MRS. GEORGINA COMIN PONCE DE LEON (NPI# 1588779284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588779284 |
| Entity Type | Individual |
| Full Name | MRS. GEORGINA COMIN PONCE DE LEON |
| Credential | MD |
| Practice Address |
Madigan Army Medical Center 9040 Jackson Avenue Tacoma WA 98431-1100 |
| Mailing Address |
Madigan Army Medical Ctr 9040 Reid Street, Attn: Mchj-clq-c Tacoma WA 98431-1100 |
| Practice Telephone | 2539682252 |
| Practice Fax Number | 2539683278 |
| Mailing Telephone | 2539682252 |
| Mailing Fax Number | 2539683278 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2019-12-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MD00042005 | WA | Allopathic & Osteopathic Physicians |
| Street Address |
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVENUE |
| City | TACOMA |
| State | WA |
| Zip Code | 98431-1100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255314944 | Mark Isadore Hainer | Internal Medicine | Madigan Army Medical Center 9040 Jackson Avenue, Tacoma, WA 98431-8561 | 2005-11-28 |
| 1235736901 | Jessica Kastl | Social Worker | Madigan Army Medical Center 9040 Jackson Avenue, Tacoma, WA 98431-7212 | 2020-10-06 |
| 1255805651 | Trey Baker | Nurse Anesthetist, Certified Registered | Madigan Army Medical Center 9040 Jackson Avenue, Tacoma, WA 98431-7324 | 2019-01-18 |
| 1063911949 | Katherine Naomi Mcleod | Registered Nurse | Madigan Army Medical Center 9040 Jackson Avenue, Tacoma, WA 98431-0001 | 2018-02-07 |
| 1861831620 | Michael David Stockin | Anesthesiology | Madigan Army Medical Center 9040 Jackson Avenue, Tacoma, WA 98431-5001 | 2013-06-14 |
| 1245674225 | John M Mcclellan | Surgery | Madigan Army Medical Center 9040 Jackson Avenue, Tacoma, WA 98431-1000 | 2013-04-22 |
| 1942564943 | Stefan George Kazacos | Emergency Medicine | Madigan Army Medical Center 9040 Jackson Avenue, Tacoma, WA 98431-0004 | 2012-06-25 |
| 1124392741 | Stacey Stevens Schmiedecke | Obstetrics & Gynecology | Madigan Army Medical Center 9040 Jackson Avenue, Tacoma, WA 98431-5000 | 2012-02-29 |
| 1295027472 | Amilyn Mee Young Han Taplin | Neurological Surgery | Madigan Army Medical Center 9040 Jackson Avenue, Tacoma, WA 98431-0001 | 2011-05-06 |
| 1427386119 | Clemintene Benjamin | Social Worker | Madigan Army Medical Center 9040 Jackson Avenue, Tacoma, WA 98431-4066 | 2009-11-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497212260 | Catrina Renee Grugin | Registered Nurse | Madigan Army Medical Center, Attn Mchj-clq-c, 9040 Jackson Ave, Tacoma, WA 98431 | 2019-02-27 |
| 1801307681 | Bianca Gomez | Dental Assistant | Bldg 9900 Lincoln Street, Jblm, WA 98431 | 2017-10-19 |
| 1184133225 | Darren Paris | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave., Attn: Mchj-clq-c, Tacoma, WA 98431 | 2017-09-20 |
| 1922538206 | Sarah Frerichs | Dentist | Madigan Annex, Second Floor, Bldg. 9900, Apo, AA 98431 | 2017-06-19 |
| 1740736495 | Misty Hill | Dental Assistant | 9119 Mill Park Ave, Tacoma, WA 98431 | 2016-08-31 |
| 1336695535 | Jacqueline D Massouda | Dentist | Jblm Dentac, 9900 Lincoln Sreet, 2nd Floor, Apo, AA 98431 | 2016-08-28 |
| 1609239375 | Gregg V Palmer | Licensed Practical Nurse | 17th and C Street, Bldg 11582, Tacoma, WA 98431 | 2016-03-31 |
| 1114323904 | Deanna Sheets | Nurse Practitioner | 911 Mil Park Ave, Tacoma, WA 98431 | 2014-11-06 |
| 1679905434 | Austin William Schaar | Dentist | Building 9900, 2nd Floor, Tacoma, WA 98431 | 2013-08-05 |
| 1518209758 | Maurice Ibrahim Khayat | Internal Medicine | 9040 Jackson Ave Mche-qd (creds), Tacoma, WA 98431 | 2013-03-26 |
| Find all providers in zip 98431 | ||||
| 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 |
|---|---|---|---|---|
| 1487252011 | T-town Pediatrics Pllc | Pediatrics | 6002 Westgate Blvd Ste 260, Tacoma, WA 98406-2571 | 2020-10-15 |
| 1003357427 | Alexander L Bowers | Pediatrics | 9040a Jackson Ave Joint Base Lewis-mcchord, Tacoma, WA 98431-1000 | 2017-03-18 |
| 1063873933 | Paul Patterson | Pediatrics | 9040 Jackson Ave Department of Pediatrics Mamc, Tacoma, WA 98431-0001 | 2016-03-18 |
| 1730560731 | Danielle Ashley Coleman | Pediatrics | 316 Martin Luther King Jr Way Ste 212, Tacoma, WA 98405-4254 | 2015-06-15 |
| 1881013860 | Amanda P Williams | Pediatrics | 317 Martin L King Jr Way, Tacoma, WA 98405-4234 | 2014-04-07 |
| 1174966477 | Matthew Timlin | Pediatrics | 9040 Jackson Ave Pediatric Critical Care Dept, Tacoma, WA 98431-1100 | 2013-04-17 |
| 1699006320 | Charlotte Schnellbacher | Pediatrics | Madigan Army Medical Center Pediatric Clinic, Bldg 9040 Fitzsimmons Dr, Tacoma, WA 98431-0001 | 2010-01-20 |
| 1205096260 | Susan M Mosier | Pediatrics | 9040 Jackson Ave Department of Pediatrics, Tacoma, WA 98431 | 2008-06-12 |
| 1609061605 | Alan Heckler | Pediatrics | Madigan Healthcare System Dept of Pediatrics, 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2007-09-12 |
| 1023216983 | Kathryn Taylor Gattone | Pediatrics | Fitzsimmons Dr Bldg 9040, Attn: Mchj-p, Tacoma, WA 98431-0001 | 2007-07-03 |
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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.