JONATHAN KANG (NPI# 1912301631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912301631 |
| Entity Type | Individual |
| Full Name | JONATHAN KANG |
| Credential | DPM |
| Practice Address |
1201 N 175th St Shoreline WA 98133-5064 |
| Mailing Address |
Po Box 5127 Everett WA 98206-5127 |
| Practice Telephone | 2064013169 |
| Mailing Telephone | (206) 401-3169 |
| Enumeration Date | 2014-10-09 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | PO60720189 | WA | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
17961-875 | WI | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2082188 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2500 Overlook Ter, Madison, WI 537052254 | 6082561901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043363849 | Jonathan Dongho Kang | Chiropractor | 7004 Little River Tpke, Suite H, Annandale, VA 22003-3201 | 2007-01-18 |
| 1659829380 | Jonathan Kang | Family Medicine | 5420 N Figueroa St, Los Angeles, CA 90042-4118 | 2016-09-11 |
| Street Address |
1201 N 175TH ST |
| City | SHORELINE |
| State | WA |
| Zip Code | 98133-5064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144272154 | Dorcas A Mclennan | Obstetrics & Gynecology | 1201 N 175th St, Shoreline, WA 98133-5064 | 2006-05-17 |
| 1891330643 | Caitlin Melissa Gerrity | Registered Nurse | 1201 N 175th St, Shoreline, WA 98133-5064 | 2019-11-14 |
| 1851748578 | The Everett Clinic, Pllc | Internal Medicine | 1201 N 175th St, Shoreline, WA 98133-5064 | 2016-05-23 |
| 1881058469 | Bill Toukan | Family Medicine | 1201 N 175th St, Shoreline, WA 98133-5064 | 2016-04-08 |
| 1730541707 | Lingyun Du | Dermatology | 1201 N 175th St, Shoreline, WA 98133-5064 | 2016-03-28 |
| 1578946307 | Aubrey Elizabeth Klaich | Psychiatry & Neurology | 1201 N 175th St, Shoreline, WA 98133-5064 | 2015-06-29 |
| 1760813075 | Lam Minh Phung | Family Medicine | 1201 N 175th St, Shoreline, WA 98133-5064 | 2013-12-12 |
| 1881938512 | Erica Johnson Lybarger | Nurse Practitioner | 1201 N 175th St, Shoreline, WA 98133-5064 | 2012-11-19 |
| 1053522284 | Shannah Marie Hewitt | Family Medicine | 1201 N 175th St, Shoreline, WA 98133-5064 | 2007-05-28 |
| 1114092525 | Laura Sheree Brunt Macleod | Psychologist | 1201 N 175th St, Shoreline, WA 98133-5064 | 2006-11-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891339388 | Marni Lynn Hanig | Occupational Therapist | 1900 N 170th St., Shoreline, WA 98133 | 2019-10-29 |
| 1871074807 | Minju Kim | Counselor | 14332 Burke Ave N, Seattle, WA 98133 | 2018-08-27 |
| 1821582941 | Hana Alema Misgina | Registered Nurse | 927 N 199th St, Shoreline, WA 98133 | 2018-06-21 |
| 1588177729 | Julie Benefiel | Pharmacist | 1536 N 115th St. Suite 100, Seattle, WA 98133 | 2017-11-09 |
| 1730607953 | Aurora Oaks, LLC | Skilled Nursing Facility | 16357 Aurora Avenue North, Shoreline, WA 98133 | 2017-09-08 |
| 1750801072 | Zoe Ana Cavnar-lewandowski | Counselor | 10700 Meridian Avenue N, Suite G-11, Seattle, WA 98133 | 2017-06-27 |
| 1851820211 | Adam Lee Gardner Sr. | Acupuncturist | 925 N 163rd Street, Unit B, Shoreline, WA 98133 | 2017-06-08 |
| 1376085209 | Pamela Ashby | Counselor | 2111 N. Northgateway, 212, Seattle, WA 98133 | 2016-11-09 |
| 1225584956 | General Dentistry | Dentist | 20109 Aurora Ave N, Ste D, Shoreline, WA 98133 | 2016-09-01 |
| 1144672668 | Aaron Neubauer | Behavioral Analyst | 13407 Greenwood Ave N, 216c, Seattle, WA 98133 | 2016-07-08 |
| Find all providers in zip 98133 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295934438 | Rapha Clinic Inc | Podiatrist | 1207 N 200th St, Suite 211, Shoreline, WA 98133-3213 | 2007-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003449430 | Seniorwell Pod of Washington LLC | Podiatrist | 506 Secord Avenue, Suite 1400, Seattle, WA 98104-2329 | 2020-02-13 |
| 1790337194 | Nw Foot and Ankle Specialists, LLC | Podiatrist | 12900 Ne 180th St, Ste 150, Bothell, WA 98011 | 2019-07-15 |
| 1174091193 | Fasa Family Wellness Pllc | Podiatrist | 5210 Corporate Center Ct Se Ste A, Lacey, WA 98503-5952 | 2018-11-07 |
| 1407227424 | Jeremy Cross | Podiatrist | 9399 Ridgetop Blvd Nw Ste A, Silverdale, WA 98383-8505 | 2015-10-16 |
| 1326427584 | Mallory Schweitzer | Podiatrist | 11212 Sunrise Blvd E Ste 203, Puyallup, WA 98374-8847 | 2015-05-21 |
| 1740688902 | Oot Specialists of Puget Sound, Ps | Podiatrist | 2728 E Main Ave Suite A, Puyallup, WA 98372 | 2014-12-19 |
| 1932507191 | & Foot Specialists of Puget Sound, Ps | Podiatrist | 4140 Factoria Blvd Se Suite 1b, Bellevue, WA 98006 | 2014-12-19 |
| 1013313949 | Ankle & Foot Specialists of Puget Sound, Ps | Podiatrist | 17700 Se 272nd St Ste 370, Covington, WA 98042-4951 | 2014-11-04 |
| 1366869893 | Stephen J Wold II | Podiatrist | 16701 Ne Mcgillivray Blvd, Ste 220, Vancouver, WA 98683 | 2014-03-21 |
| 1194085043 | Sara Mahmood | Podiatrist | 1560 N 115th St Ste 102, Seattle, WA 98133-8414 | 2012-05-25 |
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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.