ECHO T VANDERWAL (NPI# 1760691851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760691851 |
| Entity Type | Individual |
| Full Name | ECHO T VANDERWAL |
| Credential | PA |
| Practice Address |
420 N 2nd Ave Ste 100 Sandpoint ID 83864-1565 |
| Practice Telephone | 2082652242 |
| Practice Fax Number | 2082658214 |
| Mailing Telephone | 2082652242 |
| Mailing Fax Number | 2082658214 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA671 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
420 N 2ND AVE STE 100 |
| City | SANDPOINT |
| State | ID |
| Zip Code | 83864-1565 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497781702 | Camille Marie Santarpio | Obstetrics & Gynecology | 420 N 2nd Ave, Sandpoint, ID 83864-1565 | 2006-06-26 |
| 1316343320 | Boundary Regional Community Health Center, Inc. | Pediatrics | 420 N 2nd Ave, Suite 100, Sandpoint, ID 83864-1565 | 2014-11-18 |
| 1457778151 | Beth Elisha Miller | Physician Assistant | 420 N 2nd Ave, Sandpoint, ID 83864-1565 | 2014-03-20 |
| 1871925834 | Mallorie Ely | Social Worker | 420 N 2nd Ave, Sandpoint, ID 83864-1565 | 2013-08-01 |
| 1851738041 | Teresa Ann Kuhta | Pediatrics | 420 N 2nd Ave, Suite 100, Sandpoint, ID 83864-1565 | 2013-05-28 |
| 1881803971 | Harry Ralph Vanderwal Jr. | Pediatrics | 420 N 2nd Ave, Ste 100, Sandpoint, ID 83864-1565 | 2007-05-22 |
| 1700968724 | John M Seaman | Pediatrics | 420 N 2nd Ave, Sandpoint Pediatrics - Kaniksu Health Services, Sandpoint, ID 83864-1565 | 2006-10-19 |
| 1497789085 | James Harvey Watts IIi | Obstetrics & Gynecology | 420 N 2nd Ave, Sandpoint, ID 83864-1565 | 2006-07-10 |
| 1689604993 | Bruce Whitley Honsinger | Obstetrics & Gynecology | 420 N 2nd Ave, Suite 200, Sandpoint, ID 83864-1552 | 2006-07-03 |
| 1114954179 | Sandpoint Pediatrics LLP | Pediatrics | 420 N 2nd Ave, 100, Sandpoint, ID 83864-1552 | 2006-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144842600 | Deblaquiere Enterprises, Inc. | Pharmacy | 1319 Hwy 2, Suite A, Sandpoint, ID 83864 | 2020-05-07 |
| 1245867670 | Kimberly Sue Batchelder | Massage Therapist | Sandpoint Medical Massage & Bodyworks, LLC, 515 Pine Street Ste G., Sandpoint, ID 83864 | 2020-03-25 |
| 1699309963 | Ckam Rejuvenation Center LLC | Massage Therapist | 1315 Us-2, #5, Sandpoint, ID 83864 | 2020-02-26 |
| 1427602986 | Alpine Hand Therapy Inc | Physical Medicine & Rehabilitation | 1205 Hwy 2, Suite 102, Sandpoint, ID 83864 | 2019-08-01 |
| 1295388536 | Momentum Medical Massage and Personal Training, LLC | Massage Therapist | 1013 W Lake St, Sandpoint, ID 83864 | 2019-07-16 |
| 1629508932 | Karen Elizabeth Vollmer-poseley | Counselor | 506 N. 4th Ave, Sandpoint, ID 83864 | 2017-06-19 |
| 1760912042 | Gregory Jon Anthony Prins | Dentist | 1305 Highway 2 West, Sandpoint, ID 83864 | 2017-06-19 |
| 1730547084 | Charity Catlin | Midwife | 204 N 4th Ave #2355, Sandpoint, ID 83864 | 2016-02-02 |
| 1497148860 | Loftus Family Dental - Sandpoint Pllc | Dentist | 1310 Ponderosa Drive, Suite A, Sandpoint, ID 83864 | 2015-03-10 |
| 1215365523 | Tamarack Treatment and Counseling Center, Pllc | Counselor | 101 N. Boyer Ave, Sandpoint, ID 83864 | 2013-10-23 |
| Find all providers in zip 83864 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457778151 | Beth Elisha Miller | Physician Assistant | 420 N 2nd Ave, Sandpoint, ID 83864-1565 | 2014-03-20 |
| 1093039257 | Alina Niculaescu | Physician Assistant | 606 N 3rd Ave, Suite 201, Sandpoint, ID 83864-1594 | 2010-03-17 |
| 1699833269 | Donna J Foord | Physician Assistant | 1301 N Division Ave, Sandpoint, ID 83864-8268 | 2006-12-05 |
| 1255386389 | Michael Andrew Mcisaac | Physician Assistant | 1327 Superior St, Sandpoint, ID 83864-1735 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821695792 | Chelsea Dylan Tennent | Physician Assistant | 1666 E Gentlewind St, Boise, ID 83706-5914 | 2020-10-05 |
| 1922615848 | Allison Cluff | Physician Assistant | 1320 Bennett Ave, Burley, ID 83318-2665 | 2020-09-24 |
| 1245846187 | Adam Baker | Physician Assistant | 271 Jefferson St, Blackfoot, ID 83221-1818 | 2020-09-16 |
| 1265045199 | Julia Claire Brodie | Physician Assistant | 2352 N Apple Ln, Pocatello, ID 83204-7231 | 2020-08-29 |
| 1326651035 | Jenna Marie Castillo | Physician Assistant | 150 Taft Ave, Pocatello, ID 83201-5140 | 2020-08-24 |
| 1174148696 | Colton Jason Randall | Physician Assistant | 3885 Orchard Cir, Ammon, ID 83406-4656 | 2020-06-10 |
| 1871114553 | Samantha Tess Goodrich | Physician Assistant | 721 E Lenz St, Boise, ID 83712-7846 | 2020-05-04 |
| 1174164305 | Tessie Mari Mcinnally | Physician Assistant | 3015 E Magic View Dr # 115, Meridian, ID 83642-3743 | 2019-09-29 |
| 1013562305 | Brianna Suzanne Berg | Physician Assistant | 12535 N Fawn Ct, Hayden, ID 83835-8827 | 2019-08-05 |
| 1003376559 | Kodie Thomas | Physician Assistant | 2086 Picket Ln, Emmett, ID 83617-9104 | 2019-03-21 |
| 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.