DR. DEKKER NOLAN MCKEEVER (NPI# 1801112651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801112651 |
| Entity Type | Individual |
| Full Name | DR. DEKKER NOLAN MCKEEVER |
| Credential | D.P.M. |
| Practice Address |
907 Georgiana St Port Angeles WA 98362-3911 |
| Mailing Address |
Po Box 850 Port Angeles WA 98362-0146 |
| Practice Telephone | 3605650999 |
| Practice Fax Number | 3604571599 |
| Mailing Telephone | 3604177111 |
| Mailing Fax Number | 3604571599 |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2019-12-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
60673015 | WA | Podiatric Medicine & Surgery Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 103 W Cedar St, Sequim, WA 983823318 | 3607752872 | 8557156179 |
| Street Address |
907 GEORGIANA ST |
| City | PORT ANGELES |
| State | WA |
| Zip Code | 98362-3911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710982921 | Charles A Bundy | Surgery | 907 Georgiana St, Port Angeles, WA 98362-3911 | 2005-06-15 |
| 1174145494 | Kim M Weber | Nurse Practitioner | 907 Georgiana St, Port Angeles, WA 98362-3911 | 2020-05-08 |
| 1437625753 | Erik C Farley | Physician Assistant | 907 Georgiana St, Port Angeles, WA 98362-3911 | 2018-10-15 |
| 1376045658 | Denise Renee Durian | Nurse Practitioner | 907 Georgiana St, Port Angeles, WA 98362 | 2018-03-02 |
| 1043722523 | Sophia Felder | Nurse Practitioner | 907 Georgiana St, Port Angeles, WA 98362-3911 | 2017-10-24 |
| 1306373931 | Andrew Daly | Counselor | 907 Georgiana St, Port Angeles, WA 98362-3911 | 2017-05-13 |
| 1083147342 | Melani Maxfield | Physician Assistant | 907 Georgiana St, Port Angeles, WA 98362-3911 | 2017-04-04 |
| 1720510829 | Adam Joseph Killpack | Podiatrist | 907 Georgiana St, Port Angeles, WA 98362-3911 | 2017-03-29 |
| 1073062238 | Caren Ellington | Nurse Practitioner | 907 Georgiana St, Port Angeles, WA 98362-3911 | 2016-09-29 |
| 1376991406 | Frank Lester Boyd | Physician Assistant | 907 Georgiana St, Port Angeles, WA 98362-3911 | 2016-05-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831735778 | Jayme Marie Williams | Technician | 518 S. Liberty St., Port Angeles, WA 98362 | 2019-11-26 |
| 1780229559 | Barbara Amsler Nutrition, Pllc | Dietitian, Registered | 320 E. 5th St., Port Angeles, WA 98362 | 2019-11-15 |
| 1902315005 | Barbara Amsler | Nutritionist | 116 S. Ennis St, Port Angeles, WA 98362 | 2017-09-21 |
| 1134659667 | Janet Li Hanson | Registered Nurse | 532 South Alder Lane, Port Angeles, WA 98362 | 2017-06-18 |
| 1790220192 | Monica Kay Henry | Massage Therapist | 102 1/2 East 1st Street Suite #7, Port Angeles, WA 98362 | 2016-12-21 |
| 1124491725 | Gabrielle Carter | Naturopath | 1126 Columbia St, Port Angeles, WA 98362 | 2015-11-04 |
| 1912301185 | Danya Lyn Davis | Massage Therapist | 106 W. Lauridsen Blvd., Port Angeles, WA 98362 | 2014-10-17 |
| 1528470861 | Richard Dean Thorson | Orthopaedic Surgery | 719 S. Laurel St, Olympic Chiropractic, Port Angels, WA 98362 | 2014-05-21 |
| 1780001743 | Dr Adam Cramer Pllc | Clinic/Center | 104 W. 3rd St, Port Angeles, WA 98362 | 2014-03-27 |
| 1588089189 | Melanie Mccaughan | Counselor | 933 E First St, Port Angeles, WA 98362 | 2014-02-19 |
| Find all providers in zip 98362 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598392599 | Northern Cascades Foot and Ankle, LLC | Podiatrist | 532 E. Woodin Ave, Chelan, WA 98816-1852 | 2020-03-27 |
| 1801433784 | South Hill Foot & Ankle Clinic Ps | Podiatrist | 3707 S Grand Blvd Ste A, Spokane, WA 99203-2762 | 2019-12-10 |
| 1679025902 | Fasa Family Wellness, Pllc | Podiatrist | 2964 Limited Ln Nw, Suite B, Olympia, WA 98502-4577 | 2016-11-03 |
| 1356899363 | Emily Wagler | Podiatrist | 34509 9th Ave S Ste 303, Federal Way, WA 98003-8709 | 2016-09-19 |
| 1821546540 | Ata Podiatric and Integrative Medicine, Pllc | Podiatrist | 1950 Alaskan Way, Apt 526, Seattle, WA 98101-1075 | 2016-09-12 |
| 1376998179 | Hyowon Choi | Podiatrist | 2075 Barkley Blvd Ste 220, Bellingham, WA 98226 | 2016-04-28 |
| 1407210479 | Philip Matthew Woods | Podiatrist | 1812 N 13th Loop Rd # 1, Shelton, WA 98584-2169 | 2016-04-06 |
| 1063897916 | Yan Rong Cullen | Podiatrist | 13030 121st Way Ne Ste 204, Kirkland, WA 98034-3008 | 2015-07-21 |
| 1972982023 | Brittany Lynn Logan | Podiatrist | 10049 Kitsap Mall Blvd Nw Ste 109, Silverdale, WA 98383-8901 | 2015-05-21 |
| 1093194425 | Silas Klaver | Podiatrist | 1607 Creekside Loop Ste 140, Yakima, WA 98902 | 2015-05-18 |
| Find all providers with the same taxonomy | ||||
| City | PORT ANGELES |
| Zip Code | 98362 |
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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.