MR. SIMON T TANG (NPI# 1952656647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952656647 |
| Entity Type | Individual |
| Full Name | MR. SIMON T TANG |
| Other Name | MR. SIMON T TANG |
| Credential | PHARM D |
| Practice Address |
19710 131st Pl Ne Woodinville WA 98072 |
| Mailing Address |
19710 131st Pl Ne Woodinville WA 98072-5766 |
| Practice Telephone | 4254831449 |
| Mailing Telephone | 4254831449 |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2012-07-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | PH 00040150 | WA | Pharmacy Service Providers |
| Y | 261Q00000X | Clinic/Center | PH 00040150 | WA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | WA STATE DEPARTMENT OF HEALTH | PH 0040150 | 01 |
| Street Address |
19710 131ST PL NE |
| City | WOODINVILLE |
| State | WA |
| Zip Code | 98072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841832466 | Optum Infusion Services 501 Inc | Durable Medical Equipment & Medical Supplies | 8131 West Bostian Road, Suite A345, Woodinville, WA 98072 | 2019-10-15 |
| 1326511973 | Charyle Rae Tasanasanta | Massage Therapist | 17311 Ne 175th Ave, Building C, Suite 100, Woodinville, WA 98072 | 2019-01-07 |
| 1508360868 | Nitin Thapa | Naturopath | 14221 Ne 181st Pl Apt P203, Woodinville, WA 98072 | 2018-03-21 |
| 1588189963 | Sally Winkel | Occupational Therapist | 17311 135 Ave Ne, Suite C200, Woodinville, WA 98072 | 2017-08-07 |
| 1548783848 | Matt Clute | Chiropractor | 13110 Ne 177th Pl #1005, Woodinville, WA 98072 | 2017-07-19 |
| 1427506294 | Bobbi Arnold | Physical Therapy Assistant | 17918 Ne 157th Street, Woodinville, WA 98072 | 2016-09-21 |
| 1194175208 | Yu Yuan Zhang | Optometrist | 24008 Woodinville-snohomish Rd, Woodinville, WA 98072 | 2016-06-20 |
| 1093171357 | Anne Cahanin | Counselor | 17220 127th Pl Ne Ste 101, Woodinville, WA 98072 | 2016-01-01 |
| 1710365754 | Alexandra Castro | Pharmacist | 16427 Ne 145th St, Woodinville, WA 98072 | 2015-05-11 |
| 1649679911 | Susan Lewis | Nutritionist | 17924 140th Ave Ne Ste 230, Woodinville, WA 98072 | 2014-08-22 |
| Find all providers in zip 98072 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114320496 | Rediclinic of Wa, LLC | Clinic/Center | 14035 Ne Woodinville-duvall, Woodinville, WA 98072-8504 | 2014-10-01 |
| 1760022156 | Northwest Functional Nutrition | Clinic/Center | 16818 140th Ave Ne, Woodinville, WA 98072-9001 | 2020-01-14 |
| 1184049991 | Woodinville Chiropractic, Ps | Clinic/Center | 17630 140th Ave Ne, Ste A, Woodinville, WA 98072-6876 | 2014-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457153 | Scandia Wellness | Clinic/Center | 121 Naylor Rd, Mossyrock, WA 98564-9507 | 2020-11-07 |
| 1699376152 | Seattle Vision Therapy and Rehabilitation Center, Pllc | Clinic/Center | 13344 1st Ave Ne Ste 101, Seattle, WA 98125-3059 | 2020-11-02 |
| 1942811211 | Little Fin Therapies, LLC | Clinic/Center | 5942 31st Ave Sw, Seattle, WA 98126-2910 | 2020-08-11 |
| 1578187829 | Therapy Northwest Pllc | Clinic/Center | 310 3rd Ave Ne Ste 124, Issaquah, WA 98027-3350 | 2020-06-02 |
| 1922621721 | Riaz Pllc | Clinic/Center | 8378 W Grandridge Blvd Ste 110, Kennewick, WA 99336-5401 | 2020-05-27 |
| 1295356848 | Community Health Care | Clinic/Center | 16329 Se 318th St, Auburn, WA 98092-9284 | 2020-05-05 |
| 1720617533 | Nova Mind-body LLC | Clinic/Center | 116 13th Ave E Apt 1e, Seattle, WA 98102-6142 | 2020-04-03 |
| 1609403054 | Lavender Luxe Massage | Clinic/Center | 100 3rd St Ste 100, Davenport, WA 99122-5008 | 2020-03-25 |
| 1417582255 | Personalized Health, LLC | Clinic/Center | 7136 Mlk Jr Way S Ste 204, Seattle, WA 98118-3526 | 2020-03-11 |
| 1912530932 | Lummi Indian Business Council | Clinic/Center | 2924 Haxton Way, Bellingham, WA 98226-9265 | 2020-02-18 |
| Find all providers with the same taxonomy | ||||
| City | WOODINVILLE |
| Zip Code | 98072 |
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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.