MR. DANA P JERGENS


Address: 1231 116th Ave Ne, Suite 750, Bellevue, WA 98004-3804
Phone: 4254553600

MR. DANA P JERGENS (NPI# 1760784797) 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) 1760784797
Entity Type Individual
Full Name MR. DANA P JERGENS
Credential PA-C
Practice Address 1231 116th Ave Ne
Suite 750
Bellevue
WA 98004-3804
Mailing Address 805 Madison St
Suite 901
Seattle
WA 98104-1172
Practice Telephone 4254553600
Practice Fax Number 4254553220
Mailing Telephone 2062648100
Mailing Fax Number 2062648689
Enumeration Date 2010-11-24
Last Update Date 2012-07-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PA60285528 WA Physician Assistants & Advanced Practice Nursing Providers
N 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PA9105721 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1231 116TH AVE NE
SUITE 750
City BELLEVUE
State WA
Zip Code 98004-3804

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811996531 Ann M Kolwitz Obstetrics & Gynecology 1231 116th Ave Ne, Suite 950, Bellevue, WA 98004-3804 2005-07-14
1114536356 Laura Ann Menenberg Registered Nurse 1231 116th Ave Ne, Suite 915, Bellevue, WA 98004 2020-07-23
1891238556 Christine Park Marriage & Family Therapist 1231 116th Ave Ne, Bellevue, WA 98004-3804 2016-11-29
1467810283 Tyler William Kuhk Nurse Practitioner 1231 116th Ave Ne, Suite 400, Bellevue, WA 98004-3804 2016-02-08
1013328400 The Moore Center, PC Psychiatric Hospital 1231 116th Ave Ne, 8th Floor, Bellevue, WA 98004-3804 2014-05-19
1578801718 Proliance Surgeons, Inc., P.s. Surgery 1231 116th Ave Ne, Suite 535, Bellevue, WA 98004-3804 2013-01-23
1437426970 Alexandra L. Degroot Audiologist 1231 116th Ave Ne, Suite 915, Bellevue, WA 98004-3804 2011-11-29
1851675284 Alysse M. Moury Audiologist 1231 116th Ave Ne, Suite 915, Bellevue, WA 98004-3804 2011-10-04
1386930188 Amy Melissa Foley Audiologist 1231 116th Ave Ne, Suite 915, Bellevue, WA 98004-3804 2011-06-21
1003119009 Jessica Swenson Nurse Practitioner 1231 116th Ave Ne, Suite 950, Bellevue, WA 98004-3804 2010-12-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306458328 Geneva Paula Hoskins-dorsey Nurse Practitioner 11120 Ne 33rd Place, Suite 202, Bellevue, WA 98004 2020-08-20
1720553613 Christine Eyler Pediatrics Bellevue Pediatrics, C & C Medical Associates, 1940 116th Ave Ne, Ste 200, Bellevue, WA 98004 2018-10-08
1437634730 Hazelden Betty Ford Foundation Clinic/Center 1231 116th Ave. Ne Suite 410, Bellevue, WA 98004 2018-10-02
1356827828 Seattle Spine Group, Pllc Orthopaedic Surgery 1220 116th Ave Ne Ste 102, Bellevue, WA 98004 2018-07-17
1669989216 Atsuko Nakajima Acupuncturist 2223 112th Ave. Ne, Ste 201, Bellevue, WA 98004 2018-01-04
1740794718 Radka Chapin Counseling, LLC Clinic/Center 1611 116th Ave Ne Ste 119, Bellevue, WA 98004 2017-11-28
1962912105 Cuyler Ann Simmons Counselor 3805 108th Ave Ne Ste 204, Bellevue, WA 98004 2017-10-02
1639690357 Nicolas Lopez-montalvo Behavioral Analyst 3003 Northup Way Suite 200, Bellevue, WA 98004 2017-07-03
1124579537 Matthew Thomas Haley Pharmacist 107 Bellevue Way, Se, Bellevue, WA 98004 2016-10-20
1649727348 Kelsey Tanaka Nurse Practitioner 400- 108th Ave Ne, Suite 100, Bellevue, WA 98004 2016-09-10
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104308394 Johnny Thanh Nguyen Physician Assistant 1135 116th Ave Ne Ste 605, Bellevue, WA 98004-4697 2018-09-04
1306312392 Laurena Diane Richardson Physician Assistant 1750 112th Ave Ne Ste D050, Bellevue, WA 98004-3779 2018-10-17
1982135570 Brooke Frances Bekkedahl Physician Assistant 1231 116th Ave Ne Ste 750, Bellevue, WA 98004-3812 2017-03-24
1518417476 Molly Beth Brownfield Hess Physician Assistant 1135-116th Avenue Ne, Suite 200, Bellevue, WA 98004 2016-10-04
1548719875 Forrest L. Simmons Physician Assistant 1231 116th Ave Ne Ste 750, Bellevue, WA 98004 2016-09-28
1740665009 Chelsea Beth Allen Physician Assistant 11511 Ne 10th St, Bellevue, WA 98004-8578 2015-07-28
1366846255 Daniel Lee Hurst Physician Assistant 1231 116th Ave Ne Ste 750, Bellevue, WA 98004-3812 2014-10-21
1669873634 Amy Larsen Physician Assistant 1135 116th Ave Ne Ste 500, Bellevue, WA 98004-4627 2014-09-10
1225181902 Michael J Young Physician Assistant 1231 116th Ave Ne, Suite 750, Bellevue, WA 98004-3804 2007-01-18
1447288824 Jason D Workman Physician Assistant 1231 116th Ave Ne, Suite 750, Bellevue, WA 98004-3804 2006-06-28
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Competitor

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City BELLEVUE
Zip Code 98004

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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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