GUANGQUAN ZHAO


Address: 1615 Delaware St, Longview, WA 98632-2367
Phone: 3604147878

GUANGQUAN ZHAO (NPI# 1710197314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710197314
Entity Type Individual
Full Name GUANGQUAN ZHAO
Credential MD
Practice Address 1615 Delaware St
Longview
WA 98632-2367
Mailing Address 25511 Budde Rd Ste 1201
The Woodlands
TX 77380-2091
Practice Telephone 3604147878
Mailing Telephone 2813641707
Mailing Fax Number 2813640028
Enumeration Date 2007-05-23
Last Update Date 2018-03-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine MD60331815 WA Allopathic & Osteopathic Physicians
N 207RH0000X Internal Medicine
Specialization: Hematology
MD60331815 WA Allopathic & Osteopathic Physicians
N 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
N4226 TX Allopathic & Osteopathic Physicians
Y 207RX0202X Internal Medicine
Specialization: Medical Oncology
MD60331815 WA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX 316367704 05
TX 316367702 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
506 Medical Center Blvd, Suite 100, Conroe, TX 773042826 9367776550 9367776555

Office Location

Street Address 1615 DELAWARE ST
City LONGVIEW
State WA
Zip Code 98632-2367

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548264252 Lan N Pham Internal Medicine 1615 Delaware St, Longview, WA 98632-2367 2005-06-09
1629681127 Cole Taylor Dawson Pharmacist 1615 Delaware St, Longview, WA 98632-2367 2020-08-25
1760008908 Tanya Neely Registered Nurse 1615 Delaware St, Longview, WA 98632-2367 2020-06-23
1376167254 Gareth John Penta Nurse Practitioner 1615 Delaware St, Longview, WA 98632-2367 2020-06-05
1982227013 Crystal Ann Florek Nurse Practitioner 1615 Delaware St, Longview, WA 98632-2367 2020-05-22
1194356600 Tiffany Terry Nurse Practitioner 1615 Delaware St, Longview, WA 98632-2367 2020-02-03
1285274167 Jason Loren Whitney Nurse Practitioner 1615 Delaware St, Longview, WA 98632-2367 2020-01-08
1851857676 Garrett Michael Alan Harrison Case Manager/Care Coordinator 1615 Delaware St, Longview, WA 98632-2367 2019-02-17
1184192189 Katie Johnson Clinical Nurse Specialist 1615 Delaware St, Longview, WA 98632-2367 2018-11-07
1750864187 Brina Rayne Moh Physician Assistant 1615 Delaware St, Longview, WA 98632-2367 2018-09-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851992366 Honor Senior Care LLC Home Health Aide 1135 3rd Ave, Ste S101, Longview, WA 98632 2020-11-03
1417416728 Sam Wise Dentist 1538 11th Ave Lowr Columbia, Longview, WA 98632 2019-03-16
1053870717 Matthew Johnson Physician Assistant 900 Ocean Beach Hwy Ste 110, Longview, WA 98632 2019-03-12
1295205367 Abid Valji Occupational Therapist Americana Health and Rehabilitation Center, 917 7th Ave, Longview, WA 98632 2018-11-30
1184106437 Peacehealth Durable Medical Equipment & Medical Supplies Triangle Mall Suite 16 1015 Ocean Beach Hwy, Longview, WA 98632 2018-09-04
1982186318 Linda Joan Mason Licensed Practical Nurse 1153 23rd Ave, Longview, WA 98632 2018-09-01
1891291910 Ellen Sumner Hornbeak Physical Therapist 200 Triangle Shopping Ctr Ste 270, Longview, WA 98632 2018-04-05
1700399961 Johnna Joyce Knapp Speech-Language Pathologist 2615 Lilac St, Longview, WA 98632 2017-11-09
1841711868 Deborah Annette Burzynski Registered Nurse 1057 12th Avenue, Longview, WA 98632 2017-06-29
1598291122 Cheyenne West Counselor 1616 10th Avenue, Longview, WA 98632 2017-05-02
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Taxonomy Information

Taxonomy Code 207RX0202X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Medical Oncology

Taxonomy Definition

An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851334759 Neeraj Roshanial Sharma Internal Medicine 1300 N 4th St, Longview, TX 75601-4717 2006-06-14
1821031253 Lewis Alvin Duncan Internal Medicine 1300 N 4th St, Longview, TX 75601-4717 2006-06-14
1942242995 Larry Lynn Frase Internal Medicine 1300 N 4th St, Longview, TX 75601-4717 2006-06-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1285286369 Candice Mccoy Internal Medicine 400 Dexter Ave N Ste 1200, Seattle, WA 98109-5094 2019-07-10
1265860027 Vista Oncology Inc Ps Internal Medicine 420 Mcphee Rd Se, Olympia, WA 98502 2013-10-14
1326483587 Providence Health & Services Mt Internal Medicine 24001 East Mission Ave. Ste 105, Providence Healtlh and Services, Montana, Liberty Lake, WA 99019-0012 2013-05-01
1295000552 Jesse Johnston Salk Internal Medicine 1660 S Columbian Way # S-111onc, Seattle, WA 98108-1532 2012-03-19
1962777862 Charles M Bagley Jr. Internal Medicine 1235 8th Ave W, Seattle, WA 98119-3441 2012-03-12
1548556384 Janghee Woo Internal Medicine 825 Eastlake Ave. East, Seattle, WA 98109 2011-06-20
1174849855 B Chue Consulting, P.s. Internal Medicine 2825 Eastlake Ave E Ste 200, Seattle, WA 98102-3085 2010-04-20
1740449602 Kinsey A Mccormick Internal Medicine 1221 Madison St Ste 500, Seattle, WA 98104-1388 2008-06-05
1336310028 Brian Wayne Goodell Internal Medicine 24705 142nd Ave Se, Kent, WA 98042-5152 2008-03-20
1003009259 Providence Health & Service - Washington Internal Medicine 2015 Cooks Hill Rd, Suite 200, Centralia, WA 98531-9074 2007-08-21
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Competitor

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City LONGVIEW
Zip Code 98632

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Dataset Information

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.

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