Bernard A Stupski (NPI# 1750571238, PAC ID# 2163616368) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1750571238 |
| PAC ID by PECOS | 2163616368 |
| Professional Enrollment ID | I20101102000319 |
| Full Name | Bernard A Stupski |
| Organization Legal Name | SEA-MAR COMMUNITY HEALTH CENTER |
| Address |
1601 E 4th Plain Blvd Bldg 17 Flr 3 B307 Vancouver WA 98661-3753 |
| Phone Number | 3608529070 |
| Gender | M |
| Medical School | UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER AT FORT WORTH |
| Graduation Year | 2003 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7315831161 |
| Number of Group Practice Members | 113 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500150 | LEGACY SALMON CREEK HOSPITAL |
| 500050 | PEACEHEALTH SOUTHWEST MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 11801 Ne 65th St, Vancouver, WA 98662-5527 | 3608920208 | SEA-MAR COMMUNITY HEALTH CENTER |
| 1601 E 4th Plain Blvd, Bldg 17 Flr 3 B307, Vancouver, WA 98661-3753 | 3608529070 | SEA-MAR COMMUNITY HEALTH CENTER |
| Organization Legal Name | SEA-MAR COMMUNITY HEALTH CENTER |
| Physicians | 110 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marie E Tyndall | Registered Dietitian Or Nutrition Professional | Sea-mar Community Health Center | 4455 Cordata Pkwy, Bellingham, WA 98226-8037 |
| Bjorn Jacobson | Family Medicine | Sea-mar Community Health Center | 19005 Se 34th St, Bldg 3, Vancouver, WA 98683-1450 |
| Cecilia Christensen | Physician Assistant | Sea-mar Community Health Center | 10217 125th St Ct E, Puyallup, WA 98374-2761 |
| Juliana Oliveira | Family Medicine | Sea-mar Community Health Center | 9710 State Ave, Marysville, WA 98270-2280 |
| Eric Alfred Simmons | Psychiatry | Sea-mar Community Health Center | 1112 S Cushman Ave, Tacoma, WA 98405-3631 |
| Carol L Opheikens | Nurse Practitioner | Sea-mar Community Health Center | 6100 Ne 4th Plain Blvd, Vancouver, WA 98661-6830 |
| Sheree Harvey | Nurse Practitioner | Sea-mar Community Health Center | 8720 14th Ave S, Sea Mar Chc Seattle, Seattle, WA 98108-4807 |
| Evan Sidney Teplow | Family Medicine | Sea-mar Community Health Center | 17707 W Main St, Monroe, WA 98272-1967 |
| Lindsey Parden | Nurse Practitioner | Sea-mar Community Health Center | 1920 100th St Se, Everett, WA 98208-3832 |
| Vanessa Feliciano | Family Medicine | Sea-mar Community Health Center | 9650 15th Ave Sw, Seattle, WA 98106-2820 |
| Street Address |
1601 E 4TH PLAIN BLVD BLDG 17 FLR 3 B307 |
| City | VANCOUVER |
| State | WA |
| Zip | 98661-3753 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alan Melnick | Family Practice | Clark County | 1601 E 4th Plain Blvd, Vancouver, WA 98661-3753 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert C Mayer | Chiropractic | 5907 Ne St Johns Rd, Mayer Chiropractic Clinic, Vancouver, WA 98661-1799 | |
| Susan K Shultz | Chiropractic | Cascadia Health Care, P.C. | 4916 Ne St Johns Rd, Vancouver, WA 98661-2547 |
| Michael D Craig | Chiropractic | Cascadia Health Care, P.C. | 4916 Ne St Johns Rd, Vancouver, WA 98661-2547 |
| Greggory Mortensen | Physical Therapy | 4421 Ne St Johns Rd, Suite D, Vancouver, WA 98661-2573 | |
| Stephen E Pliska | General Practice | Emergency Rooms, Ps | 4421 Ne St Johns F, Vancouver, WA 98661-2573 |
| Cheryl E Einerson | Nurse Practitioner | Emergency Rooms, Ps | 4421 Ne St Johns F, Vancouver, WA 98661-2573 |
| Stephanie J Richards | Family Medicine | Emergency Rooms, Ps | 4421 Ne St Johns F, Vancouver, WA 98661-2573 |
| Loyal Douglas Marsh | General Practice | Emergency Rooms, Ps | 4421 Ne St Johns F, Vancouver, WA 98661-2573 |
| Robert D Thornton | General Practice | Emergency Rooms, Ps | 4421 Ne St Johns F, Vancouver, WA 98661-2573 |
| Terrald S Kadrmas | Physical Therapy | Northwest Rehabilitation Institute | 4421 Ne St Johns Rd, Suite D, Vancouver, WA 98661-2573 |
| Find all physicians in zip 98661 | |||
| City | VANCOUVER |
| Zip Code | 98661 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | VANCOUVER + FAMILY MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.