MEGAN LYNN CHARBONEAU (NPI# 1922114701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922114701 |
| Entity Type | Individual |
| Full Name | MEGAN LYNN CHARBONEAU |
| Other Name | MEGAN LYNN NOON |
| Credential | MD |
| Practice Address |
3801 5th St Se Suite 110 Puyallup WA 98374-2106 |
| Mailing Address |
805 Madison St Suite 901 Seattle WA 98104-1172 |
| Practice Telephone | 2538459585 |
| Practice Fax Number | 2538481126 |
| Mailing Telephone | 2062648100 |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2015-07-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
52937 | WI | Allopathic & Osteopathic Physicians |
| Y | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
BC60578430 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1033233374 | 05 |
| Street Address |
3801 5TH ST SE SUITE 110 |
| City | PUYALLUP |
| State | WA |
| Zip Code | 98374-2106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952399123 | Proliance Surgeons, Inc., P.s. | Clinic/Center | 3801 5th St Se, Suite 110, Puyallup, WA 98374-2106 | 2005-10-11 |
| 1366835068 | Jeremiah C. Brack | Physician Assistant | 3801 5th St Se, Suite 110, Puyallup, WA 98374-2106 | 2015-03-05 |
| 1497192629 | Jessica Opal Gardner | Physical Therapist | 3801 5th St Se, 220, Puyallup, WA 98374-2106 | 2013-05-29 |
| 1801029665 | Emily Ossian Hall | Physician Assistant | 3801 5th St Se, Suite 110, Puyallup, WA 98374-2106 | 2009-08-27 |
| 1255363685 | Wendall W Adams | Orthopaedic Surgery | 3801 5th St Se, Suite 110, Puyallup, WA 98374-2106 | 2006-07-07 |
| 1295762979 | Steven K Yamamoto | Orthopaedic Surgery | 3801 5th St Se, Suite 110, Puyallup, WA 98374-2106 | 2006-06-27 |
| 1023044880 | Steven Chas Brack | Orthopaedic Surgery | 3801 5th St Se, Suite 110, Puyallup, WA 98374-2106 | 2006-06-24 |
| 1932135795 | Neal H Shonnard | Orthopaedic Surgery | 3801 5th St Se, Suite 110, Puyallup, WA 98374-2106 | 2006-06-24 |
| 1447286521 | Frederic L Johnstone | Orthopaedic Surgery | 3801 5th St Se, Suite 110, Puyallup, WA 98374-2106 | 2006-06-23 |
| 1366487803 | Lynn Page | Physician Assistant | 3801 5th St Se, Suite 110, Puyallup, WA 98374-2106 | 2006-06-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073173977 | Courtney Yant | Registered Nurse | 300 3rd St Se, Puyallup, WA 98374 | 2019-06-13 |
| 1013480508 | Tracy Pina | Massage Therapist | 16909 123rd Ave E, Puyallup, WA 98374 | 2019-01-07 |
| 1922524917 | Edith M Wood | Registered Nurse | 13517 152nd St Ct E, Puyallup, WA 98374 | 2017-08-21 |
| 1669875993 | Jillian C S Longway | Registered Nurse | 11102 Sunrise Blvd E Ste 103, Puyallup, WA 98374 | 2014-10-01 |
| 1427302025 | Nadeem Jaffer | Internal Medicine | 3800 3rd St. Se, Puyallup, WA 98374 | 2012-11-04 |
| 1851605356 | Madigan Army Medical Ctr | Clinic/Center | 15600 Meridan Ave, Sunrise Village Center, East Puyallup, WA 98374 | 2010-07-27 |
| 1326368135 | Matt Karl Jahns | Massage Therapist | 2402 20th St Se, Puyallup, WA 98374 | 2010-06-03 |
| 1982833208 | Roxy Sturgeon | Speech-Language Pathologist | 2309 43rd Ave Se, Puyallup, WA 98374 | 2009-07-08 |
| 1497921191 | Morgan Counseling Services Inc. | Substance Abuse Rehabilitation Facility | 10312 120th Street East, Suite #3, Puyallup, WA 98374 | 2008-05-02 |
| 1700055795 | Walter Royal Patterson Jr. | Registered Nurse | 11102 Sunrise Blvd. E., Ste. 103, Woodcreek Healthcare, Puyallup, WA 98374 | 2008-02-25 |
| Find all providers in zip 98374 | ||||
| Taxonomy Code | 2081S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Sports Medicine |
| A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. |
| Notes: Source: American Board of Medical Specialties, 2009. www.abms.org [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023638400 | Iain Mistrot | Physical Medicine & Rehabilitation | University of Washington 354070 Graves Building, Seattle, WA 98195-0001 | 2020-04-25 |
| 1114555133 | Lilly Paige Walker | Physical Medicine & Rehabilitation | 1624 Ne Cougar Way, Perham 126, Pullman, WA 99163-9916 | 2020-03-27 |
| 1881189009 | Stephan Paul Bellande | Physical Medicine & Rehabilitation | 1292 Ne Mount Olympus Ln Apt B303, Bremerton, WA 98311-3893 | 2018-06-29 |
| 1740781210 | Priya Goyal | Physical Medicine & Rehabilitation | 728 S 320th St Ste G, Federal Way, WA 98003-5255 | 2018-02-21 |
| 1255739678 | Michelle Physical Therapy | Physical Medicine & Rehabilitation | 649 Windsor Dr Se, Sammamish, WA 98074-3422 | 2014-12-17 |
| 1063601375 | Kathleen Elizabeth Severeid | Physical Medicine & Rehabilitation | 209 M L King Jr Way, Tsc-tacoma Medical Center, Tacoma, WA 98405-4265 | 2007-10-23 |
| 1679598510 | Ghislaine Robert | Physical Medicine & Rehabilitation | 8630 164th Ave Ne, 205, Redmond, WA 98052-3606 | 2006-07-13 |
| 1053352708 | Brian J Krabak | Physical Medicine & Rehabilitation | University of Washington Medical Ctr, Dept Rehabilitation Medicine1959 Pacific Ne, 356490, Seattle, WA 98195-0001 | 2006-06-10 |
| 1942253000 | Alison Stout | Physical Medicine & Rehabilitation | 12039 Ne 128th St Ste 500, Kirkland, WA 98034-3029 | 2006-05-18 |
| 1003801754 | M Steven Hughes | Physical Medicine & Rehabilitation | 1632 116th Ave Ne Ste C, Bellevue, WA 98004-3035 | 2005-09-19 |
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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.