JON DEAN CLARIDGE (NPI# 1801447396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801447396 |
| Entity Type | Individual |
| Full Name | JON DEAN CLARIDGE |
| Credential | PA-C |
| Practice Address |
320 W Willow St Walla Walla WA 99362-2922 |
| Mailing Address |
55 W Tietan St Walla Walla WA 99362-4498 |
| Practice Telephone | 5095253720 |
| Practice Fax Number | 5095221593 |
| Mailing Telephone | 5095253720 |
| Mailing Fax Number | 5095221593 |
| Enumeration Date | 2019-09-25 |
| Last Update Date | 2019-09-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
320 W WILLOW ST |
| City | WALLA WALLA |
| State | WA |
| Zip Code | 99362-2922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316934110 | Blue Mountain Genetics Clinic, Pllc | Genetic Counselor, MS | 320 W Willow St, Walla Walla, WA 99362-2922 | 2005-10-05 |
| 1750795514 | Claire Templin | Obstetrics & Gynecology | 320 W Willow St, Walla Walla, WA 99362-2922 | 2014-06-19 |
| 1790120145 | Malcolm William, George Hardy | Obstetrics & Gynecology | 320 W Willow St, Walla Walla, WA 99362-2922 | 2013-04-29 |
| 1447415773 | Gregory Alan Haveman | Otolaryngology | 320 W Willow St, Walla Walla, WA 99362-2922 | 2008-07-25 |
| 1225215742 | Davis Sameh Meeker Laboratories Ps | Clinical Medical Laboratory | 320 W Willow St, Walla Walla, WA 99362-2922 | 2008-01-28 |
| 1164569455 | Jon Rittenbach | Pathology | 320 W Willow St, Walla Walla, WA 99362-2922 | 2007-01-30 |
| 1710952858 | Daniel F Kaminsky | Obstetrics & Gynecology | 320 W Willow St, Walla Walla, WA 99362-2922 | 2006-02-22 |
| 1578537205 | Cynthia B Reese | Advanced Practice Midwife | 320 W Willow St, Walla Walla, WA 99362-2922 | 2006-02-17 |
| 1275518136 | James Alan Vandersloot | Obstetrics & Gynecology | 320 W Willow St, Walla Walla, WA 99362-2922 | 2005-12-13 |
| 1366430092 | Patricia S. Cooper | Genetic Counselor, MS | 320 W Willow St, Walla Walla, WA 99362-2922 | 2005-10-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164065959 | Kevin Gia-minh Phan | Optometrist | Walla Walla Vamc Bldg 86, Walla Walla, WA 99362 | 2019-10-24 |
| 1659836401 | Arlene Lavonne Whitney | Social Worker | 1361 Dalles Military Road, Walla Walla, WA 99362 | 2019-02-06 |
| 1053880674 | Julie Ann Cooke | Speech-Language Pathologist | Providence St. Mary Medical Center, 401 W. Poplar St., Walla Walla, WA 99362 | 2018-11-14 |
| 1558887133 | Chantey Walker | Massage Therapist | 1840 Pleasant St, Walla Walla, WA 99362 | 2017-08-16 |
| 1447798723 | Carrie S Diede | Speech-Language Pathologist | 410 West Poplar Street, Rehabilitation Services, Walla Walla, WA 99362 | 2017-02-07 |
| 1235584103 | Anchor Point Counseling Pllc | Clinic/Center | 2330 Eastgate St. Ste. 140, Walla Walla, WA 99362 | 2016-04-28 |
| 1548627011 | Washington State Walla Walla Veterans Home | Skilled Nursing Facility | 92 Wainwright Drive, Walla Walla, WA 99362 | 2016-01-28 |
| 1073926200 | Sherry Goff | Registered Nurse | 11120 W Rose St, Family Medical Center, Walla Walla, WA 99362 | 2014-06-05 |
| 1538597935 | Michael Wade Gillespie | Orthopaedic Surgery | 101 Brookside Drive, Walla Walla, WA 99362 | 2013-10-22 |
| 1023357985 | Sandra Kay Bushnell | Speech-Language Pathologist | 1105 Isaacs Ave, Walla Walla, WA 99362 | 2013-02-12 |
| Find all providers in zip 99362 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184003295 | Joshua Wicks | Physician Assistant | 380 Chase Ave, Walla Walla, WA 99362-2924 | 2015-05-21 |
| 1699024505 | Thomas Aaron Shaver | Physician Assistant | 55 W Tietan St, Walla Walla, WA 99362-4445 | 2012-09-06 |
| 1023309796 | Stacey Renee Haveman | Physician Assistant | 55 W Tietan St, Walla Walla, WA 99362-4445 | 2011-04-28 |
| 1811206717 | Hugo Jonathan Reyes | Physician Assistant | 1313 N 13th Ave, Walla Walla, WA 99362-8817 | 2010-09-27 |
| 1326078163 | Carol Ellen Flaugher-rupe | Physician Assistant | 77 Wainwright Dr, Walla Walla, WA 99362-3975 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033735618 | Gavin Guard | Physician Assistant | 818 Mullis St Ste 6, Friday Harbor, WA 98250-7986 | 2020-06-19 |
| 1578110862 | Kaitlin E. Brotman | Physician Assistant | 315 Holton Ave Ste 100, Yakima, WA 98902-3245 | 2019-08-21 |
| 1700345196 | Kara Lynn Kime | Physician Assistant | 1200 Cooper Point Rd Sw Ste 100, Olympia, WA 98502-1172 | 2019-03-15 |
| 1679056824 | Katharine Loco-marshall | Physician Assistant | 4816 She-nah-num Drive, Olympia, WA 98513 | 2018-09-13 |
| 1841791274 | Sjs, Pllc | Physician Assistant | 900 Ocean Beach Hwy Ste B, Longview, WA 98632-4013 | 2018-02-21 |
| 1063928448 | Heidi April | Physician Assistant | 1410 N Pittsburgh St, Building A, Kennewick, WA 99336-8211 | 2017-12-20 |
| 1194251983 | Christopher Joseph Stanley | Physician Assistant | 1010 Ne Lilac St Apt 301, Issaquah, WA 98029-7878 | 2017-05-11 |
| 1366993362 | Vanessa Julie Iglesias Mehta | Physician Assistant | 5128 Yelm Hwy Se, Suite E, Lacey, WA 98503 | 2016-10-14 |
| 1801344601 | Jessica Ann Pettitt | Physician Assistant | 21200 Ne 190th Ct, Battle Ground, WA 98604-9636 | 2016-09-21 |
| 1407300098 | Joshua David Evans | Physician Assistant | 9040 Jackson Ave Mchj Clq C, Tacoma, WA 98431-1100 | 2016-08-11 |
| Find all providers with the same taxonomy | ||||
| City | WALLA WALLA |
| Zip Code | 99362 |
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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.