DR. JAMES THEODORE DODGE JR. (NPI# 1619905429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619905429 |
| Entity Type | Individual |
| Full Name | DR. JAMES THEODORE DODGE JR. |
| Other Name | DR. J THEODORE DODGE JR. |
| Credential | MD |
| Practice Address |
1201 S Miller St Ste A Wenatchee WA 98801-3201 |
| Mailing Address |
820 N Chelan Ave Wenatchee WA 98801-2028 |
| Practice Telephone | 5096638711 |
| Mailing Telephone | 5096638711 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2015-07-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
MD00031058 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1619905429 | 05 | |
| WA | RR MEDICARE WVH | P01256388 | 01 |
| WA | WVH LNI | 315914 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669507281 | James Levant Dodge | Pharmacist | 1218 N State St, Gladwin, MI 48624-1246 | 2007-02-22 |
| 1548267289 | James Dodge | Chiropractor | 2111 W Kettleman Ln, Suite C, Lodi, CA 95242-4336 | 2005-07-07 |
| 1053318444 | James T Dodge | Obstetrics & Gynecology | 919b Chambers Blvd, Bardstown, KY 40004-2526 | 2005-06-30 |
| 1821444183 | James Dodge | Family Medicine | 500 Jefferson Blvd Ste B180, West Sacramento, CA 95605-2394 | 2016-05-05 |
| Street Address |
1201 S MILLER ST STE A |
| City | WENATCHEE |
| State | WA |
| Zip Code | 98801-3201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760477673 | Matthew Newman | Internal Medicine | 1201 S Miller St Ste A, Wenatchee, WA 98801-3201 | 2005-09-16 |
| 1285032268 | Nicole Abdullah | Physician Assistant | 1201 S Miller St Ste A, Wenatchee, WA 98801-3201 | 2014-12-08 |
| 1811055254 | Gautam S Nayak | Internal Medicine | 1201 S Miller St Ste A, Wenatchee, WA 98801-3201 | 2006-12-05 |
| 1003839093 | Jonathan Andrew Bolles | Internal Medicine | 1201 S Miller St Ste A, Wenatchee, WA 98801-3201 | 2006-07-25 |
| 1104845197 | William Murray | Internal Medicine | 1201 S Miller St Ste A, Wenatchee, WA 98801-3201 | 2006-07-19 |
| 1124044128 | Ralph J Mack | Internal Medicine | 1201 S Miller St Ste A, Wenatchee, WA 98801-3201 | 2006-07-14 |
| 1235154063 | Joel J Rhyner | Physician Assistant | 1201 S Miller St Ste A, Wenatchee, WA 98801-3201 | 2006-07-13 |
| 1891720132 | Geoffrey Harms | Internal Medicine | 1201 S Miller St Ste A, Wenatchee, WA 98801-3201 | 2006-07-12 |
| 1801827753 | Jay R Gorham | Internal Medicine | 1201 S Miller St Ste A, Wenatchee, WA 98801-3201 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033728365 | Jeannie Jones | Massage Therapist | 15 2nd St, Hallway 15, Wenatchee, WA 98801 | 2020-07-22 |
| 1184246688 | Mireya Ann Bahena | Case Manager/Care Coordinator | Catholic Charities of The Diocese of 145 S. Worthen St., Wenatchee, WA 98801 | 2020-05-07 |
| 1871067843 | Bfg Wenatchee Propco Iv, LLC | Assisted Living Facility | 817 Red Apple Rd, Wenatchee, WA 98801 | 2019-01-14 |
| 1982177283 | Michael Lee Miller | Behavioral Analyst | 264 N. Mission, Wenatchee, WA 98801 | 2019-01-09 |
| 1972073526 | Daniel Jentges | Family Medicine | 413 N Mission St., Wenatchee, WA 98801 | 2018-11-27 |
| 1972010437 | Daniel Nickel | Occupational Therapy Assistant | 217 Wetherald St, Wenatchee, WA 98801 | 2018-01-05 |
| 1962916379 | The Professional Denture Center | Denturist | 533 South Mission St, Wenatchee, WA 98801 | 2017-11-21 |
| 1467978155 | Matthew Jerauld Laws | Massage Therapist | 416 Ninth Street, Wenatchee, WA 98801 | 2017-08-15 |
| 1073051363 | Kimberley Rae Chambers | Massage Therapist | 25 N Wenatchee Ave Suite 104, Wenatchee, WA 98801 | 2017-02-07 |
| 1841746187 | Valentina Alvarez | Counselor | 145 S Worthern, Wenatchee, WA 98801 | 2016-08-28 |
| Find all providers in zip 98801 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073743373 | Liam Anthony Morris | Internal Medicine | 1201 S Miller St, Wenatchee, WA 98801-3201 | 2009-07-21 |
| 1225086416 | Kimberly A. Skelding | Internal Medicine | 1201 S Miller St, Wenatchee, WA 98801-3201 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982905923 | J. Randall Farrar, Md | Internal Medicine | 1155 Jadwin Ave, Richland, WA 99352-3434 | 2010-11-08 |
| 1679522106 | Inland Cardiology Associates, P.s. | Internal Medicine | 122 West 7th Avenue, Suite 450, Spokane, WA 99204-4332 | 2006-05-10 |
| 1871986455 | Sunnyside Community Hospital Association | Internal Medicine | 812 Miller Ave, Sunnyside, WA 98944-2374 | 2015-03-06 |
| 1568892586 | Shenjing Li | Internal Medicine | 200 Ne Mother Joseph Pl Ste 400, Vancouver, WA 98664-3290 | 2013-11-13 |
| 1023389061 | Henry Chu | Internal Medicine | 700 Ne 87th Ave Ste 210, Vancouver, WA 98664 | 2012-01-23 |
| 1225311756 | Danny Dvir | Internal Medicine | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2011-09-21 |
| 1841510310 | Kenta Nakamura | Internal Medicine | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2010-06-08 |
| 1588989032 | Patrick John Goleski | Internal Medicine | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2010-03-27 |
| 1508196833 | Jacob Appel Doll | Internal Medicine | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2010-01-08 |
| 1811225923 | Gopal Ghimire | Internal Medicine | 500 Lilly Rd Ne Ste 100, Providence Cardiology Associates, Olympia, WA 98506-5195 | 2009-12-01 |
| 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.