DR. DANIEL STEWART WASSERMAN (NPI# 1851684526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851684526 |
| Entity Type | Individual |
| Full Name | DR. DANIEL STEWART WASSERMAN |
| Credential | M.D. |
| Practice Address |
413 Lilly Rd Ne Mailstop Ddh09 Olympia WA 98506-5133 |
| Practice Telephone | 3604934554 |
| Mailing Telephone | 3604934554 |
| Enumeration Date | 2011-05-27 |
| Last Update Date | 2016-08-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | MD60604643 | WA | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | A122604 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043520596 | Daniel Jay Wasserman | Chiropractor | 2116 Wilshire Blvd, Suite 210, Santa Monica, CA 90403-5747 | 2010-10-18 |
| 1023237310 | Daniel Barack Wasserman | Psychologist | 126 N Marina St, Suite 114, Prescott, AZ 86301-3208 | 2007-04-24 |
| 1881758977 | Daniel I Wasserman | Dermatology | 8625 Collier Blvd, Naples, FL 34114-3550 | 2006-12-21 |
| 1275091324 | Daniel Philip Wasserman | Psychiatry & Neurology | 3333 Green Bay Rd, North Chicago, IL 60064-3037 | 2019-03-07 |
| 1679996839 | Daniel E Wasserman | Pharmacist | 1601 W Kennedy Blvd, Tampa, FL 33606-1844 | 2014-01-23 |
| 1023154069 | Daniel Horacio Wasserman | Internal Medicine | 11203 Queens Blvd, Suite 207, Forest Hills, NY 11375-5550 | 2007-01-29 |
| 1649255993 | Daniel A Wasserman | Acupuncturist | 3702 Washington St, Ste 101, Hollywood, FL 33021-8282 | 2005-12-09 |
| Street Address |
413 LILLY RD NE MAILSTOP DDH09 |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98506-5133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437157674 | Michael J Menen | Internal Medicine | 413 Lilly Rd Ne, Olympia, WA 98506-5133 | 2005-07-12 |
| 1558962209 | Anieska Timms | Registered Nurse | 413 Lilly Rd Ne, Olympia, WA 98506-5133 | 2020-11-07 |
| 1134737653 | Ngoc-van Thi Tran | Speech-Language Pathologist | 413 Lilly Rd Ne, Olympia, WA 98506-5133 | 2020-07-21 |
| 1780292714 | Paola Von Oelffen | Student in an Organized Health Care Education/Training Program | 413 Lilly Rd Ne, Olympia, WA 98506-5133 | 2020-07-15 |
| 1013542885 | Raffy Jatamosa | Registered Nurse | 413 Lilly Rd Ne, Olympia, WA 98506-5133 | 2020-03-11 |
| 1811522766 | Kaman Lindgren | Registered Nurse | 413 Lilly Rd Ne, Olympia, WA 98506-5133 | 2020-03-10 |
| 1497389886 | Phuong Le | Registered Nurse | 413 Lilly Rd Ne, Olympia, WA 98506-5133 | 2020-02-25 |
| 1679107239 | Tamara Eklund | Registered Nurse | 413 Lilly Rd Ne, Olympia, WA 98506-5133 | 2020-02-23 |
| 1598307878 | Alisa Singratanakul | Pharmacist | 413 Lilly Rd Ne, Olympia, WA 98506-5133 | 2019-10-08 |
| 1528615192 | Anh Phuong Ho | Pharmacist | 413 Lilly Rd Ne, Olympia, WA 98506-5133 | 2019-08-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477185460 | Chloe Harper | Technician, Other | 3443 Lilly Rd Se, Ste B, Olympia, WA 98506 | 2020-02-07 |
| 1912543539 | Jessica Marie Radakovich | Licensed Practical Nurse | 3426 Mary Elder Rd, Olympia, WA 98506 | 2019-11-19 |
| 1669014973 | Arlene Josephine Adams | Registered Nurse | 413 Lily Rd Ne, Olympia, WA 98506 | 2019-10-09 |
| 1861999120 | Debra Delores Barker | Licensed Practical Nurse | 3710 South Bay Rd Ne, Olympia, WA 98506 | 2018-04-12 |
| 1801304431 | Michelle Warner | Nurse Practitioner | 205 Lilly Rd Ne Ste A1, Olympia, WA 98506 | 2018-01-17 |
| 1396258364 | Institute for Family Development | Community/Behavioral Health | 204 Quince St. Ne, Suite 200, Olympia, WA 98506 | 2017-11-13 |
| 1083137715 | Cameron Kunkel | Specialist/Technologist | 2512 20th Ave Ne, Olympia, WA 98506 | 2017-07-25 |
| 1184144768 | Trevor Shane Kwan | Family Medicine | 525 Lilly Road Ne, Olympia, WA 98506 | 2017-06-23 |
| 1073043212 | Michael H Harburg | Behavior Technician | 3857 Martin Way Ne, Olympia, WA 98506 | 2017-06-19 |
| 1780114371 | Priscilla Kangyang Jadu | Counselor | 3857 Martin Way E., Olympia, WA 98506 | 2017-06-15 |
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| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659802320 | Anders Conway | Emergency Medicine | 413 Lilly Rd Ne Dept Of, Olympia, WA 98506-5133 | 2017-03-24 |
| 1073777876 | Joshua James Sahara | Emergency Medicine | 7318 Grayhawk Ln Ne, Olympia, WA 98516-9345 | 2008-07-11 |
| 1730355330 | Anna Mckeone | Emergency Medicine | 413 Lilly Rd. Ne Mail Stop Ddh09, Olympia Emergency Services, Pllc, Olympia, WA 98506 | 2008-05-02 |
| 1952508848 | Jason Michael Desadier | Emergency Medicine | 8324 55th Ave Se, Olympia, WA 98513-4606 | 2007-07-02 |
| 1174662100 | Timothy Zola | Emergency Medicine | 324 W Bay Dr Nw Ste 105, Olympia, WA 98502-4926 | 2007-02-06 |
| 1689755787 | Craig Longridge Southwell | Emergency Medicine | 942 Cedar Lake Ct Se, Olympia, WA 98501-9715 | 2006-10-17 |
| 1144242454 | Robert Alan Taylor | Emergency Medicine | 1701 Camden Park Dr Sw, Olympia, WA 98512-5506 | 2006-07-24 |
| 1588607980 | Michael Kent Thompson | Emergency Medicine | 1001 Cooper Point Rd Sw, Suite 140 Pmb 167, Olympia, WA 98502-1107 | 2006-06-14 |
| 1235661455 | Clayton Pratt | Emergency Medicine | 413 Lilly Rd Ne, Olympia, WA 98506-5133 | 2017-03-28 |
| 1356766745 | Ian Strand | Emergency Medicine | 413 Lilly Rd Ne, Olympia, WA 98506 | 2014-02-21 |
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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.