LEYTON ENDICOTT JUMP (NPI# 1790741924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790741924 |
| Entity Type | Individual |
| Full Name | LEYTON ENDICOTT JUMP |
| Practice Address |
273 Sussex Ave E Tenino WA 98589-9359 |
| Mailing Address |
Po Box 4020 Tenino WA 98589-4020 |
| Practice Telephone | 3602645665 |
| Practice Fax Number | 3602645666 |
| Mailing Telephone | 3602645665 |
| Mailing Fax Number | 3602645666 |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2015-02-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | MD00022762 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE | G8856183 | 01 | |
| BLACK LUNG | 101589 | 01 | |
| WA | LABOR & INDUSTRIES | 90836 | 01 |
| REGENCE | T01236 | 01 | |
| WA | 1005719 | 05 | |
| PTAN | G8856183 | 01 |
| Street Address |
273 SUSSEX AVE E |
| City | TENINO |
| State | WA |
| Zip Code | 98589-9359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881135499 | Lewis County Community Health Services | Clinic/Center | 273 Sussex Ave E, Tenino, WA 98589-9359 | 2017-03-15 |
| 1487056511 | Tenino Family Practice Pllc | Family Medicine | 273 Sussex Ave E, Tenino, WA 98589-9359 | 2014-09-19 |
| 1306051867 | Janet Lynn Black | Nurse Practitioner | 273 Sussex Ave E, Tenino, WA 98589-9359 | 2007-05-10 |
| 1245317486 | Karen M Carlson | Nurse Practitioner | 273 Sussex Ave E, Tenino, WA 98589-9359 | 2006-11-01 |
| 1851357008 | Leyton Endicott Jump | Family Medicine | 273 Sussex Ave E, Tenino, WA 98589-9359 | 2006-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124574413 | Thurston County Fire Protection District 12 | Ambulance | 187 Hodgden St S, Tenino, WA 98589 | 2016-08-28 |
| 1902238017 | Patrick Mario Williams | Occupational Therapy Assistant | 301 Old Highway 99 North, Tenino, WA 98589 | 2013-07-31 |
| 1972713527 | Ronald H Coulson | Chiropractor | 448 Sussex Ave E, Suite 3 Box 676, Tenino, WA 98589 | 2007-05-23 |
| 1861533218 | Jennifer L. Booker | Naturopath | 448 Sussex Ave East, Suite 2, Tenino, WA 98589 | 2007-02-09 |
| 1609979541 | Tenino School District | Local Education Agency (LEA) | 301 Old Highway 99 N, Tenino, WA 98589 | 2006-09-06 |
| 1679675367 | Maenell Sullivan | Denturist | 296 Sussex Ave W, Tenino, WA 98589 | 2006-09-02 |
| 1225044027 | Tianne Carolyn Carrigan | Massage Therapist | 448 Sussex E., Suite 2, Tenino, WA 98589 | 2006-08-01 |
| 1831458124 | Natural Wellness Pllc | Chiropractor | 448 Sussex Ave E, #3, Tenino, WA 98589-8703 | 2012-05-08 |
| 1508186214 | R & D Coulson Inc. | Clinic/Center | 448 Sussex Ave E, 3, Tenino, WA 98589-8703 | 2010-06-03 |
| 1154584472 | Peggy Ann Vittoria | Massage Therapist | 448 Sussex Ave E, #3, Tenino, WA 98589-8703 | 2008-07-07 |
| Find all providers in zip 98589 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| 1306321237 | Rainier Springs Physician Group, LLC | General Practice | 2805 Ne 129th Street, Vancouver, WA 98686 | 2018-09-26 |
| 1962916437 | Parkview Medical Group Inc | General Practice | 615 S Division St Ste A, Moses Lake, WA 98837-3800 | 2017-11-20 |
| 1790212496 | Thien Thanh Ho | General Practice | 12307 Douglas Rd, Yakima, WA 98908-9129 | 2017-05-12 |
| 1285173625 | Regenerative Medicine Institute, Pllc | General Practice | 731 N Stanley St, Medical Lake, WA 99022-8940 | 2017-02-17 |
| 1457708430 | James Bailey | General Practice | 9040 Jackson Ave Tripler Army Medical Center, Tacoma, WA 98431-5001 | 2016-05-19 |
| 1740635887 | Peter Chulhi Kang | General Practice | 1425 Spring St Apt 802, Seattle, WA 98104-1635 | 2016-04-26 |
| 1831551084 | Anna Hackenmiller | General Practice | 1657 S Nettleton Ln, Spokane, WA 99224-6108 | 2016-03-27 |
| 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.