NORTHWEST MEDICAL ASSOCIATES,PS (NPI# 1558397042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558397042 |
| Entity Type | Organization |
| Organization Name | NORTHWEST MEDICAL ASSOCIATES,PS |
| Practice Address |
222 Ne Park Plaza Dr Suite 100 Vancouver WA 98684-5895 |
| Practice Telephone | 3602548025 |
| Practice Fax Number | 3602548618 |
| Mailing Telephone | 3602548025 |
| Mailing Fax Number | 3602548618 |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2015-01-07 |
| Authorized Official Name | STANLEY SUGARMAN (PRESIDENT) |
| Authorized Official Telephone | 3602548025 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 7044142 | 05 | |
| WA | RAILROAD MEDICARE | CO3313 | 01 |
| Street Address |
222 NE PARK PLAZA DR SUITE 100 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98684-5895 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740226893 | Stephen S Kim | Internal Medicine | 222 Ne Park Plaza Dr, Suite 100, Vancouver, WA 98684-5895 | 2006-06-20 |
| 1770743023 | Pt Elite, Inc. | Clinic/Center | 222 Ne Park Plaza Dr, Suite 120, Vancouver, WA 98684-5895 | 2008-06-11 |
| 1023152642 | John D Kojis | Chiropractor | 222 Ne Park Plaza Dr, Suite 114, Vancouver, WA 98684-5895 | 2007-02-16 |
| 1194823054 | Amit K Gosalia | Audiologist | 222 Ne Park Plaza Dr, #105, Vancouver, WA 98684 | 2006-09-21 |
| 1740297639 | Michelle Kathryn Tonkinson | Physical Therapist | 222 Ne Park Plaza Dr, Suite 120, Vancouver, WA 98684-5895 | 2006-08-02 |
| 1780604413 | Noel Guzman | Family Medicine | 222 Ne Park Plaza Dr, Siute 100, Vancouver, WA 98684-5895 | 2006-07-19 |
| 1306862834 | Katalin Wolford | Internal Medicine | 222 Ne Park Plaza Dr, Siute 100, Vancouver, WA 98684-5895 | 2006-07-15 |
| 1982640710 | Alan V Jones | Internal Medicine | 222 Ne Park Plaza Dr, Suite 100, Vancouver, WA 98684-5895 | 2006-06-21 |
| 1497791230 | Stanley M Sugarman | Specialist | 222 Ne Park Plaza Dr, Suite 100, Vancouver, WA 98684-5899 | 2006-06-21 |
| 1306882147 | Graham D Glass | Internal Medicine | 222 Ne Park Plaza Dr, Siute 100, Vancouver, WA 98684-5895 | 2006-06-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285291849 | Pacifica Sylvan Park LLC | Alzheimer Center (Dementia Center) | 2400 Ne 112th Avenue, Vancouver, WA 98684 | 2019-05-20 |
| 1699242826 | Heidi Ericka Jackson | Registered Nurse | 15606 Ne 12th Way, Vancouver, WA 98684 | 2018-10-25 |
| 1477076727 | Brian Benasa Bardeloza | Dentist | 605 Se 164th Ave Ste 103, Vancouver, WA 98684 | 2017-07-19 |
| 1992226062 | Judith Moreno-castro | Massage Therapist | 2501 Ne 138th Ave., #60, Vancouver, WA 98684 | 2017-06-29 |
| 1346790706 | Samuel Joonsang Lee | Registered Nurse | 501 Se 172nd Ave Ste 210, Vancouver, WA 98684 | 2016-10-10 |
| 1912353178 | Cheryl A. Hamilton-jefferson | Counselor | 11818 Se Mill Plain Blvd Ste 311g, Vancouver, WA 98684 | 2016-05-06 |
| 1063866424 | Kim Forgione | Optometrist | 1900 Ne 162nd Ave Ste D103, Vancouver, WA 98684 | 2016-04-21 |
| 1700254257 | Desiree Haggart | Registered Nurse | 406 Se 131st St., Suite A101, Vancouver, WA 98684 | 2015-09-14 |
| 1215318068 | Paige M. King | Behavioral Analyst | 11818 Se Mill Plain Blvd Ste 203, Vancouver, WA 98684 | 2015-06-17 |
| 1417354366 | Amanda Hilkey, Lmp | Massage Therapist | 108 Se 24th Ave, Ste 9, Vancouver, WA 98684 | 2014-11-20 |
| Find all providers in zip 98684 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538635420 | Amy Yvonne Galindo-ortega | Specialist | 9105 Ne Highway 99 Ste 201, Vancouver, WA 98665-8974 | 2018-10-17 |
| 1780150904 | Lita Fogle | Specialist | 6926 Ne Fourth Plain Blvd Ste 100, Vancouver, WA 98661-7254 | 2018-10-15 |
| 1669994166 | Maya Mersal | Specialist | 316 Se 123rd Ave Ste A67, Vancouver, WA 98683-4056 | 2017-07-17 |
| 1043769334 | Blue Pearl Vancouver | Specialist | 6607 Ne 84th St, Suite 109, Vancouver, WA 98665-2018 | 2016-09-27 |
| 1194129742 | Gail A Lordi | Specialist | 4013 Ne 158th Ave, Vancouver, WA 98682-7477 | 2014-10-10 |
| 1922429844 | Reynard Carrie Jr. | Specialist | 5305 Ne 121st Ave Unit 114, Vancouver, WA 98682-6246 | 2013-12-18 |
| 1891125316 | Allergy & Asthma Centers of The Nw | Specialist | 8614 E Mill Plain Blvd Ste 300, Vancouver, WA 98664-2058 | 2013-11-19 |
| 1518225176 | Crystal Lee Hartshorn | Specialist | 1004 Ne Minnehaha St, Vancouver, WA 98665-8728 | 2012-05-01 |
| 1740564038 | Candace Nicoloe Cashmore | Specialist | 109 Se 101st, Vancouver, WA 98663 | 2011-10-05 |
| 1790087211 | Sandra Jean Bepler | Specialist | 2707 Ne 114th Ave, Suite C, Vancouver, WA 98684-4293 | 2010-12-04 |
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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.