DR. BARRY A QUAM (NPI# 1902842958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902842958 |
| Entity Type | Individual |
| Full Name | DR. BARRY A QUAM |
| Credential | DC PS |
| Practice Address |
25012 104th Ave Se Suite E Kent WA 98030-2821 |
| Mailing Address |
25012 - 104th Ave Se Suite E Kent WA 98030-2821 |
| Practice Telephone | 2538541233 |
| Practice Fax Number | 2538541297 |
| Mailing Telephone | 2538541233 |
| Mailing Fax Number | 2538541297 |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2011-02-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH00001274 | WA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | GROUP HEALTH INS | 459124001 | 01 |
| WASHINGTON STATE UBI | 601798401 | 01 | |
| REGENCE INSURANCE | QU5942 | 01 | |
| WA | L&I | 0003977 | 01 |
| WA | 2023703 | 05 | |
| US DEPT OF LABOR FEDERAL | 193043300 | 01 | |
| TAX ID | 911088995 | 01 | |
| GROUP # | QU0183 | 01 |
| Street Address |
25012 104TH AVE SE SUITE E |
| City | KENT |
| State | WA |
| Zip Code | 98030-2821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588605034 | Laura M Efta | Physical Therapist | 25012 104th Ave Se, Suite C, Kent, WA 98030-2821 | 2006-06-08 |
| 1346733532 | Julia Riordan | Specialist/Technologist | 25012 104th Ave Se, Kent, WA 98030-2821 | 2018-06-12 |
| 1376075879 | Charlie N Jim | Massage Therapist | 25012 104th Ave Se, Ste C, Kent, WA 98030-2821 | 2017-04-03 |
| 1689127326 | Joseph Zebrowski | Physical Therapist | 25012 104th Ave Se, Ste C, Kent, WA 98030-2821 | 2016-07-29 |
| 1437516168 | Justin Kessler | Massage Therapist | 25012 104th Ave Se, Ste C, Kent, WA 98030-2821 | 2016-01-26 |
| 1558731984 | Kristi Mendes | Occupational Therapist | 25012 104th Ave Se, Ste C, Kent, WA 98030-2821 | 2015-09-28 |
| 1952787277 | Amber M Smyers | Dietitian, Registered | 25012 104th Ave Se, Ste C, Kent, WA 98030-2821 | 2015-08-10 |
| 1750766267 | Megan A Holm | Physical Therapist | 25012 104th Ave Se, Ste C, Kent, WA 98030-2821 | 2015-07-26 |
| 1225421860 | Danielle M Wojtkiewicz | Occupational Therapist | 25012 104th Ave Se, Ste C, Kent, WA 98030-2821 | 2015-03-06 |
| 1740684422 | Eric Oscar Hautala | Occupational Therapist | 25012 104th Ave Se, Suite C, Kent, WA 98030-2821 | 2014-10-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871193193 | Sarah V Swan | Occupational Therapist | 12033 Se 265th St, Kent, WA 98030 | 2020-10-27 |
| 1346889250 | Kaylee Meilahn | Nurse Practitioner | 219 State Ave. N, Suite 220, Kent, WA 98030 | 2019-12-26 |
| 1508417429 | Pamela Stefansky | Technician | 25927 119th Ct Se, Kent, WA 98030 | 2019-09-23 |
| 1144703885 | Healthpoint | Clinic/Center | 219 State Ave N, Ste 100, Kent, WA 98030 | 2018-09-10 |
| 1932681921 | Johana Sanchez-vidales | Massage Therapist | 24837 104th Ave Se #100, Kent, WA 98030 | 2018-09-05 |
| 1265925309 | Linda Tomkins | Chiropractor | 12901 Se Kent-kangley Rd, Kent, WA 98030 | 2018-06-13 |
| 1952809543 | Sarah Rose Collins | Massage Therapist | 13003 Se Kent Kangley Rd Ste 110, Kent, WA 98030 | 2018-01-29 |
| 1942726815 | Alexandra B Zigmont | Physical Therapist | 12926 Se Kent Kangley Road, Kent, WA 98030 | 2017-08-22 |
| 1659801256 | Mitra Lal Dhital | Counselor | 3639 Mlk Jr Way S Seattle, Seattle, WA 98030 | 2017-06-15 |
| 1952838658 | Elizabeth Burson | Registered Nurse | 25742 104th Avenue Se, Kent, WA 98030 | 2017-05-12 |
| Find all providers in zip 98030 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669944542 | Kent Chiropractic Associates LLC | Chiropractor | 27 N Main St Unit 7a, Kent, CT 06757-1551 | 2018-12-17 |
| 1265925309 | Linda Tomkins | Chiropractor | 12901 Se Kent-kangley Rd, Kent, WA 98030 | 2018-06-13 |
| 1447622790 | Alex Williams | Chiropractor | 417 Ramsay Way Ste 113, Kent, WA 98032-4502 | 2015-10-27 |
| 1770962334 | Chelsea Blair Dalton-evans | Chiropractor | 4821 S Kent Des Moines Rd, Apt #224, Kent, WA 98032-4212 | 2015-05-28 |
| 1285070789 | Abigail Callahan | Chiropractor | 25412 62nd Ave S Apt Bb201, Kent, WA 98032-4975 | 2013-05-12 |
| 1376887042 | Amber Aiken | Chiropractor | 2108 State Route 59, Kent, OH 44240-7142 | 2012-11-19 |
| 1750682878 | Alisha Elizabeth Romney | Chiropractor | 24255 104th Ave Se, Kent, WA 98030-4972 | 2010-11-04 |
| 1922337898 | Ann Marie Swanson | Chiropractor | 11011 Se 218th St, Kent, WA 98031-2127 | 2009-12-23 |
| 1043449382 | Allan R. Mccord Ps | Chiropractor | 10830 Se Kent Kangley Rd Ste 101, Kent, WA 98030-9011 | 2009-07-08 |
| 1215165824 | Momyer Chiropractic and Massage, P.s. | Chiropractor | 24604 104th Ave. S.e., Suite 203, Kent, WA 98030-5385 | 2009-06-23 |
| Find all providers in KENT | ||||
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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.