PHOENIX IONM, LLC. (NPI# 1891357406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891357406 |
| Entity Type | Organization |
| Organization Name | PHOENIX IONM, LLC. |
| Practice Address |
11 Ohrazda Ln East Wenatchee WA 98802-9335 |
| Mailing Address |
5856 S Lowell Blvd # 32-403 Littleton CO 80123-7915 |
| Practice Telephone | 7204355129 |
| Enumeration Date | 2019-07-03 |
| Last Update Date | 2019-07-03 |
| Authorized Official Name | MR. JONATHAN KIDD (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 2178210759 |
| Authorized Official Credential | CNIM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | PHOENIX IONM, LLC | 11 Ohrazda Lane, East Wenatchee, WA 98802 |
| Street Address |
11 OHRAZDA LN |
| City | EAST WENATCHEE |
| State | WA |
| Zip Code | 98802-9335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699215483 | Nicole Christinia Johnson | Dietitian, Registered | 50 Simon Street Se Suite A, East Wenatchee, WA 98802 | 2017-02-28 |
| 1013394337 | Robbie Bowling | Counselor | 636 Valley Mall Parkway, Suite 200, East Wenatchee, WA 98802 | 2015-05-06 |
| 1437572203 | Aging & Adult Care of Central Washington | Case Management | 270 9th Street Ne Suite 100, East Wenatchee, WA 98802 | 2014-01-29 |
| 1417379900 | Kathryn Marie Gallik Maccallum | Occupational Therapist | 1983 Legendary Ln Se, East Wenatchee, WA 98802 | 2014-01-17 |
| 1649606328 | Hilary Kathleen Mann | Massage Therapist | 304 Grant Road, Suite #1, East Wenatchee, WA 98802 | 2013-09-25 |
| 1932544988 | Sound Oxygen Service, Inc. | Durable Medical Equipment & Medical Supplies | 640 Valley Mall Pkwy Ste B, East Wenatchee, WA 98802 | 2013-05-03 |
| 1346519329 | Lindsay N Grode | Massage Therapist | 667 Grant Road, Suite 3, East Wenatchee, WA 98802 | 2011-12-21 |
| 1952601726 | Lizette Corral | Massage Therapist | 2434 Bellanca St, East Wenatchee, WA 98802 | 2010-10-27 |
| 1548415615 | Ashley Cristine Neumann | Counselor | 558 Morning View Ave, Ste 100, East Wenatchee, WA 98802 | 2008-11-17 |
| 1962528950 | Diana Maria Villalobos | Counselor | 220 Eastmont Ave Childrens Home Society of Washington, Suite B, East Wenatchee, WA 98802 | 2007-03-21 |
| Find all providers in zip 98802 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942808571 | N W Eye Surgeons P C | Clinic/Center | 903 Medical Center Dr Ste 200, Arlington, WA 98223-2600 | 2020-10-15 |
| 1356965750 | Proliance Surgery Center At Valley, LLC | Clinic/Center | 4009 Talbot Road S, Suite 200, Renton, WA 98055 | 2020-06-01 |
| 1861041139 | Kadlec Regional Medical Center | Clinic/Center | 1270 Lee Blvd Ste B, Richland, WA 99352-4231 | 2019-09-09 |
| 1023570488 | Sight Partners, LLC | Clinic/Center | 3405 188th St Sw Ste 303, Lynnwood, WA 98037-4744 | 2019-04-04 |
| 1609345727 | Liberty Asc | Clinic/Center | 507 N Sullivan Suite 120, Spokane Valley, WA 99037 | 2018-11-19 |
| 1376026575 | Alderwood Surgery Center LLC | Clinic/Center | 3500 188th St Sw Ste 670, Lynnwood, WA 98037-4782 | 2018-09-13 |
| 1023507183 | South Perry Endoscopy Pllc | Clinic/Center | 907 S Perry St Ste 260, Spokane, WA 99202-3462 | 2018-05-04 |
| 1730687179 | Multicare Health System | Clinic/Center | 842 S Cowley St Ste 3, Spokane, WA 99202-1234 | 2018-01-31 |
| 1295258697 | Washington Center for Pain Management Pllc | Clinic/Center | 155 Lilly Rd Ne Ste 2, Olympia, WA 98506-5028 | 2017-07-18 |
| 1871033878 | Redmond Ambulatory Surgery Center, LLC | Clinic/Center | 18100 Ne Union Hill Rd Ste 340, Redmond, WA 98052 | 2017-02-24 |
| Find all providers with the same taxonomy | ||||
| City | EAST WENATCHEE |
| Zip Code | 98802 |
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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.