Taylor J Broughton (NPI# 1952758187, PAC ID# 4385923051) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1952758187 |
| PAC ID by PECOS | 4385923051 |
| Professional Enrollment ID | I20161121001221 |
| Full Name | Taylor J Broughton |
| Organization Legal Name | DEER PARK FAMILY CARE CLINIC PS |
| Address |
905 E D St Deer Park WA 99006-5167 |
| Phone Number | 5092765005 |
| Gender | M |
| Graduation Year | 2016 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 1759271836 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500044 | DEACONESS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 702 S Park St, Deer Park, WA 99006-7025 | 5092629000 | DEER PARK URGENT CARE PLLC |
| 905 E D St, Deer Park, WA 99006-5167 | 5092765005 | DEER PARK FAMILY CARE CLINIC PS |
| 1411 4th Ave, Seattle, WA 98101-2249 | 3035001518 | DISPATCHHEALTH WASHINGTON PC |
| Organization Legal Name | DEER PARK FAMILY CARE CLINIC PS |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edgar A Figueroa | Family Medicine | Deer Park Family Care Clinic Ps | 905 E D St, Deer Park, WA 99006-5167 |
| Jillian R Foglesong Stabile | Family Medicine | Deer Park Family Care Clinic Ps | 905 E D St, Deer Park, WA 99006-5167 |
| Julie A Moran | Family Medicine | Deer Park Family Care Clinic Ps | 905 E D St, Deer Park, WA 99006-5167 |
| Chelsy L Dryden | Physician Assistant | Deer Park Family Care Clinic Ps | 905 E D St, Deer Park, WA 99006-5167 |
| Jonathan J Wilson | Family Medicine | Deer Park Family Care Clinic Ps | 905 E D St, Deer Park, WA 99006-5167 |
| Street Address |
905 E D ST |
| City | DEER PARK |
| State | WA |
| Zip | 99006-5167 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edgar A Figueroa | Family Medicine | Deer Park Family Care Clinic Ps | 905 E D St, Deer Park, WA 99006-5167 |
| Jillian R Foglesong Stabile | Family Medicine | Deer Park Family Care Clinic Ps | 905 E D St, Deer Park, WA 99006-5167 |
| Julie A Moran | Family Medicine | Deer Park Family Care Clinic Ps | 905 E D St, Deer Park, WA 99006-5167 |
| Chelsy L Dryden | Physician Assistant | Deer Park Family Care Clinic Ps | 905 E D St, Deer Park, WA 99006-5167 |
| Jonathan J Wilson | Family Medicine | Deer Park Family Care Clinic Ps | 905 E D St, Deer Park, WA 99006-5167 |
| Stanley B Lewchuk | Chiropractic | 905 E D St, Deer Park, WA 99006-5167 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ronald J Moore | Chiropractic | 206 W 1st G, Deer Park Office, Deer Park, WA 99006 | |
| Basil M Griffin | Family Medicine | 23 E Crawford Ave, Deer Park, WA 99006-5024 | |
| Stephen Richard Bender | Physical Therapy | Deer Park Physical Therapy Inc | 707 S Park St, Deer Park, WA 99006-7025 |
| Marelda M Abney | Nurse Practitioner | Deer Park Urgent Care Pllc | 702 S Park St, Deer Park, WA 99006-7025 |
| Andrew S Roberts | Physical Therapy | Deer Park Physical Therapy Inc | 707 S Park St, Deer Park, WA 99006-7025 |
| Rebecca M Gadbery | Physical Therapy | Deer Park Physical Therapy Inc | 707 S Park St, Deer Park, WA 99006-7025 |
| Mary J Hindman | Physical Therapy | Deer Park Physical Therapy Inc | 707 S Park St, Deer Park, WA 99006-7025 |
| Jared R Descoteaux | Physical Therapy | Deer Park Physical Therapy Inc | 707 S Park St, Deer Park, WA 99006-7025 |
| Cliff Bonnell-jones | Physical Therapy | Acceleration Physical Therapy | 702 S Park St, Deer Park, WA 99006-7025 |
| Joseph H Nadeau | Physician Assistant | Deer Park Urgent Care Pllc | 702 S Park St, Deer Park, WA 99006-7025 |
| Find all physicians in zip 99006 | |||
| City | DEER PARK |
| Zip Code | 99006 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | DEER PARK + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Taylor J Broughton.
| 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.