DR. JENNIFER CANDICE CHARRON (NPI# 1619184025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619184025 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER CANDICE CHARRON |
| Credential | MD |
| Practice Address |
3900 S. Zintel Way Kennewick WA 99338 |
| Mailing Address |
3900 S Zintel Way Kennewick WA 99338 |
| Practice Telephone | 5099423125 |
| Practice Fax Number | 5097361573 |
| Mailing Telephone | 5099423627 |
| Mailing Fax Number | 5099422268 |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2013-09-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD60201818 | WA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 37229 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 16191840025 | 05 | |
| WA | LABOR & INDUSTRIES | 0279835 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689639718 | Jennifer Rae-ann Charron | Physical Therapist | 240 Cedar Knolls Rd, Cedar Knolls, NJ 07927-1621 | 2006-04-20 |
| Street Address |
3900 S. ZINTEL WAY |
| City | KENNEWICK |
| State | WA |
| Zip Code | 99338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467974170 | Madiha Haque | Internal Medicine | Trios Care Center, 3730 Plaza, 4th Floor, Kennewick, WA 99338 | 2017-07-13 |
| 1053719864 | Christine Boynton Tano | Speech-Language Pathologist | 10411 E Vaca Rd, Kennewick, WA 99338 | 2014-12-10 |
| 1992058895 | Jennifer Kathleen Webb | Massage Therapist | 4206 W. 24th Ave. Suite A 101, Kennewick, WA 99338 | 2012-10-17 |
| 1881999639 | Tyler Rex Thornock | Nurse Anesthetist, Certified Registered | 15205 S. Mountain Ridge Ct, Kennewick, WA 99338 | 2011-01-25 |
| 1528205812 | Christina Ann Hofstetter | Massage Therapist | 4206 W. 24th Ave, Suite B103, Kennewick, WA 99338 | 2009-01-08 |
| 1821211640 | Brandon P Campbell | Chiropractor | 4303 W. 27th Avenue, Suite E, Kennewick, WA 99338 | 2007-04-10 |
| 1902936206 | Stuart Lee Smithson | Chiropractor | 2411 S. Union St., Suite C, Kennewick, WA 99338 | 2007-03-06 |
| 1467580845 | Theodore J Weber Sr. | Specialist/Technologist | 3520 Southridge Blvd, Kennewick, WA 99338 | 2007-02-28 |
| 1093868572 | Canyonview Family Eye Care LLC | Optometrist | 4309 W 27th Place, Suite 102, Kennewick, WA 99338 | 2007-01-19 |
| 1245390996 | Linda Kathryn Bascom | Dentist | 10505 W. Clearwater Ave., Building A, Kennewick, WA 99338 | 2006-12-11 |
| Find all providers in zip 99338 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609304559 | Thomas Carl Sorensen | Family Medicine | 9040 W Clearwater Ave, Kennewick, WA 99336-8635 | 2017-05-23 |
| 1699960245 | Marvin Flores Roman | Family Medicine | 7201 W Grandridge Blvd Ste 100, Kennewick, WA 99336-6709 | 2007-09-06 |
| 1861698987 | Tri-cities Community Health | Family Medicine | 3180 W Clearwater Ave Ste A, Kennewick, WA 99336 | 2007-06-25 |
| 1053459578 | Maria Aleli Tabio Ello | Family Medicine | 4309 W. 27th Ave., Suite 301, Kennewick, WA 99336-0128 | 2007-02-05 |
| 1619034980 | David M Ryan, D.o. | Family Medicine | 1410 N Pittsburg St Ste A, Kennewick, WA 99336-8211 | 2007-01-03 |
| 1447311261 | John A Friedline | Family Medicine | 8911 W Grandridge Blve Suite B, Kadlec Clinic Primary Care, Kennewick, WA 99336 | 2006-12-13 |
| 1114007614 | Mark Francis Macfarlan | Family Medicine | 7525 W Deschutes Pl Ste 1a, Kennewick, WA 99336-7748 | 2006-10-17 |
| 1912918129 | David Michael Ryan | Family Medicine | 1410 N Pittsburg St, Bldg. A, Kennewick, WA 99336-8211 | 2006-08-11 |
| 1184665697 | Crystal Dawnelle Dickerson | Family Medicine | 721 S Auburn St, Kennewick, WA 99336-5629 | 2006-06-08 |
| 1184661522 | Raymond Herbert Sjerven | Family Medicine | 813 S Auburn St, Kennewick, WA 99336-5661 | 2006-06-02 |
| Find all providers in KENNEWICK | ||||
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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.