JEFFREY MACEWEN (NPI# 1609404714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609404714 |
| Entity Type | Individual |
| Full Name | JEFFREY MACEWEN |
| Credential | DO |
| Practice Address |
1000 Wallace Way Grandview WA 98930-8805 |
| Mailing Address |
2306 N Madelyn Cir Tucson AZ 85712-2621 |
| Practice Telephone | 5098823444 |
| Practice Fax Number | 5097861022 |
| Mailing Telephone | 5208690831 |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2020-04-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1000 WALLACE WAY |
| City | GRANDVIEW |
| State | WA |
| Zip Code | 98930-8805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093713059 | Thatcher Thomas Harlan Felt | Pediatrics | 1000 Wallace Way, Grandview, WA 98930-8805 | 2005-07-13 |
| 1619598026 | Ashley Quintero Fernandez | Student in an Organized Health Care Education/Training Program | 1000 Wallace Way, Grandview, WA 98930-8805 | 2020-04-27 |
| 1417509712 | Monica Parodi | Dietitian, Registered | 1000 Wallace Way, Grandview, WA 98930-8805 | 2019-07-16 |
| 1952965626 | Theresa Whitchurch | Student in an Organized Health Care Education/Training Program | 1000 Wallace Way, Grandview, WA 98930-8805 | 2019-04-27 |
| 1205499308 | Beverly Khodra | Student in an Organized Health Care Education/Training Program | 1000 Wallace Way, Grandview, WA 98930-8805 | 2019-04-16 |
| 1033670385 | Sami Ismail | Student in an Organized Health Care Education/Training Program | 1000 Wallace Way, Grandview, WA 98930-8805 | 2019-03-28 |
| 1558822858 | Aaron Cheng | Student in an Organized Health Care Education/Training Program | 1000 Wallace Way, Grandview, WA 98930-8805 | 2019-03-28 |
| 1942797261 | Julie Weiting Tan | Student in an Organized Health Care Education/Training Program | 1000 Wallace Way, Grandview, WA 98930-8805 | 2018-04-23 |
| 1588151773 | Laboratory Corporation of America | Clinical Medical Laboratory | 1000 Wallace Way, Grandview, WA 98930 | 2018-04-13 |
| 1730686544 | Cindy Sun | Student in an Organized Health Care Education/Training Program | 1000 Wallace Way, Grandview, WA 98930 | 2018-04-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003017476 | Fred C. Boboth O.d., P.s. | Optometrist | 403 N Euclid St, Grandview, WA 98930 | 2007-05-31 |
| 1639391253 | R. Scott Williams, D.d.s., P.s. | Dentist | 201 Euclid Street, Grandview, WA 98930 | 2007-05-03 |
| 1235224684 | Grandview School District | Local Education Agency (LEA) | 913 W 2nd Street, Grandview, WA 98930 | 2006-10-03 |
| 1063527661 | Jonathan F Volz Dds Pllc | Dentist | 310 E 2nd St, Grandview, WA 98930 | 2006-08-21 |
| 1790347623 | Rebecca Warnick | Registered Nurse | 1003 Wallace Way, Grandview, WA 98930 | 2019-07-01 |
| 1376026237 | Prosser Public Hospital District of Benton County | Clinic/Center | 1003 Wallace Way, Grandview, WA 98930 | 2018-09-07 |
| 1114414216 | Laboratory Corporation of America | Clinical Medical Laboratory | 240 Division St, Grandview, WA 98930 | 2018-04-16 |
| 1043711252 | Ruby Medina | Social Worker | 208 N. Euclid, Grandview, WA 98930 | 2018-02-22 |
| 1801405642 | United Early Learning & Family Center LLC | Clinic/Center | 106 N Elm St, Grandview, WA 98930-1009 | 2020-07-28 |
| 1336294735 | Marie Elena Guerrero | Counselor | 1313 W Wine Country Rd Ste 101, Grandview, WA 98930-1015 | 2007-01-24 |
| Find all providers in zip 98930 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669003935 | Anna Elyse Kawase | Student in an Organized Health Care Education/Training Program | 14501 Wilshire Cir, Grandview, MO 64030-4123 | 2020-01-27 |
| 1619598026 | Ashley Quintero Fernandez | Student in an Organized Health Care Education/Training Program | 1000 Wallace Way, Grandview, WA 98930-8805 | 2020-04-27 |
| 1952965626 | Theresa Whitchurch | Student in an Organized Health Care Education/Training Program | 1000 Wallace Way, Grandview, WA 98930-8805 | 2019-04-27 |
| 1205499308 | Beverly Khodra | Student in an Organized Health Care Education/Training Program | 1000 Wallace Way, Grandview, WA 98930-8805 | 2019-04-16 |
| 1033670385 | Sami Ismail | Student in an Organized Health Care Education/Training Program | 1000 Wallace Way, Grandview, WA 98930-8805 | 2019-03-28 |
| 1558822858 | Aaron Cheng | Student in an Organized Health Care Education/Training Program | 1000 Wallace Way, Grandview, WA 98930-8805 | 2019-03-28 |
| 1942797261 | Julie Weiting Tan | Student in an Organized Health Care Education/Training Program | 1000 Wallace Way, Grandview, WA 98930-8805 | 2018-04-23 |
| 1730686544 | Cindy Sun | Student in an Organized Health Care Education/Training Program | 1000 Wallace Way, Grandview, WA 98930 | 2018-04-09 |
| 1912400763 | Eduard Rasputkov | Student in an Organized Health Care Education/Training Program | 1000 Wallace Way, Grandview, WA 98930-8805 | 2018-03-16 |
| 1629430228 | Shanette Bruce Owen | Student in an Organized Health Care Education/Training Program | 1000 Wallace Way, Grandview, WA 98930-8805 | 2016-03-23 |
| Find all providers in GRANDVIEW | ||||
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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.