NIRANJAN SIVAKUMAR (NPI# 1750675609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750675609 |
| Entity Type | Individual |
| Full Name | NIRANJAN SIVAKUMAR |
| Credential | M.D. |
| Practice Address |
3525 Ensign Rd Ne Suite K Olympia WA 98506-5065 |
| Practice Telephone | 3604138121 |
| Mailing Telephone | 3604138121 |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2016-06-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
MD60661919 | WA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2059291 | 05 |
| Street Address |
3525 ENSIGN RD NE SUITE K |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98506-5065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356340970 | Olympia Radiologists, P.s. | Radiology | 3525 Ensign Rd Ne, Suite B, Olympia, WA 98506-5065 | 2005-07-15 |
| 1770950669 | Theresa Erin Duggan | Nurse Practitioner | 3525 Ensign Rd Ne, Olympia, WA 98506-5065 | 2015-08-26 |
| 1801283841 | James Simmons | Nurse Practitioner | 3525 Ensign Rd Ne, Suite E, Olympia, WA 98506-5065 | 2015-04-16 |
| 1417354960 | Allison Elise Hamza | Physician Assistant | 3525 Ensign Rd Ne, Suite N, Olympia, WA 98506-5065 | 2014-11-28 |
| 1306248927 | Andrea Simmons | Nurse Practitioner | 3525 Ensign Rd Ne, Ste B, Olympia, WA 98506-5065 | 2014-09-26 |
| 1417388182 | Cynthia Marie Mosebach | Nurse Practitioner | 3525 Ensign Rd Ne, Olympia, WA 98506-5065 | 2013-12-06 |
| 1700216223 | Northwest Asthma Allergy Center | Specialist | 3525 Ensign Rd Ne, Suite E, Olympia, WA 98506-5065 | 2013-11-19 |
| 1184052128 | Stefanie Denney | Hearing Instrument Specialist | 3525 Ensign Rd Ne, M-1, Olympia, WA 98506-5065 | 2013-10-30 |
| 1396187613 | Samy's Drug Store Inc. | Pharmacy | 3525 Ensign Rd Ne, Suite H, Olympia, WA 98506-5065 | 2013-07-29 |
| 1184859118 | Haley Sanders | Specialist | 3525 Ensign Rd Ne, Ste N, Olympia, WA 98506-5065 | 2009-05-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477185460 | Chloe Harper | Technician, Other | 3443 Lilly Rd Se, Ste B, Olympia, WA 98506 | 2020-02-07 |
| 1912543539 | Jessica Marie Radakovich | Licensed Practical Nurse | 3426 Mary Elder Rd, Olympia, WA 98506 | 2019-11-19 |
| 1669014973 | Arlene Josephine Adams | Registered Nurse | 413 Lily Rd Ne, Olympia, WA 98506 | 2019-10-09 |
| 1861999120 | Debra Delores Barker | Licensed Practical Nurse | 3710 South Bay Rd Ne, Olympia, WA 98506 | 2018-04-12 |
| 1801304431 | Michelle Warner | Nurse Practitioner | 205 Lilly Rd Ne Ste A1, Olympia, WA 98506 | 2018-01-17 |
| 1396258364 | Institute for Family Development | Community/Behavioral Health | 204 Quince St. Ne, Suite 200, Olympia, WA 98506 | 2017-11-13 |
| 1083137715 | Cameron Kunkel | Specialist/Technologist | 2512 20th Ave Ne, Olympia, WA 98506 | 2017-07-25 |
| 1184144768 | Trevor Shane Kwan | Family Medicine | 525 Lilly Road Ne, Olympia, WA 98506 | 2017-06-23 |
| 1073043212 | Michael H Harburg | Behavior Technician | 3857 Martin Way Ne, Olympia, WA 98506 | 2017-06-19 |
| 1780114371 | Priscilla Kangyang Jadu | Counselor | 3857 Martin Way E., Olympia, WA 98506 | 2017-06-15 |
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| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| 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 |
|---|---|---|---|---|
| 1942561824 | Tsering Dhondup | Internal Medicine | 3525 Ensign Rd Ne Ste K, Olympia, WA 98506-5065 | 2012-06-06 |
| 1649449919 | Lana K Bur | Internal Medicine | 3525 Ensign Rd Ne, Suite K, Olympia, WA 98506-5065 | 2008-02-21 |
| 1053374421 | Memorial Nephrology Associates Pllc | Internal Medicine | 3525 Ensign Rd Ne, Suite K, Olympia, WA 98506-5065 | 2006-04-07 |
| 1578536496 | Julia P Anuras | Internal Medicine | 3525 Ensign Rd Ne, Suite K, Olympia, WA 98506-5065 | 2006-02-10 |
| 1558344382 | Vo Dang Nguyen | Internal Medicine | 3525 Ensign Rd Ne, Suite K, Olympia, WA 98506-5065 | 2005-11-25 |
| 1720061559 | Christopher P Burtner | Internal Medicine | 3525 Ensign Rd Ne, Suite K, Olympia, WA 98506-5065 | 2005-11-25 |
| 1073596078 | Robert C Tomford | Internal Medicine | 500 Lilly Rd Ne, Suite 203, Olympia, WA 98506-5195 | 2005-11-22 |
| 1609859602 | Seth Mark Thaler | Internal Medicine | 3525 Ensign Rd Ne, Suite K, Olympia, WA 98506-5065 | 2005-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790326502 | Blazing Grace Medical, LLC | Internal Medicine | 953 Stevens Dr Ste C, Richland, WA 99352-3533 | 2019-10-02 |
| 1619460268 | Pacific Kidney & Hypertension, LLC | Internal Medicine | 2707 Colby Ave, Everett, WA 98201-3528 | 2018-06-08 |
| 1992258289 | Roderick Marshall Macdonald | Internal Medicine | University of Washington Mc 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2016-08-03 |
| 1124458310 | Cascade Kidney Specialists | Internal Medicine | Cascade Kidney Specialists, 1370 116th Ave Ne Suite 209, Bellevue, WA 98004-3825 | 2013-11-25 |
| 1518209758 | Maurice Ibrahim Khayat | Internal Medicine | 9040 Jackson Ave Mche-qd (creds), Tacoma, WA 98431 | 2013-03-26 |
| 1164775508 | Hoang H Dang, Md, Ps | Internal Medicine | 9804 Ne 15th St, Bellevue, WA 98004-3431 | 2012-10-23 |
| 1518248921 | William Griffith Couser | Internal Medicine | 16050 169th Ave Ne, Woodinville, WA 98072-8949 | 2011-08-30 |
| 1346535556 | David Alan Goodkin | Internal Medicine | 3807 134th Ave Ne, Bellevue, WA 98005-1437 | 2011-06-15 |
| 1174838676 | Shanza Mujeeb | Internal Medicine | 1708 Yakima Ave Ste 107, Tacoma, WA 98405-5300 | 2010-08-10 |
| 1942532056 | Glenn Ying Gee | Internal Medicine | 2933 Laurel Rd, Longview, WA 98632-4519 | 2010-02-01 |
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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.