SUZANNE AMALIE INGRAO (NPI# 1679760755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679760755 |
| Entity Type | Individual |
| Full Name | SUZANNE AMALIE INGRAO |
| Other Name | SUZANNE AMALIE POPP |
| Credential | M.D. |
| Practice Address |
407 14th Ave Se Puyallup WA 98372-3770 |
| Practice Telephone | 2535974626 |
| Mailing Telephone | 2535974626 |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2011-03-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 00049333 | WA | Allopathic & Osteopathic Physicians |
| Street Address |
407 14TH AVE SE |
| City | PUYALLUP |
| State | WA |
| Zip Code | 98372-3770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881670925 | Monirath P Huon | Pharmacist | 407 14th Ave Se, Gsch Pharmacy Department, Puyallup, WA 98372-3770 | 2005-12-20 |
| 1699253195 | Hospitalist Medicine Physicians of Washington-tcg | Internal Medicine | 407 14th Ave Se, Puyallup, WA 98372-3770 | 2018-08-06 |
| 1013334432 | Miao Huang | Internal Medicine | 407 14th Ave Se, Puyallup, WA 98372-3770 | 2014-03-24 |
| 1427307818 | Francesca Lorraine Stracke | Nurse Practitioner | 407 14th Ave Se, Puyallup, WA 98372-3770 | 2012-08-31 |
| 1144589474 | Betty Jo Paul | Nutritionist | 407 14th Ave Se, Puyallup, WA 98372-3770 | 2012-05-07 |
| 1295028421 | Carolyn Lynn Vanderbloemen | Social Worker | 407 14th Ave Se, Puyallup, WA 98372-3770 | 2011-05-20 |
| 1104128727 | Dr Patrice N Stevenson | Physical Medicine & Rehabilitation | 407 14th Ave Se, Puyallup, WA 98372-3770 | 2010-12-02 |
| 1447574769 | Desiree Charlotte Vaughan | Social Worker | 407 14th Ave Se, Puyallup, WA 98372-3770 | 2010-03-15 |
| 1053642645 | Tracey L Goncalves | Social Worker | 407 14th Ave Se, Puyallup, WA 98372-3770 | 2010-01-20 |
| 1720233786 | Laura Camille Hardy | Speech-Language Pathologist | 407 14th Ave Se, Puyallup, WA 98372-3770 | 2008-11-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371532 | Jeffrey Allen Zhan | Urology | Good Samaritan Medical Office Bldg 1450 5th St Se, Suite 2100- Urology Clinic, Puyallup, WA 98372 | 2019-11-21 |
| 1447811419 | Serenity Counseling & Consulting, LLC | Marriage & Family Therapist | 102 23rd St Se, Unit B, Puyallup, WA 98372 | 2019-06-21 |
| 1316401565 | Katherine Juarez Davidson | Nurse Practitioner | 325 E Pioneer # A145, Puyallup, WA 98372 | 2019-01-22 |
| 1679041404 | Cara Ann Lundin | Nurse Practitioner | 11926 43rd St Crt E, Edgewood, WA 98372 | 2018-11-09 |
| 1104392109 | Megan Black | Occupational Therapist | 40 29th St Ne, Puyallup, WA 98372 | 2018-10-17 |
| 1063919470 | Myriah Shekinah Olakpe | Occupational Therapist | 516 Se 23rd Ave, Puyallup, WA 98372 | 2018-04-11 |
| 1902330202 | Tyler Girdler | Student in an Organized Health Care Education/Training Program | 1322 3rd Street Se Suite 240, Puyallup, WA 98372 | 2017-04-13 |
| 1770039471 | Mahalakshmi Hariharan | Pharmacist | 2117 28th St Se, Puyallup, WA 98372 | 2016-09-01 |
| 1801241112 | Nawazish Ali | Internal Medicine | 401 15th Ave Se Multicare God Samartian Hopsital, Puyallup, WA 98372 | 2016-04-25 |
| 1932567559 | Denice L. Voss | Physical Therapist | 400 29th St. Ne, Puyallup, WA 98372 | 2016-02-10 |
| Find all providers in zip 98372 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003921701 | Michael Lane Pearson | Pediatrics | 12904 94th Ave East, Puyallup, WA 98373 | 2006-08-20 |
| 1750303038 | Don R Russell | Pediatrics | 1910 S Meridian, Suite A, Puyallup, WA 98371-7531 | 2006-07-24 |
| 1851368575 | Shabnam Barnhart | Pediatrics | 1706 S. Meridian, Suite 130, Puyallup, WA 97371 | 2006-03-01 |
| 1366428369 | Roselynn Wee Sim Cuenca | Pediatrics | 1910 Meridian St S, Ste A, Puyallup, WA 98371-7531 | 2005-12-21 |
| 1407242530 | Taylor Ryan Mclain | Pediatrics | 11102 Sunrise Blvd E Ste 103, Puyallup, WA 98374 | 2015-04-15 |
| 1700298148 | Erin Colleen Donahue | Pediatrics | 1706 S. Meridian, Suite 120, Puyallup, WA 98371 | 2014-05-20 |
| 1407907504 | Timothy B Jolley | Pediatrics | 1322 3rd St Se Ste 240, Puyallup, WA 98372-3771 | 2007-01-15 |
| 1578671830 | Mazen Dahan | Pediatrics | 120 14th Ave Se, Suite A, Puyallup, WA 98372 | 2006-08-28 |
| 1467472225 | Melanie A Roscoe | Pediatrics | 11102 Sunrise Blvd E, Suite 103, Puyallup, WA 98374 | 2006-07-21 |
| 1710934302 | Martin Maimon | Pediatrics | 407 14th Ave Se, Puyallup, WA 98372-3770 | 2006-05-28 |
| Find all providers in PUYALLUP | ||||
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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.