JOSEPH O AIYENOWO (NPI# 1598792657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598792657 |
| Entity Type | Individual |
| Full Name | JOSEPH O AIYENOWO |
| Credential | MD |
| Practice Address |
19401 40th Ave W Ste 230 Lynnwood WA 98036-5675 |
| Mailing Address |
Po Box 609 705 E Randall Hesston KS 67062 |
| Practice Telephone | 4257447153 |
| Practice Fax Number | 4257447123 |
| Mailing Telephone | 6203272440 |
| Mailing Fax Number | 6203272062 |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2019-12-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 04-27421 | KS | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | MD60992612 | WA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | MD60992612 | WA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 0427421 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100381040C | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 705 E Randall, Hesston, KS 67062 | 6203272440 | 6203272062 |
| Street Address |
19401 40TH AVE W STE 230 |
| City | LYNNWOOD |
| State | WA |
| Zip Code | 98036-5675 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760918205 | Sang Won | Family Medicine | 19401 40th Ave W Ste 230, Lynnwood, WA 98036-5675 | 2017-05-03 |
| 1780119560 | Rachel Pontemayor | Family Medicine | 19401 40th Ave W Ste 230, Lynnwood, WA 98036-5675 | 2017-04-28 |
| 1356757975 | Januario Paynor Estrada Iv | Internal Medicine | 19401 40th Ave W Ste 230, Lynnwood, WA 98036-5675 | 2014-07-02 |
| 1710113709 | Elizabeth Snapinn | Internal Medicine | 19401 40th Ave W Ste 230, Lynnwood, WA 98036 | 2009-06-03 |
| 1871773655 | Eun Young Ku | Counselor | 19401 40th Ave W Ste 230, Lynnwood, WA 98036-5675 | 2007-11-08 |
| 1306914007 | Ramona C Burdine | Family Medicine | 19401 40th Ave W Ste 230, Lynnwood, WA 98036-5675 | 2006-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342630 | Zachary Perry | Behavior Technician | 4100 Veterans Way, Unit 100, Lynnwood, WA 98036 | 2020-10-08 |
| 1942832795 | Alexis Michelle Solomon-winne | Behavior Technician | 4100 Veterans Way Unit 100 Lynnwood, Wa 98036 United S, Lynnwood, WA 98036 | 2020-02-10 |
| 1881239028 | Endc Pllc | Psychologist | 19217 36th Ave W. Suite 219, Lynnwood, WA 98036 | 2019-11-12 |
| 1225507866 | Kyung Suk Seo | Massage Therapist | 18904 Hwy 99, Ste. K, Lynnwood, WA 98036 | 2018-11-13 |
| 1790270197 | Kabal Sriviboon | Behavior Technician | 20818 44th Ave W Suite 270, Lynnwood, WA 98036 | 2018-06-27 |
| 1992206148 | Kendal Ilyse Borison | Behavioral Analyst | 4100 194th Se, Suite 100, Lynnwood, WA 98036 | 2018-02-23 |
| 1205352515 | Doug Brant | Registered Nurse | 19931 Cypress Way, Lynnwood, WA 98036 | 2017-08-17 |
| 1588184980 | Evergreen Recovery Centers-lynnwood Detox | Substance Abuse Rehabilitation Facility | 20508 56th Ave W, Lynnwood, WA 98036 | 2017-06-27 |
| 1699213439 | Patrick J. Pacyga | Dentist | 19620 Wa-99, Suite 106, Lynnwood, WA 98036 | 2017-02-01 |
| 1134676646 | Fiona Green | Occupational Therapy Assistant | 21503 8th Place W, A, Lynnwood, WA 98036 | 2016-09-01 |
| Find all providers in zip 98036 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245322700 | Samuel Chu | Internal Medicine | 4713 168th St Sw Ste 105, Lynnwood, WA 98037-6813 | 2006-09-29 |
| 1871589135 | Daniel V. Phan | Internal Medicine | 6508 196th St Sw, Lynnwood, WA 98036-5922 | 2005-09-22 |
| 1356757975 | Januario Paynor Estrada Iv | Internal Medicine | 19401 40th Ave W Ste 230, Lynnwood, WA 98036-5675 | 2014-07-02 |
| 1114364262 | Rashed Hasan | Internal Medicine | 19020 33rd Ave W Ste 210, Lynnwood, WA 98036-4748 | 2013-05-30 |
| 1023451358 | Amy L Thomson | Internal Medicine | 19116 33rd Ave W, Lynnwood, WA 98036-4706 | 2013-04-17 |
| 1326330713 | Aerin Sembhi | Internal Medicine | 19116 33rd Ave W, Lynnwood, WA 98036-4706 | 2011-05-04 |
| 1194017608 | Ananth K Shenoy Jr. | Internal Medicine | 19116 33rd Ave W, A-no, Lynnwood, WA 98036-4706 | 2011-05-03 |
| 1710113709 | Elizabeth Snapinn | Internal Medicine | 19401 40th Ave W Ste 230, Lynnwood, WA 98036 | 2009-06-03 |
| 1780826073 | Twiggy Lee | Internal Medicine | 19116 33rd Ave W, Lynnwood, WA 98036-4706 | 2009-04-01 |
| 1679787311 | Joanne S. Chua | Internal Medicine | 19020 33rd Ave W, Suite 210, Lynnwood, WA 98036-4748 | 2007-05-10 |
| Find all providers in LYNNWOOD | ||||
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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.