MR. JOHNNY WAYNE SINISCAL (NPI# 1669583340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669583340 |
| Entity Type | Individual |
| Full Name | MR. JOHNNY WAYNE SINISCAL |
| Credential | PHYSICANS ASSISTANT |
| Practice Address |
10100 Se Sunnyside Rd Clackamas OR 97015-8970 |
| Mailing Address |
20770 Sw Sandra Ln Beaverton OR 97006-1846 |
| Practice Telephone | 5035718278 |
| Practice Fax Number | 5035712740 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
OR PA 00079 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
10100 SE SUNNYSIDE RD |
| City | CLACKAMAS |
| State | OR |
| Zip Code | 97015-8970 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942276969 | Jeanette L. Tanega | Physician Assistant | 10100 Se Sunnyside Rd, Mt. Talbert Medical Office, Clackamas, OR 97015-8970 | 2006-02-28 |
| 1154935252 | Hayley Hirt | Registered Nurse | 10100 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2020-09-04 |
| 1073017463 | Donna Delaine Eoff | Nurse Practitioner | 10100 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2018-03-20 |
| 1043752777 | Heather Carey | Registered Nurse | 10100 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2016-11-11 |
| 1891247797 | Christopher Curtis Caswell | Pharmacist | 10100 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2016-10-26 |
| 1164973236 | Kaiser Foundation Health Plan of The Northwest | General Practice | 10100 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2016-10-24 |
| 1518416676 | Julie Khuu | Pharmacist | 10100 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2016-09-29 |
| 1619425733 | Brett Caldwell | Pharmacist | 10100 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2016-09-18 |
| 1700258530 | Christina Nichole Farrell | Nurse Practitioner | 10100 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2015-10-20 |
| 1851739320 | Angela Christine Dunscomb | Physical Therapist | 10100 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2013-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184103517 | Laurel Perilli | Physical Therapist | 12550 Se 93rd Ave Ste 265, Clackamas, OR 97015 | 2018-08-07 |
| 1306324538 | Kristin Connor Messing | Physical Therapist | 4805 Ne Glisan St, Prov Hall 7e06, Portland, OR 97015 | 2018-07-31 |
| 1902317266 | Darcy Jones Hamrick | Counselor | 12901 Se 97th Ave., Suite 340, Clackamas, OR 97015 | 2017-10-13 |
| 1841723384 | Manon Lavoie | Chiropractor | 17105 Se Sunnyside Rd, Suite 148, Happy Valley, OR 97015 | 2017-04-11 |
| 1235670126 | Michael G Short | Pedorthist | 10117 Se Sunnyside Rd., Ste. H, Clackamas, OR 97015 | 2017-03-13 |
| 1487100756 | Michael Joseph Peizner | Pharmacist | 16300se Evelyn Street, Clackamas, OR 97015 | 2016-08-28 |
| 1316395619 | Jennifer Elaine Walkowski | Physical Therapist | 9100 Se Sunnyside Road, Clackamas, OR 97015 | 2016-05-26 |
| 1649635384 | Brookside Dental - Milwaukie, LLC | Dentist | 9225 Se Sunnyside Rd. Ste 1, Clackamas, OR 97015 | 2015-12-23 |
| 1801216130 | Robert D. Grew Dmd, Inc. | Dentist | 10163 Se Sunnyside Road, Suite 414, Clackamas, OR 97015 | 2014-04-25 |
| 1508205410 | Valerie P Tabalno | Massage Therapist | 15661 Se 82nd Dr, Clackamas, OR 97015 | 2013-06-25 |
| Find all providers in zip 97015 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528151206 | Peter P Musacchio | Physician Assistant | 9800 Se Sunnyside Road, Clackamas, OR 97015-9750 | 2006-10-02 |
| 1225131147 | Jay Melvin Schmidt | Physician Assistant | 10100 Se Sunnyside Road, Mt Talbert Medical Office Dept of Neurosurgery, Clackamas, OR 97015 | 2006-09-06 |
| 1003923293 | Michael Hollenback | Physician Assistant | 9800 Se Sunnyside Rd, Clackamas, OR 97015-9750 | 2006-08-24 |
| 1063525707 | Steven Bradley Oliver | Physician Assistant | 10100 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2006-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619575008 | Janna Marie Check | Physician Assistant | 3555 Chad Drive, Eugene, OR 97408 | 2020-10-16 |
| 1922588508 | Melanie Grace Mix | Physician Assistant | 501 N Graham St Ste 420, Portland, OR 97227 | 2018-08-14 |
| 1396250122 | Saron Theresa Sufuentes | Physician Assistant | 578 Nw Marlborough Ave, Portland, OR 97210-3104 | 2017-12-01 |
| 1801321039 | Devin Fleming | Physician Assistant | 22936 Ne Pike St, Troutdale, OR 97060-2615 | 2017-04-25 |
| 1710435011 | Alexander Andersen | Physician Assistant | 445 Harlow Rd Ste 200, Springfield, OR 97477-1341 | 2016-09-14 |
| 1952775520 | Lauren Govier | Physician Assistant | 501 N Graham St Ste 415, Portland, OR 97227-2006 | 2015-11-19 |
| 1619346368 | Ryan Mcmahon | Physician Assistant | 3415 Ne 20th Ave, Portland, OR 97212-2416 | 2015-09-23 |
| 1518366863 | Latoya Allen | Physician Assistant | 2450 Highgate St, Unit 12, Medford, OR 97501-7955 | 2014-08-21 |
| 1528499910 | Elan Kennedy | Physician Assistant | 3181 Sw Sam Jackson Park Rd., Mail Code L353, Ohsu, Division of Cardiothoracic Surgery, Portland, OR 97239 | 2013-12-10 |
| 1699114421 | Lauren M Kendall | Physician Assistant | 960 N 16th St Ste 108, Springfield, OR 97477-4175 | 2013-06-14 |
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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.