MR. IVAN PE LAW (NPI# 1720260441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720260441 |
| Entity Type | Individual |
| Full Name | MR. IVAN PE LAW |
| Credential | MD |
| Practice Address |
176 1st Ave N Ilwaco WA 98624-9137 |
| Mailing Address |
Po Box N Ilwaco WA 98624-0319 |
| Practice Telephone | 3606423747 |
| Practice Fax Number | 3606423361 |
| Mailing Telephone | 3606423747 |
| Mailing Fax Number | 3606423361 |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2011-05-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
MD00031977 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 041160 | 05 | |
| WA | 1233709 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083063473 | Ivan Law | Pharmacist | 540 W Palmdale Blvd # A, Palmdale, CA 93551-4232 | 2016-06-07 |
| 1285920389 | Ivan Kai Fung Law | Family Medicine | 6675 Holmes Rd Ste 450, Kansas City, MO 64131-1173 | 2011-06-27 |
| Street Address |
176 1ST AVE N |
| City | ILWACO |
| State | WA |
| Zip Code | 98624-9137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558356055 | Steven L Bellinger | Physician Assistant | 176 1st Ave N, Ilwaco, WA 98624-0319 | 2005-09-12 |
| 1255953485 | Brianna Angelina Ayers | Nurse Practitioner | 176 1st Ave N, Ilwaco, WA 98624-9137 | 2020-05-11 |
| 1376172775 | Kyle Shafer | Physician Assistant | 176 1st Ave N, Ilwaco, WA 98624-9137 | 2020-04-07 |
| 1114339389 | Shannon M Marsh | Clinical Nurse Specialist | 176 1st Ave N, Po Box N, Ilwaco, WA 98624-9137 | 2014-05-22 |
| 1043534142 | Tracy Renee Ramos | Specialist/Technologist, Other | 176 1st Ave N, Ilwaco, WA 98624 | 2010-03-17 |
| 1669525739 | Mark R. Kaehler | Emergency Medicine | 176 1st Ave N, Ocean Beach Hospital - Emcare Emergency Physicians, Ilwaco, WA 98624-9137 | 2007-01-19 |
| 1952333221 | Gerald Edward Weaver | Surgery | 176 1st Ave N, Ilwaco, WA 98624-9137 | 2006-07-07 |
| 1245228329 | Eugene G Pontecorvo | Orthopaedic Surgery | 176 1st Ave N, Ilwaco, WA 98624-9137 | 2005-10-12 |
| 1083601264 | Shirley M Pryor | Nurse Practitioner | 176 1st Ave N, Po Drawer N, Ilwaco, WA 98624 | 2005-10-03 |
| 1487640884 | Edouard J Duret | Surgery | 176 1st Ave N, Ilwaco, WA 98624 | 2005-09-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215240593 | Discovery Coast Emergency Physicians LLC | Emergency Medicine | 174 First Ave. North, Ilwaco, WA 98624 | 2010-07-15 |
| 1720216302 | Jeffrey J Chabot | Pharmacist | 101 Spruce, Ilwaco, WA 98624 | 2009-06-23 |
| 1700025137 | Penny Irene Neal | Specialist | 120 First Avenue, Ilwaco, WA 98624 | 2009-02-09 |
| 1487817508 | Pacific Heart Associates PC | Specialist | 174 First Ave N, Ilwaco, WA 98624 | 2008-07-09 |
| 1639396203 | Ocean Beach Chiropractic Ps | Chiropractor | 167 First Avenue, North, Ilwaco, WA 98624 | 2007-04-18 |
| 1265568133 | Tamra Kay Roloff | Midwife | 901 Lakeview Drive, Ilwaco, WA 98624 | 2007-02-26 |
| 1255416038 | Peninsula Pharmacies Inc | Pharmacy | 101 1st Ave South, Ilwaco, WA 98624 | 2006-10-27 |
| 1356423883 | Ocean Beach Physical Therapy Inc | Physical Therapist | 316 1st Ave. North, Ilwaco, WA 98624 | 2006-10-20 |
| 1295825727 | Thomas Sutherland | Pharmacist | 101 First Ave S, Ilwaco Pharmacy, Ilwaco, WA 98624 | 2006-10-13 |
| 1922198662 | Victoria Margaret Vestal | Physical Therapist | 316 1st Ave North, Ilwaco, WA 98624 | 2006-10-13 |
| Find all providers in zip 98624 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477150969 | John Michael Pesando | Internal Medicine | 1066 East Blaine Street, Seattle, WA 98102-4260 | 2020-10-07 |
| 1265944003 | Langdon Leforrest Miller | Internal Medicine | 3057 Perkins Ln W, Seattle, WA 98199-2418 | 2017-11-02 |
| 1306214168 | Alvaro Perona Blazquez | Internal Medicine | 5049 38th Ave Ne, Seattle, WA 98105-3022 | 2015-09-10 |
| 1013318245 | Vivien R V B Santos | Internal Medicine | 5049 38th Avenue Ne, Seattle, WA 98105 | 2014-09-08 |
| 1154663581 | Victor Alexander Chow | Internal Medicine | 1100 Fairview Ave N # D5-390, Seattle, WA 98109-4433 | 2013-03-24 |
| 1508150111 | Robert Eugene Burdick | Internal Medicine | 2201 39th Ave E, Seattle, WA 98112-2401 | 2011-06-01 |
| 1962701110 | Toni Kay Roberts | Internal Medicine | 2720 Clare Ave Ste A, Bremerton, WA 98310-3374 | 2011-03-26 |
| 1124334792 | Wayne Russell Godfrey | Internal Medicine | 410 W Harrison St, Suite 100, Seattle, WA 98119-4033 | 2010-08-20 |
| 1407173826 | Joshua Robert Veatch | Internal Medicine | 1100 Fairview Ave N # D5-100, Seattle, WA 98109-4433 | 2010-04-24 |
| 1346562816 | Song Zhao | Internal Medicine | 515 Minor Ave Fl 1, Seattle, WA 98104-2120 | 2010-02-24 |
| Find all providers with the same taxonomy | ||||
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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.