KITSAP CHEST CONSULTANTS, PLLC (NPI# 1679886485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679886485 |
| Entity Type | Organization |
| Organization Name | KITSAP CHEST CONSULTANTS, PLLC |
| Other Organization Name | KITSAP PULMONARY AND SLEEP MEDICINE, PLLC |
| Practice Address |
19917 7th Ave Ne Suite 210 Poulsbo WA 98370-6555 |
| Mailing Address |
1225 Campbell Way Suite 201 Bremerton WA 98310-3351 |
| Practice Telephone | 3604798057 |
| Practice Fax Number | 3603770318 |
| Mailing Telephone | 3604798057 |
| Mailing Fax Number | 3603770318 |
| Enumeration Date | 2010-07-21 |
| Last Update Date | 2010-07-21 |
| Authorized Official Name | DR. ROGER EAGAN (PARTNER) |
| Authorized Official Telephone | 3604798057 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 602542295 | WA | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Kitsap Pulmonary and Sleep Medicine, PLLC | Doing Business As Name - Organization |
| Street Address |
19917 7TH AVE NE SUITE 210 |
| City | POULSBO |
| State | WA |
| Zip Code | 98370-6555 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063480358 | Richard Heath Foxlee | Radiology | 19917 7th Ave Ne, Suite 100, Poulsbo, WA 98370-6555 | 2006-03-10 |
| 1669829933 | Michael Dwyer Grennan | Physician Assistant | 19917 7th Ave Ne, Poulsbo, WA 98370-6555 | 2016-05-17 |
| 1821468596 | West Sound Dermatology Pllc | Dermatology | 19917 7th Ave Ne, Ste 203, Poulsbo, WA 98370-6555 | 2015-10-06 |
| 1851782247 | Svetlana Swan | Nurse Practitioner | 19917 7th Ave Ne, Suite 205, Poulsbo, WA 98370-6555 | 2015-02-07 |
| 1740500677 | Franciscan Medical Group | Urology | 19917 7th Ave Ne, Ste 100, Poulsbo, WA 98370-6555 | 2010-06-02 |
| 1083857940 | Peninsula Cancer Center LLC | Radiology | 19917 7th Ave Ne, Poulsbo, WA 98370-7403 | 2009-04-08 |
| 1033355623 | Caryn Mae Gabryshak | Physician Assistant | 19917 7th Ave Ne, 205, Poulsbo, WA 98370-6555 | 2009-01-02 |
| 1841327822 | Simone A Ince | Dermatology | 19917 7th Ave Ne, Ste 203, Poulsbo, WA 98370-6555 | 2007-02-27 |
| 1164518841 | Berit L Madsen | Radiology | 19917 7th Ave Ne, Poulsbo, WA 98370-7403 | 2006-10-04 |
| 1699712182 | Dianne R. Levisohn | Dermatology | 19917 7th Ave Ne, Ste 203, Poulsbo, WA 98370-6555 | 2006-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790324010 | Francie Corinn Edens | Massage Therapist | 225 Nw Lindvig Way Suite# 6, Poulsbo, WA 98370 | 2020-01-03 |
| 1972155679 | Marcela Serocki | Massage Therapist | 18657 Wa-305, Suite 4, Poulsbo, WA 98370 | 2019-07-12 |
| 1508425943 | Ryan Brinton | Physical Therapist | Kitsap Physical Therapy and Sports Clinics, 19319 7th Ave Ne Ste 108, Poulsbo, WA 98370 | 2019-06-10 |
| 1598220816 | Naomi Whitney Orong | Massage Therapist | 19068 Nw Jenson Way, Suite 4b, Poulsbo, WA 98370 | 2019-02-01 |
| 1043774953 | Maryanne Phillips Bellman | Physical Therapist | 442 Viewmont Ave, Poulsbo, WA 98370 | 2019-01-24 |
| 1285102293 | Andrea Sander | Registered Nurse | 19883 12th Ave Ne, Poulsbo, WA 98370 | 2018-11-07 |
| 1376038281 | Sharon Renay Christor | Nurse Practitioner | 19160 Front St. Ne, Poulsbo, WA 98370 | 2018-06-25 |
| 1700304334 | Samantha Przybylek Gavinski | Nurse Practitioner | 19500 10th Ave Ne Suite 100, Poulsbo, WA 98370 | 2017-09-04 |
| 1285164327 | Johanna Taylor | Behavior Technician | 21786 Windmill Loop Nw, Poulsbo, WA 98370 | 2017-06-12 |
| 1568990554 | Eva Geurtsen | Physical Therapy Assistant | 19160 Front St, Poulsbo, WA 98370 | 2017-06-02 |
| Find all providers in zip 98370 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063803153 | Amy Patawaran | Specialist | 18657 State Highway 305 Ne Ste 4, Poulsbo, WA 98370-9184 | 2015-02-10 |
| 1487064044 | Lacey M Collins | Specialist | 17012 Peterson Way Ne, Poulsbo, WA 98370-8706 | 2014-05-05 |
| 1427471226 | Carly Lord | Specialist | 19045 State Highway 305 Ne Ste 190, Poulsbo, WA 98370-7312 | 2014-01-29 |
| 1508163742 | Sherry A Stanley | Specialist | 21877 Max William Pl Ne, Poulsbo, WA 98370-9163 | 2011-02-24 |
| 1194967125 | Claudette Meno | Specialist | 19045 State Highway 305 Ne Ste 203, Poulsbo, WA 98370-8781 | 2009-04-06 |
| 1417090085 | Linda D Swartz Md Inc | Specialist | 20730 Bond Rd Ne Ste 201, Poulsbo, WA 98370-9000 | 2007-02-14 |
| 1285771451 | Jennifer S. Wiegand | Specialist | 19063 12th Ave Ne, Poulsbo, WA 98370-7334 | 2007-01-30 |
| 1821170895 | Michael C Jungkeit | Specialist | 22180 Olympic College Way Ste 202, Poulsbo, WA 98370-6664 | 2006-10-19 |
| 1083600480 | Lois Bresaw Md Inc Ps | Specialist | 20700 Bond Rd Ne Bldg B, Poulsbo, WA 98370-9099 | 2005-09-21 |
| 1306226436 | Maja Nelson | Specialist | 19045 State Highway 305 Ne, Ste 190, Poulsbo, WA 98370-7311 | 2015-06-03 |
| Find all providers in POULSBO | ||||
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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.