MARIYA YURYEVNA SURMA (NPI# 1982936365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982936365 |
Entity Type | Individual |
Full Name | MARIYA YURYEVNA SURMA |
Other Name | MARIYA YURYEVNA DIDYK |
Practice Address |
7410 Delaware Ln Vancouver WA 98664-1408 |
Mailing Address |
Po Box 34703 Seattle WA 98124-1703 |
Practice Telephone | 3608965128 |
Practice Fax Number | 3608965179 |
Mailing Telephone | 2067643335 |
Mailing Fax Number | 2067640489 |
Enumeration Date | 2010-02-09 |
Last Update Date | 2010-02-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP30007994 | WA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
7410 DELAWARE LN |
City | VANCOUVER |
State | WA |
Zip Code | 98664-1408 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821605015 | Alina Rose Martines | Dietitian, Registered | 7410 Delaware Ln, Vancouver, WA 98664-1408 | 2020-09-30 |
1710465778 | Rachel Maree Patton | Dietitian, Registered | 7410 Delaware Ln, Vancouver, WA 98664-1408 | 2018-08-01 |
1851877641 | Rachel S Williamson | Nurse Practitioner | 7410 Delaware Ln, Vancouver, WA 98664-1408 | 2018-07-14 |
1952814360 | Sea-mar Community Health Center | Clinic/Center | 7410 Delaware Ln, Vancouver, WA 98664-1408 | 2017-11-07 |
1467989129 | Sea-mar Community Health Center | Clinic/Center | 7410 Delaware Ln, Vancouver, WA 98664-1408 | 2017-05-12 |
1912432584 | Jacqueline Baker | Nurse Practitioner | 7410 Delaware Ln, Vancouver, WA 98664-1408 | 2017-04-20 |
1174064802 | Lindsey Campbell | Nurse Practitioner | 7410 Delaware Ln, Vancouver, WA 98664-1408 | 2017-03-14 |
1447657978 | Allison Potter | Dietitian, Registered | 7410 Delaware Ln, Vancouver, WA 98664-1408 | 2014-11-26 |
1942509500 | Elizabeth Shannon Gorman | Counselor | 7410 Delaware Ln, Vancouver, WA 98664-1408 | 2011-03-22 |
1548593619 | Claudia B Molina Clemen | Counselor | 7410 Delaware Ln, Vancouver, WA 98664-1408 | 2009-09-08 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285249938 | Angelica Maria Parle-fresquez | Speech-Language Pathologist | Early Childhood Assessment Center - Lieser School, 301 S. Lieser Rd, Vancouver, WA 98664 | 2020-09-10 |
1467923441 | Elizabeth Steen | Counselor | 230 E. State St., Mossyrock, WA 98664 | 2018-12-17 |
1497241657 | Chelsey Nicole Parker | Peer Specialist | 9815 Ne 3rd St, Vancouver, WA 98664 | 2018-07-10 |
1881145431 | Brent Homan | Occupational Therapist | 807 Se Morgan Rd., Vancouver, WA 98664 | 2016-10-19 |
1114474277 | Rebecca Marie Stefan | Nurse's Aide | 10025 Ne 19th St, Vancouver, WA 98664 | 2016-09-07 |
1528454105 | Alicia Ford | Dietitian, Registered | 700 Ne 87th Ave Ste 280, Vancouver, WA 98664 | 2015-04-10 |
1033504261 | Reid Roberts Bennett | Anesthesiology | 505 Ne 87th Ave Ste 210, Vancouver, WA 98664 | 2015-04-03 |
1235550856 | Nikolay Nikolaevich Chernukhin Jr. | Chiropractor | 221-a Ne 104th Ave, Suite 205, Vancouver, WA 98664 | 2013-12-27 |
1013278712 | Serena Harker | Physical Therapy Assistant | 221a Ne 104th Ave, Suite #205, Vancouver, WA 98664 | 2012-05-30 |
1295091080 | Rebeca C Johnson | Massage Therapist | 11015 Ne 4th Plain Suite B, Vancouver, WA 98664 | 2012-04-05 |
Find all providers in zip 98664 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942711767 | Julie B Lawrence | Nurse Practitioner | 900 Ne 139th Street, Suite 202, Vancouver, WA 98685 | 2017-10-19 |
1588174833 | Oliver Uy | Nurse Practitioner | 15814 Ne 72nd, Vancouver, WA 98682 | 2017-10-01 |
1780103549 | Rebecca Adele Rutledge | Nurse Practitioner | 10503 Ne 67th Ave, Vancouver, WA 98686-5103 | 2017-09-13 |
1689044182 | Moonstone Medical Group, Pllc | Nurse Practitioner | 9320 Ne Vancouver Mall Dr, Suite 103, Vancouver, WA 98662-8203 | 2015-09-28 |
1366821993 | Derek Simmons | Nurse Practitioner | 700 Ne 87th Ave # 260, Vancouver, WA 98664-1913 | 2015-05-28 |
1306155270 | Christie Anne Kratovil | Nurse Practitioner | 8614 E Mill Plain Blvd Ste 310, Vancouver, WA 98664-2058 | 2010-09-27 |
1780822916 | Stephanie Renee Jones | Nurse Practitioner | 406 Se 131st Ave Ste 203, Vancouver, WA 98683-4013 | 2009-01-26 |
1942484308 | Chrissie Collette Russell-wilson | Nurse Practitioner | 501 Se 172nd Ave Ste 130, Vancouver, WA 98684 | 2007-12-20 |
1093831752 | Sherrie Lee Thomas | Nurse Practitioner | Cascade Park Medical Office. 12607 Se Mill Plain Blvd, Vancouver, WA 98684-6055 | 2007-03-22 |
1669575692 | Debra Ann Goldstein | Nurse Practitioner | 12607 S.e. Mill Plain Blvd., Vancouver, WA 98684 | 2006-09-06 |
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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.