15th Ave Se, Puyallup, WA 98372-3715 | 2020-04-28 |
| 1427686088 | Austin Nguyen | Student in an Organized Health Care Education/Training Program | 401 15th Ave Se, Puyallup, WA 98372-3715 | 2020-03-30 |
| 1336777903 | Mauna Emilyn B Edrozo | Student in an Organized Health Care Education/Training Program | 401 15th Ave Se, Puyallup, WA 98372-3715 | 2020-03-30 |
| 1235767807 | Cuong Dan Vien | Student in an Organized Health Care Education/Training Program | 401 15th Ave Se, Puyallup, WA 98372-3715 | 2020-03-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371532 | Jeffrey Allen Zhan | Urology | Good Samaritan Medical Office Bldg 1450 5th St Se, Suite 2100- Urology Clinic, Puyallup, WA 98372 | 2019-11-21 |
| 1447811419 | Serenity Counseling & Consulting, LLC | Marriage & Family Therapist | 102 23rd St Se, Unit B, Puyallup, WA 98372 | 2019-06-21 |
| 1316401565 | Katherine Juarez Davidson | Nurse Practitioner | 325 E Pioneer # A145, Puyallup, WA 98372 | 2019-01-22 |
| 1679041404 | Cara Ann Lundin | Nurse Practitioner | 11926 43rd St Crt E, Edgewood, WA 98372 | 2018-11-09 |
| 1104392109 | Megan Black | Occupational Therapist | 40 29th St Ne, Puyallup, WA 98372 | 2018-10-17 |
| 1063919470 | Myriah Shekinah Olakpe | Occupational Therapist | 516 Se 23rd Ave, Puyallup, WA 98372 | 2018-04-11 |
| 1902330202 | Tyler Girdler | Student in an Organized Health Care Education/Training Program | 1322 3rd Street Se Suite 240, Puyallup, WA 98372 | 2017-04-13 |
| 1770039471 | Mahalakshmi Hariharan | Pharmacist | 2117 28th St Se, Puyallup, WA 98372 | 2016-09-01 |
| 1801241112 | Nawazish Ali | Internal Medicine | 401 15th Ave Se Multicare God Samartian Hopsital, Puyallup, WA 98372 | 2016-04-25 |
| 1932567559 | Denice L. Voss | Physical Therapist | 400 29th St. Ne, Puyallup, WA 98372 | 2016-02-10 |
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| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477572931 | James J Wyman | Orthopaedic Surgery | 11212 Sunrise Blvd E Ste 201, Puyallup, WA 98374-8847 | 2006-07-18 |
| 1316079254 | John Hung, Md, Pllc | Orthopaedic Surgery | 11212 Sunrise Blvd E, Suite 201, Puyallup, WA 98374-8847 | 2007-03-09 |
| 1922114701 | Megan Lynn Charboneau | Orthopaedic Surgery | 3801 5th St Se, Suite 110, Puyallup, WA 98374-2106 | 2006-08-22 |
| 1104845668 | John C Hung | Orthopaedic Surgery | 1450 5th St Se, #4200, Puyallup, WA 98372-4602 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972073799 | Proliance Surgeons, Inc., P.s. | Orthopaedic Surgery | 150 Andover Park W, Tukwila, WA 98188-2801 | 2018-12-05 |
| 1376751669 | Christopher J. Van Hofwegen | Orthopaedic Surgery | 2979 Squalicum Pkwy Ste 203, Bellingham, WA 98225-1813 | 2007-05-18 |
| 1194822874 | Amaryllis J. Scott | Orthopaedic Surgery | 785 E Holland Ave, Spokane, WA 99218-1257 | 2006-09-17 |
| 1295774016 | Public Hospital Dist No 1 Skagit | Orthopaedic Surgery | 328 S. Stillaguamish Ave., Arlington, WA 98223-1660 | 2006-06-06 |
| 1205887056 | Christopher George Anderson | Orthopaedic Surgery | 12410 East Sinto, Suite 210, Spokane, WA 99216 | 2006-05-15 |
| 1942250535 | Vincent M Santoro | Orthopaedic Surgery | 12333 Ne 130th Lane, #400, Kirkland, WA 98034-7467 | 2006-05-12 |
| 1720040371 | Phillip A Medina | Orthopaedic Surgery | 4361 Talbot Road S, #102, Renton, WA 98055 | 2006-04-06 |
| 1356326870 | Donald William Henline | Orthopaedic Surgery | 3726 Broadway Ste 201, Everett, WA 98201-3788 | 2005-12-07 |
| 1679122758 | Taylor Nicole Fowers | Orthopaedic Surgery | 12039 Ne 128th St Ste 400, Kirkland, WA 98034-3029 | 2019-09-10 |
| 1952831083 | Kyle Hazelwood Md Pllc | Orthopaedic Surgery | 825 Se Bishop Blvd Ste 120, Pullman, WA 99163-5517 | 2017-06-12 |
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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.