JON CHRISTIAN KOOIKER (NPI# 1568420180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568420180 |
| Entity Type | Individual |
| Full Name | JON CHRISTIAN KOOIKER |
| Credential | M.D. |
| Practice Address |
525 Lilly Rd Ne Olympia WA 98506-5101 |
| Practice Telephone | 3604138551 |
| Practice Fax Number | 3604138827 |
| Mailing Telephone | 3604138551 |
| Mailing Fax Number | 3604138827 |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2014-02-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MD00014128 | WA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1470103 | 05 |
| Street Address |
525 LILLY RD NE |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98506-5101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861493884 | Suzanne Ellen Woodsum-reed | Social Worker | 525 Lilly Rd Ne, Olympia, WA 98506-5101 | 2005-08-02 |
| 1730702432 | Chanel Wood | Student in an Organized Health Care Education/Training Program | 525 Lilly Rd Ne, Suite 204, Olympia, WA 98506 | 2020-05-28 |
| 1982227062 | Jairo Enrigue Mendoza Briceno | Student in an Organized Health Care Education/Training Program | 525 Lilly Rd Ne, Suite 204, Olympia, WA 98506-5101 | 2020-05-22 |
| 1598384901 | Junun Bae | Student in an Organized Health Care Education/Training Program | 525 Lilly Rd Ne, Olympia, WA 98506-5101 | 2020-04-15 |
| 1205484813 | Neighborcare Health | Clinic/Center | 525 Lilly Rd Ne, Olympia, WA 98506-5101 | 2019-08-27 |
| 1972158210 | Erik Gilbert Gunderson | Pharmacist | 525 Lilly Rd Ne, Olympia, WA 98506-5101 | 2019-08-05 |
| 1215595509 | Hieu Thi Minh Duong | Family Medicine | 525 Lilly Rd Ne, Olympia, WA 98506-5101 | 2019-05-31 |
| 1255998324 | Fang-yu Lee | Family Medicine | 525 Lilly Rd Ne, Olympia, WA 98506-5101 | 2019-05-23 |
| 1588221642 | Jennifer Jean Goodrich | Family Medicine | 525 Lilly Rd Ne, Olympia, WA 98506-5101 | 2019-05-23 |
| 1831756998 | Ryan Edel Kuhar | Family Medicine | 525 Lilly Rd Ne, Olympia, WA 98506-5101 | 2019-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477185460 | Chloe Harper | Technician, Other | 3443 Lilly Rd Se, Ste B, Olympia, WA 98506 | 2020-02-07 |
| 1912543539 | Jessica Marie Radakovich | Licensed Practical Nurse | 3426 Mary Elder Rd, Olympia, WA 98506 | 2019-11-19 |
| 1669014973 | Arlene Josephine Adams | Registered Nurse | 413 Lily Rd Ne, Olympia, WA 98506 | 2019-10-09 |
| 1861999120 | Debra Delores Barker | Licensed Practical Nurse | 3710 South Bay Rd Ne, Olympia, WA 98506 | 2018-04-12 |
| 1801304431 | Michelle Warner | Nurse Practitioner | 205 Lilly Rd Ne Ste A1, Olympia, WA 98506 | 2018-01-17 |
| 1396258364 | Institute for Family Development | Community/Behavioral Health | 204 Quince St. Ne, Suite 200, Olympia, WA 98506 | 2017-11-13 |
| 1083137715 | Cameron Kunkel | Specialist/Technologist | 2512 20th Ave Ne, Olympia, WA 98506 | 2017-07-25 |
| 1184144768 | Trevor Shane Kwan | Family Medicine | 525 Lilly Road Ne, Olympia, WA 98506 | 2017-06-23 |
| 1073043212 | Michael H Harburg | Behavior Technician | 3857 Martin Way Ne, Olympia, WA 98506 | 2017-06-19 |
| 1780114371 | Priscilla Kangyang Jadu | Counselor | 3857 Martin Way E., Olympia, WA 98506 | 2017-06-15 |
| Find all providers in zip 98506 | ||||
| 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 |
|---|---|---|---|---|
| 1972982346 | Troy M Kochel | Specialist | 1308 Conger Ave Nw, Olympia, WA 98502-4866 | 2015-05-19 |
| 1164824041 | Franklin Paudler | Specialist | 8509 Island View Ct Ne, Olympia, WA 98506-9741 | 2014-09-22 |
| 1164830766 | Sarah Beth Killion | Specialist | 805 W Bay Dr Nw, Olympia, WA 98502-4839 | 2014-07-27 |
| 1629480629 | Jamie R Murphy | Specialist | 2350 Cain Rd Se Apt 15, Olympia, WA 98501-3073 | 2014-05-24 |
| 1578975876 | Richele Renee Akers | Specialist | 1832 Fairview St Ne, Olympia, WA 98506-3488 | 2014-05-21 |
| 1457781544 | Joanna Isobel Williams | Specialist | 3403 Steamboat Island Rd Nw, Olympia, WA 98502-4876 | 2013-11-26 |
| 1447692413 | Emily Pixie | Specialist | 1959 Union Ave Se, Olympia, WA 98501-1851 | 2013-07-19 |
| 1649616954 | Erin Marie Adams | Specialist | 1317 4th Ave E, #b, Olympia, WA 98506-4245 | 2013-05-14 |
| 1376987347 | Brook Lynn Schales | Specialist | 8839 Quinault Loop Ne, Olympia, WA 98516-5912 | 2013-04-22 |
| 1942643069 | Sharlene D. Reed | Specialist | 2108 Olympia Ave Ne, Olympia, WA 98506-4745 | 2013-04-08 |
| 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.