DR. BROOKE ALLEN JARDINE (NPI# 1891037842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891037842 |
| Entity Type | Individual |
| Full Name | DR. BROOKE ALLEN JARDINE |
| Credential | MD |
| Practice Address |
4545 Cordata Pkwy Ste 1e Bellingham WA 98226-7264 |
| Mailing Address |
600 Orondo Ave Ste 1 Wenatchee WA 98801-2800 |
| Practice Telephone | 3607382200 |
| Practice Fax Number | 3607525679 |
| Mailing Telephone | 5096626000 |
| Mailing Fax Number | 5096644590 |
| Enumeration Date | 2013-03-17 |
| Last Update Date | 2019-11-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MD60644639 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2028850 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 600 Orondo Ave, Ste 1, Wenatchee, WA 988012800 | 5096626000 | 5096644588 |
| Street Address |
4545 CORDATA PKWY STE 1E |
| City | BELLINGHAM |
| State | WA |
| Zip Code | 98226-7264 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538427554 | Rachel Westerfield | Pediatrics | 4545 Cordata Pkwy Ste 1e, Pediatrics Group, Bellingham, WA 98226-7264 | 2012-04-27 |
| 1790121648 | Karman L Tandon | Internal Medicine | 4545 Cordata Pkwy Ste 1e, Bellingham, WA 98226 | 2013-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558901090 | Advancement Northwest, LLC | Community/Behavioral Health | 410 W Bakerview Rd Suite 110, Space 107, Bellingham, WA 98226 | 2020-01-13 |
| 1295374882 | Unity Care Northwest | Community/Behavioral Health | Roosevelt Elementary School Bh Services, 2900 Yew St., Bellingham, WA 98226 | 2019-12-30 |
| 1710454913 | Shane Humason | Pharmacist | 1225 East Sunset Drive, Ste 110, Bellingham, WA 98226 | 2018-10-26 |
| 1508342759 | Lydia Place A Nonprofit Corporation | Counselor | 1430 North Garden Street, Bellingham, WA 98226 | 2018-07-11 |
| 1609384486 | Lindsay Grace Davis | Massage Therapist | 1572 Huntley Rd, Bellingham, WA 98226 | 2018-01-16 |
| 1760900765 | Melissa Peters | Massage Therapist | 823 W Larson Rd, Bellingham, WA 98226 | 2017-08-30 |
| 1245754001 | Amber Michelle Wilson | Physical Therapy Assistant | 4860 Cordata Pkwy, North Cascades Health and Rehab, Bellingham, WA 98226 | 2017-08-02 |
| 1063935310 | Sophie Elizabeth Kangas | Speech-Language Pathologist | 4152 Meridian Street, Suite 105, Pmb 159, Bellingham, WA 98226 | 2017-07-19 |
| 1639607849 | Sharon Lynn Katz-kunde | Physical Therapist | 317 E Mcleod Rd #101, Bellingham, WA 98226 | 2017-06-01 |
| 1376998179 | Hyowon Choi | Podiatrist | 2075 Barkley Blvd Ste 220, Bellingham, WA 98226 | 2016-04-28 |
| Find all providers in zip 98226 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609138429 | Surjeet S Gill | Pediatrics | Peacehealth: Pediatrics Group, 4545 Cordata Parkway, Suite 1e, Bellingham, WA 98226-7123 | 2012-06-08 |
| 1538427554 | Rachel Westerfield | Pediatrics | 4545 Cordata Pkwy Ste 1e, Pediatrics Group, Bellingham, WA 98226-7264 | 2012-04-27 |
| 1265739684 | Amy Haley | Pediatrics | 4545 Cordata Pkwy Ste 1f, Pediatrics, Bellingham, WA 98226-7123 | 2011-02-21 |
| 1316936164 | Emmanuel J. Eusebio | Pediatrics | Peacehealth Medical Group, 4545 Cordata Parkway, Suite 1f, Bellingham, WA 98226 | 2005-10-14 |
| 1437155892 | Kenneth B. Gass | Pediatrics | 4545 Cordata Pkwy, Bellingham, WA 98226-7123 | 2005-06-21 |
| 1366816753 | Jennie Mclaurin | Pediatrics | 220 Unity St, Bellingham, WA 98225 | 2015-11-23 |
| 1295147924 | George Vana | Pediatrics | 2592 Kwina Rd, Bellingham, WA 98226 | 2014-05-29 |
| 1548502735 | David F Pavlik | Pediatrics | 4545 Cordata Pkwy, Bellingham, WA 98226-7263 | 2013-03-26 |
| 1063773141 | Faiza Iram | Pediatrics | 4455 Cordata Pkwy, Bellingham, WA 98226-8037 | 2012-06-05 |
| 1487929683 | Rebecca Drooger | Pediatrics | Peacehealth Medical Group - Whatcom, 4545 Cordata Parkway, Suite 1e, Bellingham, WA 98226 | 2012-03-20 |
| Find all providers in BELLINGHAM | ||||
| City | BELLINGHAM |
| Zip Code | 98226 |
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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.