Jakdej J Nikomborirak (NPI# 1477542447, PAC ID# 8527051879) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is SLEEP MEDICINE.
| Nation Provider ID (NPI) | 1477542447 |
| PAC ID by PECOS | 8527051879 |
| Professional Enrollment ID | I20041227000267 |
| Full Name | Jakdej J Nikomborirak |
| Address |
9638 Ne Lafayette Ave Bainbridge Island WA 98110-1115 |
| Gender | M |
| Credential | MD |
| Medical School | GEORGETOWN UNIVERSITY OF MEDICINE |
| Graduation Year | 1990 |
| Primary Specialty | SLEEP MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 501323 | JEFFERSON HEALTHCARE |
| 501339 | WHIDBEYHEALTH MEDICAL CENTER |
| 501319 | MORTON GENERAL HOSPITAL |
| 501321 | NORTH VALLEY HOSPITAL |
| 501325 | FORKS COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 9638 Ne Lafayette Ave, Bainbridge Island, WA 98110-1115 | ||
| 3627 Ensign Rd Ne, Suite A, Olympia, WA 98506-6104 |
| Street Address |
9638 NE LAFAYETTE AVE |
| City | BAINBRIDGE ISLAND |
| State | WA |
| Zip | 98110-1115 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Serena Bouska Matthews | Occupational Therapy | 11287 Fieldstone Ne Ln, Bainbridge Island, WA 98110 | |
| Gloria W Sayler | Clinical Social Worker | 16821 Agate Pass Rd Ne, Bainbridge Is, WA 98110-1042 | |
| Jane Ellen Curtis | Psychologist, Clinical | 11290 Sunrise Dr Ne, Suite B, Bainbridge Island, WA 98110-1353 | |
| Sharon L Kuznetsov | Occupational Therapy | Bainbridge Island Physical Therapy, LLC | 563 Madison Ave N, Bainbridge Island, WA 98110-1768 |
| Keith R Heinzelman | Physical Therapy | Bainbridge Island Physical Therapy, LLC | 563 Madison Ave N, Bainbridge Island, WA 98110-1768 |
| Tricia Ann Fong | Physical Therapy | Bainbridge Island Physical Therapy, LLC | 563 Madison Ave N, Bainbridge Island, WA 98110-1768 |
| Kelly B Kim-campo | Physical Therapy | Bainbridge Island Physical Therapy, LLC | 563 Madison Ave N, Bainbridge Island, WA 98110-1768 |
| Garett Martin Jacobson | Physical Therapy | Bainbridge Island Physical Therapy, LLC | 563 Madison Ave N, Bainbridge Island, WA 98110-1768 |
| Robyn H Dabell | Physical Therapy | Bainbridge Island Physical Therapy, LLC | 563 Madison Ave N, Bainbridge Island, WA 98110-1768 |
| Lisa K Lund | Physical Therapy | 190 Madison Ave N, Bainbridge Island, WA 98110-1769 | |
| Find all physicians in zip 98110 | |||
| City | BAINBRIDGE ISLAND |
| Zip Code | 98110 |
| Specialty | SLEEP MEDICINE |
| City + Specialty | BAINBRIDGE ISLAND + SLEEP MEDICINE |
Please comment or provide details below to improve the information on Jakdej J Nikomborirak.
| 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.