NATHAN BITTNER (NPI# 1609989714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609989714 |
| Entity Type | Individual |
| Full Name | NATHAN BITTNER |
| Credential | MD |
| Practice Address |
400 15th Ave Se Ste A Puyallup WA 98372-3750 |
| Mailing Address |
4230 Bridgeport Way W Ste B University Place WA 98466-4335 |
| Practice Telephone | 2538414311 |
| Practice Fax Number | 2536278792 |
| Mailing Telephone | 2537796325 |
| Mailing Fax Number | 2536278792 |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2020-09-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
ML20007539 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | MD LICENSE | MD60006974 | 01 |
| WA | 7058480 | 05 | |
| CAQH | 11839467 | 01 |
| Street Address |
400 15TH AVE SE STE A |
| City | PUYALLUP |
| State | WA |
| Zip Code | 98372-3750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371532 | Jeffrey Allen Zhan | Urology | Good Samaritan Medical Office Bldg 1450 5th St Se, Suite 2100- Urology Clinic, Puyallup, WA 98372 | 2019-11-21 |
| 1447811419 | Serenity Counseling & Consulting, LLC | Marriage & Family Therapist | 102 23rd St Se, Unit B, Puyallup, WA 98372 | 2019-06-21 |
| 1316401565 | Katherine Juarez Davidson | Nurse Practitioner | 325 E Pioneer # A145, Puyallup, WA 98372 | 2019-01-22 |
| 1679041404 | Cara Ann Lundin | Nurse Practitioner | 11926 43rd St Crt E, Edgewood, WA 98372 | 2018-11-09 |
| 1104392109 | Megan Black | Occupational Therapist | 40 29th St Ne, Puyallup, WA 98372 | 2018-10-17 |
| 1063919470 | Myriah Shekinah Olakpe | Occupational Therapist | 516 Se 23rd Ave, Puyallup, WA 98372 | 2018-04-11 |
| 1902330202 | Tyler Girdler | Student in an Organized Health Care Education/Training Program | 1322 3rd Street Se Suite 240, Puyallup, WA 98372 | 2017-04-13 |
| 1770039471 | Mahalakshmi Hariharan | Pharmacist | 2117 28th St Se, Puyallup, WA 98372 | 2016-09-01 |
| 1801241112 | Nawazish Ali | Internal Medicine | 401 15th Ave Se Multicare God Samartian Hopsital, Puyallup, WA 98372 | 2016-04-25 |
| 1932567559 | Denice L. Voss | Physical Therapist | 400 29th St. Ne, Puyallup, WA 98372 | 2016-02-10 |
| Find all providers in zip 98372 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| 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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376554154 | Kevin Eugene Sanders | Radiology | 2920 S Meridian Ste 200, Puyallup, WA 98373-1428 | 2006-08-10 |
| 1487168324 | Sound Cancer Care Pllc | Radiology | 2920 S Meridian, Puyallup, WA 98373-1428 | 2017-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669829289 | Rosanna Hoi Lam Yeung | Radiology | 12040 Ne 128th St # Ms -63, Kirkland, WA 98034 | 2016-05-24 |
| 1508251000 | Anthony Hoai-nam Pham | Radiology | 19917 7th Ave Ne Ste 100, Poulsbo, WA 98370-6555 | 2015-04-01 |
| 1841603479 | Sherry Zhao | Radiology | 7350 W Deschutes Ave Ste A, Kennewick, WA 99336 | 2014-06-11 |
| 1467877670 | John Paul Lytle Jr. | Radiology | 6729 204th Dr. Ne, Redmond, WA 98053 | 2014-02-25 |
| 1962824219 | The Polyclinic | Radiology | 1225 Madison St, Seattle, WA 98104-1336 | 2014-01-06 |
| 1720356090 | Herbert Carl Berry | Radiology | 65 E. Roanoke St., Seattle, WA 98102 | 2011-12-01 |
| 1609175660 | Legacy Salmon Creek Hospital | Radiology | 2121 Ne 139th St Ste 100, Vancouver, WA 98686-2316 | 2011-03-16 |
| 1861794992 | Thomas Ward Griffin | Radiology | 3620 E Prospect St, Seattle, WA 98112-4440 | 2010-11-22 |
| 1407170467 | Aaron Shingo Kusano | Radiology | 1959 Ne Pacific St. Box 356043, University of Washington Department of Radiation Oncolo, Seattle, WA 98195 | 2010-03-19 |
| 1184866527 | Justin William Suszko | Radiology | 4525 3rd Ave Se Ste 100, Lacey, WA 98503-1010 | 2009-03-31 |
| Find all providers with the same taxonomy | ||||
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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.