JENNIFER STRUMOLO


Address: 1124 Columbia St, Ste 400, Seattle, WA 98104-2026
Phone: 2062152090

JENNIFER STRUMOLO (NPI# 1629406525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629406525
Entity Type Individual
Full Name JENNIFER STRUMOLO
Credential PA-C
Practice Address 1124 Columbia St
Ste 400
Seattle
WA 98104-2026
Mailing Address Po Box 25608
Salt Lake City
UT 84125-0608
Practice Telephone 2062152090
Practice Fax Number 2062153099
Mailing Telephone 2063204476
Mailing Fax Number 2065687043
Enumeration Date 2013-10-31
Last Update Date 2017-05-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363A00000X Physician Assistant C0005214 MD Physician Assistants & Advanced Practice Nursing Providers
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PA60683015 WA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MD CONTROLLED AND DANGEROUS SUBSTANCES REGISTRATION PA81387 01

Office Location

Street Address 1124 COLUMBIA ST
STE 400
City SEATTLE
State WA
Zip Code 98104-2026

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265461099 Milah B Frownfelter Internal Medicine 1124 Columbia St, Suite 620, Seattle, WA 98104-2026 2006-07-02
1801383674 Troy Azuogu Specialist/Technologist 1124 Columbia St, Seattle, WA 98104-2026 2018-04-17
1184140246 Bespoke Treatments Seattle Pt Pllc Physical Therapist 1124 Columbia St, Seattle, WA 98104-2026 2017-08-20
1720521933 Leslie Sutton Lee Dietitian, Registered 1124 Columbia St, Ste 400, Seattle, WA 98104-2053 2016-11-21
1720531197 Rebecca A Lundborg Dietitian, Registered 1124 Columbia St, Suite 600, Seattle, WA 98104-2026 2016-08-02
1376908954 Seattle Medical Associates Pllp Internal Medicine 1124 Columbia St, Suite 620, Seattle, WA 98104-2026 2015-12-23
1972948115 Min Kyung Lyou Nurse Practitioner 1124 Columbia St, Ste 600, Seattle, WA 98104-2046 2013-05-01
1851667919 Meghan J Driscoll Pathology 1124 Columbia St, Seattle, WA 98104 2012-03-22
1407149792 Steven Carl Quay Pathology 1124 Columbia St, Suite 621, Seattle, WA 98104-2026 2011-05-19
1447566864 Rajen Goyal Pathology 1124 Columbia St, #200, Seattle, WA 98104-2026 2010-08-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699394312 Richard Charles Harruff Pathology King County Medical Examiners Office, 325 Ninth Avenue, Seattle, WA 98104 2020-04-13
1558999474 Nathan Richard Benner Student in an Organized Health Care Education/Training Program Uw Medicine-harborview Medical Center Orthopaedics, 325 Ninth Avenue, Seattle, WA 98104 2020-03-27
1063058493 Brook, LLC. Health Educator 311 1/2 Occidental Ave South, Suite 210, Seattle, WA 98104 2019-11-20
1609418813 Stephanie Amanda Ann Mason Student in an Organized Health Care Education/Training Program 325 9th Avenue, Mail Stop #359796, Seattle, WA 98104 2019-10-09
1013480250 Robert Kenneth Lozier Pedorthist Norm Maleng Building, 410 9th Ave, 4th Floor, Seattle, WA 98104 2019-01-10
1548739576 Lee Hanses Physical Therapist 1124 Columbia Street, Level P1, Suite P100, Seattle, WA 98104 2018-11-20
1821579095 Karissa Lin Lee Pharmacist 401 Broadway #2075, Seattle, WA 98104 2018-08-27
1477042091 Maham Jehangir Student in an Organized Health Care Education/Training Program 325 9th Ave Department of Radiology, Seattle, WA 98104 2018-05-09
1740786581 Philip Daniel Tolley Student in an Organized Health Care Education/Training Program 325 9th Ave. Mail Stop#359796, 7th Floor Center Tower Rm #73.1, Seattle, WA 98104 2018-04-02
1528564242 Vanessa Dawn Leonhard Student in an Organized Health Care Education/Training Program 325 9th Ave, 7th Floor Center Tower Room 73.1, Mail Stop #359796, Seattle, WA 98104 2018-04-02
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851875561 Sarah Gene Soloff Physician Assistant 9730 3rd Ave Ne Ste 201, Seattle, WA 98115-2023 2018-09-18
1861987992 Lillian Baldwin Bourret Physician Assistant 6317 Linden Ave N, Seattle, WA 98103-5658 2018-07-01
1043535024 Pamela Baird Physician Assistant 2016 16th Ave East, Seattle, WA 98112-5260 2010-04-01
1548402209 Loverne Greg De Venecia Jimenez Physician Assistant James Tower 550 17th Ave Suite 500, Swedish Neuroscience Institute, Seattle, WA 98122 2009-03-27
1679506737 Gerald M Strode Physician Assistant 521 Wall St, Seattle, WA 98121-1524 2006-07-09
1023049905 Kari A. Schmitz Physician Assistant 3725 Sw Prescott Pl, Seattle, WA 98126-2042 2006-07-06
1528007069 Claudia M Kalotay Physician Assistant 901 Boren Ave #800, Seattle, WA 98104 2006-06-06
1386681815 Paul Richard Halkett Physician Assistant Pbs Building, 401 Broadway, Seattle, WA 98122 2006-06-01
1851361646 Irina E Penev Physician Assistant 550 17th Ave Fl 6, Seattle, WA 98122-5788 2006-01-24
1174123939 Kaitlin C Fitzgerald Physician Assistant 325 9th Ave, Seattle, WA 98104-2420 2020-10-29
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Competitor

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City SEATTLE
Zip Code 98104

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Dataset Information

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.

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