DIGESTIVE GI CARE (NPI# 1639618630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639618630 |
| Entity Type | Organization |
| Organization Name | DIGESTIVE GI CARE |
| Practice Address |
305 Sw Chkalov Dr 111-140 Vancouver WA 98683 |
| Practice Telephone | 3606017393 |
| Mailing Telephone | 3606017393 |
| Enumeration Date | 2017-02-23 |
| Last Update Date | 2017-02-23 |
| Authorized Official Name | SON T DO (OWNER) |
| Authorized Official Telephone | 3606017393 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | DIGESTIVE GI CARE, LLC | 18507 Nw 11th Ave, Ridgefield, WA 98642-9691 |
| Street Address |
305 SW CHKALOV DR 111-140 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98683 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235761222 | Nathaniel James Eugene Powell | Behavior Technician | 4101se 192nd Ave, Ste 101, Vancouver, WA 98683 | 2020-02-07 |
| 1295294973 | Ubmhc1, LLC | Clinical Medical Laboratory | 18110 Southeast 34th St, Building 2, Suite 240, Vancouver, WA 98683 | 2019-03-13 |
| 1982116695 | Amy K Adams | Massage Therapist | 2716 Se 169th Ave, X-232, Vancouver, WA 98683 | 2017-11-03 |
| 1477088920 | Alexandra Ransonet | Dental Hygienist | 19111 Se 34th. St., Vancouver, WA 98683 | 2017-04-21 |
| 1447706742 | Jennifer Horst | Massage Therapist | 3401 Se 192nd. Ave. Suite 107, Vancouver, WA 98683 | 2016-08-28 |
| 1154702728 | Kacie Marie Hamreus | Physician Assistant | 3101 Se 192nd Avenue, Vancouver, WA 98683 | 2015-06-09 |
| 1851782338 | Kathryn Wiedeman | Physical Therapy Assistant | 801 Se Park Crestt Ave, Vancouver, WA 98683 | 2015-02-05 |
| 1407255326 | Jesse Ryan Moses | Dentist | 16600 Se 15th Street, Suite A, Vancouver, WA 98683 | 2014-08-15 |
| 1366869893 | Stephen J Wold II | Podiatrist | 16701 Ne Mcgillivray Blvd, Ste 220, Vancouver, WA 98683 | 2014-03-21 |
| 1225475395 | Mark Austin | Dentist | 2100 Se 164th Ave., Suite D102, Vancouver, WA 98683 | 2013-05-30 |
| Find all providers in zip 98683 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255656716 | Eric Mikkonen Nordstrom | Internal Medicine | 700 Ne 87th Ave Ste 310, Vancouver, WA 98664 | 2010-03-28 |
| 1992980213 | Joy Shan-fong Chen | Internal Medicine | 501 Se 172nd Ave Ste 240, Vancouver, WA 98684-9542 | 2008-01-05 |
| 1275633844 | Samuel K Sim | Internal Medicine | 2415 Ne 134th Street, Suite 205, Vancouver, WA 98686 | 2006-09-24 |
| 1417968256 | Joseph Y Chang | Internal Medicine | 505 Ne 87th Ave Ste 301, Vancouver, WA 98664-1965 | 2006-08-10 |
| 1285668822 | Son T Do | Internal Medicine | 2415 Ne 134th St, Suite 205, Vancouver, WA 98686-3025 | 2006-07-10 |
| 1952301277 | Jonathan R Sachs | Internal Medicine | 501 Se 172nd Ave, Vancouver, WA 98684-9542 | 2005-07-28 |
| 1073802773 | Peter R Caruana | Internal Medicine | 700 Ne 87th Ave, Vancouver, WA 98664-1913 | 2011-04-04 |
| 1154647584 | David Sprague | Internal Medicine | 700 Ne 87th Ave, Suite 310, Vancouver, WA 98664-1913 | 2010-04-09 |
| 1811139256 | John Randles | Internal Medicine | 2525 Ne 139th St, Ste 250, Vancouver, WA 98686-2719 | 2009-03-31 |
| 1417196833 | Jaime Jose Wilson-chiru | Internal Medicine | 700 Ne 87th Ave, Vancouver, WA 98664-1913 | 2009-02-09 |
| Find all providers in VANCOUVER | ||||
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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.