MS. STEFANY JENEIFER CAMERON (NPI# 1003103565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003103565 |
| Entity Type | Individual |
| Full Name | MS. STEFANY JENEIFER CAMERON |
| Credential | PA-C |
| Practice Address |
1750 112th Ave Ne Ste D050 Bellevue WA 98004 |
| Mailing Address |
707 S Grady Way Ste 600 Renton WA 98057-3227 |
| Practice Telephone | 2062153850 |
| Practice Fax Number | 2062153870 |
| Mailing Telephone | 2068231004 |
| Mailing Fax Number | 2063093319 |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2020-01-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | MA054996 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA60511375 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2250 Drew St., Florida Spine Institute, Clearwater, FL 33765 | 7277977463 | 7277261580 |
| Street Address |
1750 112TH AVE NE STE D050 |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306312392 | Laurena Diane Richardson | Physician Assistant | 1750 112th Ave Ne Ste D050, Bellevue, WA 98004-3779 | 2018-10-17 |
| 1841568946 | Proliance Surgeons, Inc., P.s. | Ophthalmology | 1750 112th Ave Ne Ste D050, Bellevue, WA 98004 | 2011-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306458328 | Geneva Paula Hoskins-dorsey | Nurse Practitioner | 11120 Ne 33rd Place, Suite 202, Bellevue, WA 98004 | 2020-08-20 |
| 1720553613 | Christine Eyler | Pediatrics | Bellevue Pediatrics, C & C Medical Associates, 1940 116th Ave Ne, Ste 200, Bellevue, WA 98004 | 2018-10-08 |
| 1437634730 | Hazelden Betty Ford Foundation | Clinic/Center | 1231 116th Ave. Ne Suite 410, Bellevue, WA 98004 | 2018-10-02 |
| 1356827828 | Seattle Spine Group, Pllc | Orthopaedic Surgery | 1220 116th Ave Ne Ste 102, Bellevue, WA 98004 | 2018-07-17 |
| 1669989216 | Atsuko Nakajima | Acupuncturist | 2223 112th Ave. Ne, Ste 201, Bellevue, WA 98004 | 2018-01-04 |
| 1740794718 | Radka Chapin Counseling, LLC | Clinic/Center | 1611 116th Ave Ne Ste 119, Bellevue, WA 98004 | 2017-11-28 |
| 1962912105 | Cuyler Ann Simmons | Counselor | 3805 108th Ave Ne Ste 204, Bellevue, WA 98004 | 2017-10-02 |
| 1639690357 | Nicolas Lopez-montalvo | Behavioral Analyst | 3003 Northup Way Suite 200, Bellevue, WA 98004 | 2017-07-03 |
| 1124579537 | Matthew Thomas Haley | Pharmacist | 107 Bellevue Way, Se, Bellevue, WA 98004 | 2016-10-20 |
| 1649727348 | Kelsey Tanaka | Nurse Practitioner | 400- 108th Ave Ne, Suite 100, Bellevue, WA 98004 | 2016-09-10 |
| Find all providers in zip 98004 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104308394 | Johnny Thanh Nguyen | Physician Assistant | 1135 116th Ave Ne Ste 605, Bellevue, WA 98004-4697 | 2018-09-04 |
| 1306312392 | Laurena Diane Richardson | Physician Assistant | 1750 112th Ave Ne Ste D050, Bellevue, WA 98004-3779 | 2018-10-17 |
| 1982135570 | Brooke Frances Bekkedahl | Physician Assistant | 1231 116th Ave Ne Ste 750, Bellevue, WA 98004-3812 | 2017-03-24 |
| 1518417476 | Molly Beth Brownfield Hess | Physician Assistant | 1135-116th Avenue Ne, Suite 200, Bellevue, WA 98004 | 2016-10-04 |
| 1548719875 | Forrest L. Simmons | Physician Assistant | 1231 116th Ave Ne Ste 750, Bellevue, WA 98004 | 2016-09-28 |
| 1740665009 | Chelsea Beth Allen | Physician Assistant | 11511 Ne 10th St, Bellevue, WA 98004-8578 | 2015-07-28 |
| 1366846255 | Daniel Lee Hurst | Physician Assistant | 1231 116th Ave Ne Ste 750, Bellevue, WA 98004-3812 | 2014-10-21 |
| 1669873634 | Amy Larsen | Physician Assistant | 1135 116th Ave Ne Ste 500, Bellevue, WA 98004-4627 | 2014-09-10 |
| 1760784797 | Dana P Jergens | Physician Assistant | 1231 116th Ave Ne, Suite 750, Bellevue, WA 98004-3804 | 2010-11-24 |
| 1225181902 | Michael J Young | Physician Assistant | 1231 116th Ave Ne, Suite 750, Bellevue, WA 98004-3804 | 2007-01-18 |
| Find all providers in BELLEVUE | ||||
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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.