FASA FAMILY WELLNESS PLLC (NPI# 1992103774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992103774 |
| Entity Type | Organization |
| Organization Name | FASA FAMILY WELLNESS PLLC |
| Practice Address |
201 Tahoma Blvd Suite 208 Yelm WA 98597-7735 |
| Mailing Address |
1610 Bishop Rd Sw Ste 101 Tumwater WA 98512-7303 |
| Practice Telephone | 3604003338 |
| Mailing Telephone | 3607543338 |
| Enumeration Date | 2014-12-10 |
| Last Update Date | 2014-12-10 |
| Authorized Official Name | TERRY EUGENE HESS (OWNER-PHYSICIAN) |
| Authorized Official Telephone | 3607543338 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174091193 | Fasa Family Wellness Pllc | Podiatrist | 5210 Corporate Center Ct Se Ste A, Lacey, WA 98503-5952 | 2018-11-07 |
| 1285026443 | Fasa Family Wellness Pllc | Family Medicine | 1901 S Union Ave, Suite B 3010, Tacoma, WA 98405-1702 | 2015-02-25 |
| 1679979769 | Fasa Family Wellness Pllc | Podiatrist | 1220 W 1st St, Suite B, Centralia, WA 98531-3018 | 2014-11-17 |
| 1790181899 | Fasa Family Wellness Pllc | Family Medicine | 1610 Bishop Rd Sw Ste 101, Tumwater, WA 98512-7303 | 2014-11-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | FASA FAMILY WELLNESS PLLC | 1610 Bishop Rd Sw Bldg 7, Tumwater, WA 98512-7303 |
| Street Address |
201 TAHOMA BLVD SUITE 208 |
| City | YELM |
| State | WA |
| Zip Code | 98597-7735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245283472 | Cheri M Dorhauer | Family Medicine | 201 Tahoma Blvd, Suite 102, Yelm, WA 98597-7735 | 2006-05-18 |
| 1760925416 | Nelson Daniel Rojas Mieres | Physical Therapist | 201 Tahoma Blvd, Ste 207, Yelm, WA 98597-7735 | 2016-11-29 |
| 1215479209 | Kaela Pivnick | Dietitian, Registered | 201 Tahoma Blvd, Ste 207, Yelm, WA 98597-7735 | 2016-11-08 |
| 1861845232 | Tanya Brandt | Physical Therapy Assistant | 201 Tahoma Blvd, Suite 207, Yelm, WA 98597-7735 | 2016-07-20 |
| 1639536931 | Kathryn Dewitt | Physical Therapist | 201 Tahoma Blvd, Ste 207, Yelm, WA 98597-7735 | 2016-01-19 |
| 1083043459 | Caitlyn Long | Physical Therapist | 201 Tahoma Blvd, Ste 207, Yelm, WA 98597-7735 | 2013-11-06 |
| 1073941571 | Kyle J. Sisler | Physical Therapist | 201 Tahoma Blvd, Ste 207, Yelm, WA 98597-7735 | 2013-10-18 |
| 1720333081 | Laura Beth Behymer | Physical Therapist | 201 Tahoma Blvd, Ste 207, Yelm, WA 98597-7735 | 2012-07-23 |
| 1952681231 | Foot and Ankle Surgical Associates Inc Ps | Podiatrist | 201 Tahoma Blvd, Suite 208, Yelm, WA 98597-7735 | 2011-08-18 |
| 1932496080 | Angela Marie Kloiber | Physical Therapist | 201 Tahoma Blvd, Suite 207, Yelm, WA 98597-7735 | 2011-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538652888 | Michael Nathan Steim | Dentist | 504 Yelm Avenue West, Yelm, WA 98597 | 2018-06-12 |
| 1457854549 | Ursula Schanne | Massage Therapist | 10501 Creek St Se Ste 7, Yelm, WA 98597 | 2018-03-14 |
| 1215449079 | Kaylee Jean Cook | Occupational Therapy Assistant | 107 1st Street Ne, Yelm, WA 98597 | 2017-11-01 |
| 1740705615 | Heather Anne Ervine | Physical Therapy Assistant | 14809 89th Ave Se, Yelm, WA 98597 | 2017-08-11 |
| 1679014559 | Beverly Dunford | Massage Therapist | 404 1st St S Ste. H, Yelm, WA 98597 | 2017-03-13 |
| 1740735158 | Amanda Kroboth | Speech-Language Pathologist | 16535 110th Ave Se, Yelm, WA 98597 | 2016-08-16 |
| 1134587090 | Lopaka Thanh Son Los Banos | Massage Therapist | 35617 Wa-507, Yelm, WA 98597 | 2016-02-08 |
| 1629472816 | Michelle Louise Punzel | Registered Nurse | 202 Stevens Ave Nw, Yelm, WA 98597 | 2014-10-16 |
| 1386074581 | Bobbi J Ashley | Counselor | 202 Cullens Rd, Yelm, WA 98597 | 2013-11-25 |
| 1295008100 | Trina Baggett | Doula | 21618 N Clearlake Blvd Se, Yelm, WA 98597 | 2012-02-23 |
| Find all providers in zip 98597 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952681231 | Foot and Ankle Surgical Associates Inc Ps | Podiatrist | 201 Tahoma Blvd, Suite 208, Yelm, WA 98597-7735 | 2011-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598392599 | Northern Cascades Foot and Ankle, LLC | Podiatrist | 532 E. Woodin Ave, Chelan, WA 98816-1852 | 2020-03-27 |
| 1801433784 | South Hill Foot & Ankle Clinic Ps | Podiatrist | 3707 S Grand Blvd Ste A, Spokane, WA 99203-2762 | 2019-12-10 |
| 1679025902 | Fasa Family Wellness, Pllc | Podiatrist | 2964 Limited Ln Nw, Suite B, Olympia, WA 98502-4577 | 2016-11-03 |
| 1356899363 | Emily Wagler | Podiatrist | 34509 9th Ave S Ste 303, Federal Way, WA 98003-8709 | 2016-09-19 |
| 1821546540 | Ata Podiatric and Integrative Medicine, Pllc | Podiatrist | 1950 Alaskan Way, Apt 526, Seattle, WA 98101-1075 | 2016-09-12 |
| 1376998179 | Hyowon Choi | Podiatrist | 2075 Barkley Blvd Ste 220, Bellingham, WA 98226 | 2016-04-28 |
| 1407210479 | Philip Matthew Woods | Podiatrist | 1812 N 13th Loop Rd # 1, Shelton, WA 98584-2169 | 2016-04-06 |
| 1063897916 | Yan Rong Cullen | Podiatrist | 13030 121st Way Ne Ste 204, Kirkland, WA 98034-3008 | 2015-07-21 |
| 1972982023 | Brittany Lynn Logan | Podiatrist | 10049 Kitsap Mall Blvd Nw Ste 109, Silverdale, WA 98383-8901 | 2015-05-21 |
| 1093194425 | Silas Klaver | Podiatrist | 1607 Creekside Loop Ste 140, Yakima, WA 98902 | 2015-05-18 |
| Find all providers with the same taxonomy | ||||
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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.