DR. DOMINIQUE JUSTIN PEPPER


Address: 500 Lilly Rd Ne Ste 201, Olympia, WA 98506
Phone: 3604138272

DR. DOMINIQUE JUSTIN PEPPER (NPI# 1750691713) 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) 1750691713
Entity Type Individual
Full Name DR. DOMINIQUE JUSTIN PEPPER
Credential MD
Practice Address 500 Lilly Rd Ne Ste 201
Olympia
WA 98506
Mailing Address Po Box 3360
Portland
OR 97208-3360
Practice Telephone 3604138272
Practice Fax Number 3604138878
Enumeration Date 2010-10-08
Last Update Date 2018-07-25
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
MD60818088 WA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MS MS. TEMPORARY MEDICAL LICENSE 796-L 01

Office Location

Street Address 500 LILLY RD NE STE 201
City OLYMPIA
State WA
Zip Code 98506

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396821310 Suzanne E Goldman Nurse Practitioner 500 Lilly Rd Ne Ste 201, Olympia, WA 98506-5197 2006-10-31
1003213463 Karen Yepez Nurse Practitioner 500 Lilly Rd Ne Ste 201, Olympia, WA 98506-5197 2014-12-01
1013174432 Colleen M Overdorf Internal Medicine 500 Lilly Rd Ne Ste 201, Olympia, WA 98506-5197 2008-05-22
1689843492 Raul Manuel Buenaflor Cruz Internal Medicine 500 Lilly Rd Ne Ste 201, Olympia, WA 98506-5197 2008-02-26
1932314374 Warangkhana Wongba Internal Medicine 500 Lilly Rd Ne Ste 201, Olympia, WA 98506-5197 2007-05-11
1174683007 Dustin T Engelken Internal Medicine 500 Lilly Rd Ne Ste 201, Olympia, WA 98506-5197 2006-12-11

Providers in the same zip code

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
Find all providers in zip 98506

Taxonomy Information

Taxonomy Code 207RP1001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Pulmonary Disease

Taxonomy Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114192937 Richard Clark Redman Internal Medicine 500 Lilly Road Ne, Suite 201, Olympia, WA 98506 2008-04-23
1023071966 Robert Love Huck Internal Medicine 500 Lilly Rd Ne Suite 201, Olympia, WA 98503-5197 2006-04-11
1922007848 Austin C Lampert Internal Medicine 3920 Capitol Mall Dr Sw, Ste 308, Olympia, WA 98502-8701 2005-07-21
1013174432 Colleen M Overdorf Internal Medicine 500 Lilly Rd Ne Ste 201, Olympia, WA 98506-5197 2008-05-22

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1386004638 Kent N Sullivan Md Pllc Internal Medicine 19219 51st Ave Ne, Lake Forest Park, WA 98155-2940 2016-02-29
1215363676 Lawrence Edward Klock Jr. Internal Medicine 4115 S Bellgrove Ln, Spokane, WA 99223-6185 2013-09-17
1427495274 Mohammed Nayeemuddin Internal Medicine 16259 Sylvester Rd Sw Ste 404, Burien, WA 98166 2013-06-03
1174864912 Steven Chase Springmeyer Internal Medicine 219 Terry Ave N Ste 100, Seattle, WA 98109-5230 2013-03-04
1326364688 Surafel Befekadu Gezahegne Internal Medicine 4011 Talbot Rd S Ste 460, Renton, WA 98055-5791 2010-04-12
1649439209 Allison A Lambert Internal Medicine 105 W 8th Ave Ste 660e, Spokane, WA 99204-2302 2008-06-08
1467637058 John E Sailer Internal Medicine 181 Saddle Drive, Port Townsend, WA 98368 2008-01-02
1891995882 Bridget Collins Internal Medicine Uwmc 1959 Ne Pacific St, Seattle, WA 98195-0001 2007-07-19
1538368360 Vincent George Lerma Cunanan Internal Medicine 1100 Goethals Drive Third Floor, Kadlec Clinic Pulmonary, Richland, WA 99352 2007-07-12
1699982462 Brian Keay Internal Medicine 313 W Yelm Ave, Yelm, WA 98597-7669 2007-05-17
Find all providers with the same taxonomy

Competitor

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City OLYMPIA
Zip Code 98506

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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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