MICHAEL PUDERBAUGH (NPI# 1659574523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659574523 |
| Entity Type | Individual |
| Full Name | MICHAEL PUDERBAUGH |
| Practice Address |
2592 Kwina Rd Bellingham WA 98226-9278 |
| Practice Telephone | 3603840464 |
| Practice Fax Number | 3603121185 |
| Mailing Telephone | 3603840464 |
| Mailing Fax Number | 3603121185 |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122400000X | Denturist | DN00000024 | WA | Dental Providers |
| Street Address |
2592 KWINA RD |
| City | BELLINGHAM |
| State | WA |
| Zip Code | 98226-9278 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174628838 | Janine Shaw | Family Medicine | 2592 Kwina Rd, Bellingham, WA 98226-9278 | 2006-09-14 |
| 1598398059 | Alyssa Rosalie Irene Lane | Registered Nurse | 2592 Kwina Rd, Bellingham, WA 98226-9278 | 2020-02-12 |
| 1972169068 | Katelynn Alysha Drury | Social Worker | 2592 Kwina Rd, Bellingham, WA 98226-9278 | 2019-05-14 |
| 1225694599 | Nina Louise Kuhlman | Registered Nurse | 2592 Kwina Rd, Bellingham, WA 98226-9278 | 2019-05-13 |
| 1386101350 | Gillian Shannon Mckenzie | Dental Hygienist | 2592 Kwina Rd, Bellingham, WA 98226-9278 | 2019-02-26 |
| 1548727514 | Monica Lee Sulier | Dietitian, Registered | 2592 Kwina Rd, Bellingham, WA 98226-9278 | 2019-02-26 |
| 1811454887 | Melinda Mahoney | Dietitian, Registered | 2592 Kwina Rd, Bellingham, WA 98226-9278 | 2019-02-26 |
| 1801360714 | Sarah Mackenzie Cook-lalari | Social Worker | 2592 Kwina Rd, Bellingham, WA 98226-9278 | 2019-01-14 |
| 1194293134 | Alaysha Mae Mackenzie | Dental Hygienist | 2592 Kwina Rd, Bellingham, WA 98226-9278 | 2018-11-07 |
| 1992280341 | Traci Claire Martinson | Dental Hygienist | 2592 Kwina Rd, Bellingham, WA 98226 | 2018-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558901090 | Advancement Northwest, LLC | Community/Behavioral Health | 410 W Bakerview Rd Suite 110, Space 107, Bellingham, WA 98226 | 2020-01-13 |
| 1295374882 | Unity Care Northwest | Community/Behavioral Health | Roosevelt Elementary School Bh Services, 2900 Yew St., Bellingham, WA 98226 | 2019-12-30 |
| 1710454913 | Shane Humason | Pharmacist | 1225 East Sunset Drive, Ste 110, Bellingham, WA 98226 | 2018-10-26 |
| 1508342759 | Lydia Place A Nonprofit Corporation | Counselor | 1430 North Garden Street, Bellingham, WA 98226 | 2018-07-11 |
| 1609384486 | Lindsay Grace Davis | Massage Therapist | 1572 Huntley Rd, Bellingham, WA 98226 | 2018-01-16 |
| 1760900765 | Melissa Peters | Massage Therapist | 823 W Larson Rd, Bellingham, WA 98226 | 2017-08-30 |
| 1245754001 | Amber Michelle Wilson | Physical Therapy Assistant | 4860 Cordata Pkwy, North Cascades Health and Rehab, Bellingham, WA 98226 | 2017-08-02 |
| 1063935310 | Sophie Elizabeth Kangas | Speech-Language Pathologist | 4152 Meridian Street, Suite 105, Pmb 159, Bellingham, WA 98226 | 2017-07-19 |
| 1639607849 | Sharon Lynn Katz-kunde | Physical Therapist | 317 E Mcleod Rd #101, Bellingham, WA 98226 | 2017-06-01 |
| 1376998179 | Hyowon Choi | Podiatrist | 2075 Barkley Blvd Ste 220, Bellingham, WA 98226 | 2016-04-28 |
| Find all providers in zip 98226 | ||||
| Taxonomy Code | 122400000X |
| Grouping | Dental Providers |
| Classification | Denturist |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265642854 | Jody Eric Hansen | Denturist | 2710 Meridian St, Bellingham, WA 98225-2411 | 2007-05-23 |
| 1265589980 | Clayton Sulek | Denturist | 2003 N State St Ste B, Bellingham, WA 98225-4217 | 2007-01-04 |
| 1982704094 | Anthony J. Hansen | Denturist | 3410 Woburn St Ste 201, Bellingham, WA 98226-5643 | 2006-09-25 |
| 1598142804 | Melissa Brulotte | Denturist | 2710 Meridian St, Bellingham, WA 98225-2411 | 2015-05-06 |
| 1720417041 | Cody Carson | Denturist | 2710 Meridian St, Bellingham, WA 98225-2411 | 2013-11-07 |
| 1164740445 | Northwest Denture Centers | Denturist | 2710 Meridian St, Bellingham, WA 98225-2411 | 2010-05-11 |
| 1972839488 | Bellingham Denture Clinic, Inc. | Denturist | 2003 N State St Ste B, Bellingham, WA 98225-4217 | 2009-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427689421 | Tri-cities Denture Studio Pllc | Denturist | 3909 Creekside Loop Ste 110, Yakima, WA 98902-4880 | 2020-01-29 |
| 1447894811 | Michael Hu | Denturist | 430 N West Ave Ste 3, Arlington, WA 98223-1539 | 2019-10-29 |
| 1265999494 | Sagebrush Dental LLC | Denturist | 1114 N Mission St Ste C, Wenatchee, WA 98801-6711 | 2019-02-24 |
| 1295299113 | Stephanie Jean Hemenway | Denturist | 209 W Main Ave., Morton, WA 98356 | 2019-01-24 |
| 1538633664 | Trang Phung | Denturist | 1242 State Ave Ste G, Marysville, WA 98270-3672 | 2019-01-11 |
| 1053884338 | Juan Edward Berlanga | Denturist | 654 N Rochester St, Tacoma, WA 98406-1724 | 2019-01-09 |
| 1346713765 | Cody M Dunivin | Denturist | 129 Valley Meadows Dr, Chehalis, WA 98532-8652 | 2019-01-08 |
| 1841765682 | Andrew Payne | Denturist | 714 N Chelan Ave, Wenatchee, WA 98801-2069 | 2018-10-08 |
| 1154811982 | Jayson Allen Laney | Denturist | 4001 Colby Ave Ste 2, Everett, WA 98201-6208 | 2018-05-17 |
| 1932697117 | Jason Lee Alsbury | Denturist | 1715 W Kennewick Ave, Kennewick, WA 99336-3378 | 2018-04-24 |
| Find all providers with the same taxonomy | ||||
| City | BELLINGHAM |
| Zip Code | 98226 |
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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.