DR. HAINES K PAIK (NPI# 1780889063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780889063 |
Entity Type | Individual |
Full Name | DR. HAINES K PAIK |
Credential | M.D. |
Practice Address |
9040 Jackson Avenue Tacoma WA 98431-1000 |
Mailing Address |
9040 Fitzsimmons Dr Joint Base Lewis Mcchord WA 98431-1000 |
Practice Telephone | 2539682252 |
Practice Fax Number | 2539683278 |
Mailing Telephone | 2539682252 |
Mailing Fax Number | 2539683278 |
Enumeration Date | 2007-06-18 |
Last Update Date | 2019-06-06 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
250504 | MA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | 2071290 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
8140 Freedom Ln Ne, Lacey, WA 985164752 | 3604914211 | 3604916328 |
Street Address |
9040 JACKSON AVENUE |
City | TACOMA |
State | WA |
Zip Code | 98431-1000 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811995525 | Lee A Antles | Internal Medicine | 9040 Jackson Avenue, Tacoma, WA 98431-8151 | 2005-07-07 |
1770117640 | Ryan Bradley Liberg | Student in an Organized Health Care Education/Training Program | 9040 Jackson Avenue, Tacoma, WA 98431-0001 | 2020-02-28 |
1255965588 | Travis Dunn | Student in an Organized Health Care Education/Training Program | 9040 Jackson Avenue, Tacoma, WA 98431-0001 | 2020-02-25 |
1538792023 | Christopher Hodge | Student in an Organized Health Care Education/Training Program | 9040 Jackson Avenue, Tacoma, WA 98431-0001 | 2020-02-13 |
1689206187 | Joscelyn Eva Hodge | Student in an Organized Health Care Education/Training Program | 9040 Jackson Avenue, Tacoma, WA 98431-0001 | 2020-02-12 |
1770115719 | Michael W Patt | Student in an Organized Health Care Education/Training Program | 9040 Jackson Avenue, Tacoma, WA 98431-0001 | 2020-02-07 |
1780228973 | Christopher Conner | Physician Assistant | 9040 Jackson Avenue, Tacoma, WA 98431-0001 | 2019-10-31 |
1417500638 | Eugenia Ann Haley | Social Worker | 9040 Jackson Avenue, Tacoma, WA 98431-1072 | 2019-07-17 |
1811556269 | Erika May | Registered Nurse | 9040 Jackson Avenue, Tacoma, WA 98431-0001 | 2019-06-10 |
1417510330 | Margaret Jayne Ramsdell | Case Manager/Care Coordinator | 9040 Jackson Avenue, Tacoma, WA 98431-0001 | 2019-04-16 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497212260 | Catrina Renee Grugin | Registered Nurse | Madigan Army Medical Center, Attn Mchj-clq-c, 9040 Jackson Ave, Tacoma, WA 98431 | 2019-02-27 |
1801307681 | Bianca Gomez | Dental Assistant | Bldg 9900 Lincoln Street, Jblm, WA 98431 | 2017-10-19 |
1184133225 | Darren Paris | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave., Attn: Mchj-clq-c, Tacoma, WA 98431 | 2017-09-20 |
1922538206 | Sarah Frerichs | Dentist | Madigan Annex, Second Floor, Bldg. 9900, Apo, AA 98431 | 2017-06-19 |
1740736495 | Misty Hill | Dental Assistant | 9119 Mill Park Ave, Tacoma, WA 98431 | 2016-08-31 |
1336695535 | Jacqueline D Massouda | Dentist | Jblm Dentac, 9900 Lincoln Sreet, 2nd Floor, Apo, AA 98431 | 2016-08-28 |
1609239375 | Gregg V Palmer | Licensed Practical Nurse | 17th and C Street, Bldg 11582, Tacoma, WA 98431 | 2016-03-31 |
1114323904 | Deanna Sheets | Nurse Practitioner | 911 Mil Park Ave, Tacoma, WA 98431 | 2014-11-06 |
1679905434 | Austin William Schaar | Dentist | Building 9900, 2nd Floor, Tacoma, WA 98431 | 2013-08-05 |
1518209758 | Maurice Ibrahim Khayat | Internal Medicine | 9040 Jackson Ave Mche-qd (creds), Tacoma, WA 98431 | 2013-03-26 |
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Taxonomy Code | 207XS0114X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Adult Reconstructive Orthopaedic Surgery |
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417512021 | Proliance Surgeons, Inc., P.s. | Orthopaedic Surgery | 1620 Lake Tapps Pkwy Se Ste 115, Auburn, WA 98092-8376 | 2019-05-08 |
1205307253 | Proliance Surgeons, Inc., P.s. | Orthopaedic Surgery | 901 Boren Ave Ste 711, Seattle, WA 98104-3301 | 2018-12-16 |
1760853550 | William Backlund Md | Orthopaedic Surgery | 23736 Ne 116th Pl, Redmond, WA 98053-5611 | 2015-10-19 |
1366509663 | Thomas Weston Hutchinson | Orthopaedic Surgery | 922 51st St Sw, Everett, WA 98203-3001 | 2007-01-03 |
1174781421 | Alexander Kirk Reichard | Orthopaedic Surgery | 601 W 5th Ave Ste 400, Spokane, WA 99204-2715 | 2008-05-22 |
1376716597 | Strait Orthopedic Specialists, Ps | Orthopaedic Surgery | 520 N 5th Ave, Sequim, WA 98382-3079 | 2008-04-09 |
1891811725 | David P Ruoff Md Inc Ps | Orthopaedic Surgery | 4361 Talbot Rd S Ste 102, Renton, WA 98055-6226 | 2007-03-22 |
1598857583 | Richard A Dimond | Orthopaedic Surgery | 1660 S Columbian Way, Compensation and Pension Clinic 5 136 C&p, Seattle, WA 98108 | 2006-09-28 |
1093812778 | David F Scott | Orthopaedic Surgery | 785 E Holland Ave, Spokane, WA 99218-1257 | 2006-09-17 |
1750350724 | David P Ruoff | Orthopaedic Surgery | 4361 Talbot Rd S, #102, Renton, WA 98055 | 2006-03-14 |
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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.