FRANK J. CERVENKA (NPI# 1710034111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710034111 |
| Entity Type | Individual |
| Full Name | FRANK J. CERVENKA |
| Credential | M.D. |
| Practice Address |
275 Bronson Way Ne Renton WA 98056-4030 |
| Mailing Address |
Po Box 34581 Seattle WA 98124-1581 |
| Practice Telephone | 4252532800 |
| Mailing Telephone | 5092417349 |
| Mailing Fax Number | 5092417628 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2009-08-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | MD00021172 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1169507 | 05 | |
| WA | L&I | 232658 | 01 |
| Street Address |
275 BRONSON WAY NE |
| City | RENTON |
| State | WA |
| Zip Code | 98056-4030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760541734 | Debra Susan Fetherston | Internal Medicine | 275 Bronson Way Ne, Renton, WA 98056-4030 | 2006-12-06 |
| 1245793645 | Martin Tran | Pharmacist | 275 Bronson Way Ne, Renton, WA 98056-4030 | 2019-04-11 |
| 1659741304 | Jessica Mt Dubose | Social Worker | 275 Bronson Way Ne, Renton, WA 98056-4030 | 2015-10-06 |
| 1477936573 | Sarah Elizabeth Fernandez | Speech-Language Pathologist | 275 Bronson Way Ne, Renton, WA 98056-4030 | 2015-07-07 |
| 1083019699 | Erica G Zimmerman | Dietitian, Registered | 275 Bronson Way Ne, Renton, WA 98056-4030 | 2014-10-24 |
| 1760882484 | Rory David Cavaille | Physician Assistant | 275 Bronson Way Ne, Renton, WA 98056-4030 | 2014-08-29 |
| 1982967733 | Amy Chen | Internal Medicine | 275 Bronson Way Ne, Renton, WA 98056-4030 | 2012-06-18 |
| 1306103874 | Yara Ameen Nouisser | Pharmacist | 275 Bronson Way Ne, Renton, WA 98056-4030 | 2012-04-20 |
| 1124313846 | Pragya Priyadarshini Tripathi | Hospitalist | 275 Bronson Way Ne, Renton, WA 98056-4030 | 2011-06-10 |
| 1114218187 | Kaiser Foundation Health Plan of Washington | Clinic/Center | 275 Bronson Way Ne, Renton, WA 98056-4030 | 2011-04-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912496456 | Lashanda Mccurdy | Massage Therapist | 401 Olympia Avenue Ne, Renton, WA 98056 | 2018-05-09 |
| 1962949545 | Andrea Floth | Behavioral Analyst | 1177 Harrington Ave Ne #304, Renton, WA 98056 | 2017-01-20 |
| 1841695467 | Angelica Tran | Pharmacist | 455 Bronson Way North East, Renton, WA 98056 | 2014-10-24 |
| 1992844534 | Kathleen Maura Koenig | Physical Therapist | 7215 116th Ave Se, Newcastle, WA 98056 | 2007-02-06 |
| 1104975226 | Letha Fernandez | Counselor | 2503 Camas Ave Ne, Renton, WA 98056 | 2007-01-09 |
| 1760402366 | See Jane Inc | Optometrist | 12660 164th Ave Ste A, Renton, WA 98056 | 2006-07-20 |
| 1205860509 | Marta E Long | Internal Medicine | 275 Bronson Way Se, Renton, WA 98056 | 2006-07-10 |
| 1538721931 | Kiabet Sarahi Patino | Counselor | 7972 Maple Ave Se, Snoqualmie, WV 98056 | 2019-07-05 |
| 1710331483 | Aditi Dhar | Family Medicine | 7203 129th Ave Se Ste 100, Newcastle, WA 98056 | 2016-04-19 |
| 1215212287 | Emmie Yun-mei Lo | Pharmacist | 3011 Ne Sunset Blvd, Renton, WA 98056 | 2011-10-20 |
| Find all providers in zip 98056 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive 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 |
|---|---|---|---|---|
| 1760541734 | Debra Susan Fetherston | Internal Medicine | 275 Bronson Way Ne, Renton, WA 98056-4030 | 2006-12-06 |
| 1043318629 | Khairunnissa S Rajwani | Internal Medicine | 2418 Se 2nd Pl, Renton, WA 98056-8876 | 2006-09-20 |
| 1235146077 | Emad Nabil Girgis | Internal Medicine | 17600 Talbot Rd S, Suite 5, Renton, WA 98055-5788 | 2006-08-02 |
| 1447270970 | Gene Y Hao | Internal Medicine | 606 Oakesdale Ave Sw, Suite C200, Renton, WA 98057-5227 | 2006-07-20 |
| 1205860509 | Marta E Long | Internal Medicine | 275 Bronson Way Se, Renton, WA 98056 | 2006-07-10 |
| 1700812237 | Margaret R Adam | Internal Medicine | 64 Rainier Ave S, Renton, WA 98057 | 2006-06-25 |
| 1952369498 | Khue Dung Lucy Nguyen | Internal Medicine | 660 Sw 39th St, Ste 150, Renton, WA 98057-4912 | 2006-05-03 |
| 1013987841 | Ting-wei Yang | Internal Medicine | 4011 Talbot Rd S Ste 500, Renton, WA 98055-5782 | 2006-01-24 |
| 1417939331 | James Robert Fackelman | Internal Medicine | 10555 Se Carr Rd, Renton, WA 98055-5820 | 2005-11-16 |
| 1730172008 | Margaret Fillmore Gaines | Internal Medicine | 606 Oakesdale Ave Sw Ste C200, Renton, WA 98057 | 2005-08-23 |
| Find all providers in RENTON | ||||
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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.