JEREMY A GINOZA (NPI# 1053554154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053554154 |
| Entity Type | Individual |
| Full Name | JEREMY A GINOZA |
| Credential | DO |
| Practice Address |
4455 Cordata Pkwy Bellingham WA 98226-8037 |
| Mailing Address |
1400 E. Kincaid Street Attn: Credentialing Mount Vernon WA 98274-4127 |
| Practice Telephone | 3606713225 |
| Mailing Telephone | 3608146724 |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 204D00000X | Neuromusculoskeletal Medicine & OMM | OP60199411 | WA | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | OP60199411 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2030502 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 819 S 13th St, Mount Vernon, WA 982744112 | 3608146230 | 3608146240 |
| Street Address |
4455 CORDATA PKWY |
| City | BELLINGHAM |
| State | WA |
| Zip Code | 98226-8037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790881969 | Jeremy Williams | Social Worker | 4455 Cordata Pkwy, Bellingham, WA 98226-8037 | 2006-09-15 |
| 1609490739 | Nadia Zagurskaya | Registered Nurse | 4455 Cordata Pkwy, Bellingham, WA 98226-8037 | 2020-06-04 |
| 1336768035 | Nina Elizabeth Karhinen | Dental Hygienist | 4455 Cordata Pkwy, Bellingham, WA 98226-8037 | 2020-04-13 |
| 1912556663 | Eric D. Watson | Counselor | 4455 Cordata Pkwy, Bellingham, WA 98226-8037 | 2019-09-05 |
| 1730736844 | Hannah Mae Belle Crawford | Registered Nurse | 4455 Cordata Pkwy, Bellingham, WA 98226-8037 | 2019-08-22 |
| 1184181984 | Nicole Yvonne Bruno | Registered Nurse | 4455 Cordata Pkwy, Bellingham, WA 98226-8037 | 2019-02-28 |
| 1063978831 | Marie Tyndall | Dietitian, Registered | 4455 Cordata Pkwy, Bellingham, WA 98226-8037 | 2019-02-15 |
| 1508332396 | Sarah Grout Bates | Midwife | 4455 Cordata Pkwy, Bellingham, WA 98226-8037 | 2018-10-18 |
| 1922589787 | Abigail Rose Goss | Physician Assistant | 4455 Cordata Pkwy, Bellingham, WA 98226-8037 | 2018-08-28 |
| 1780105973 | Rita Lorena Johnson | Counselor | 4455 Cordata Pkwy, Bellingham, WA 98226-8037 | 2017-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558901090 | Advancement Northwest, LLC | Community/Behavioral Health | 410 W Bakerview Rd Suite 110, Space 107, Bellingham, WA 98226 | 2020-01-13 |
| 1295374882 | Unity Care Northwest | Community/Behavioral Health | Roosevelt Elementary School Bh Services, 2900 Yew St., Bellingham, WA 98226 | 2019-12-30 |
| 1710454913 | Shane Humason | Pharmacist | 1225 East Sunset Drive, Ste 110, Bellingham, WA 98226 | 2018-10-26 |
| 1508342759 | Lydia Place A Nonprofit Corporation | Counselor | 1430 North Garden Street, Bellingham, WA 98226 | 2018-07-11 |
| 1609384486 | Lindsay Grace Davis | Massage Therapist | 1572 Huntley Rd, Bellingham, WA 98226 | 2018-01-16 |
| 1760900765 | Melissa Peters | Massage Therapist | 823 W Larson Rd, Bellingham, WA 98226 | 2017-08-30 |
| 1245754001 | Amber Michelle Wilson | Physical Therapy Assistant | 4860 Cordata Pkwy, North Cascades Health and Rehab, Bellingham, WA 98226 | 2017-08-02 |
| 1063935310 | Sophie Elizabeth Kangas | Speech-Language Pathologist | 4152 Meridian Street, Suite 105, Pmb 159, Bellingham, WA 98226 | 2017-07-19 |
| 1639607849 | Sharon Lynn Katz-kunde | Physical Therapist | 317 E Mcleod Rd #101, Bellingham, WA 98226 | 2017-06-01 |
| 1376998179 | Hyowon Choi | Podiatrist | 2075 Barkley Blvd Ste 220, Bellingham, WA 98226 | 2016-04-28 |
| Find all providers in zip 98226 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467006205 | Family Care Network, Pllc | Family Medicine | 805 W. Orchard Drive, Suite 6, Bellingham, WA 98225 | 2019-07-30 |
| 1598289027 | Super Track Urgent Care LLC | Family Medicine | 1050 Lakeway Dr, Bellingham, WA 98229-2020 | 2017-07-26 |
| 1235360819 | Rajalakshmi Cheerla | Family Medicine | 4545 Cordata Pkwy Ste 2c, Bellingham, WA 98226 | 2009-07-31 |
| 1851521934 | Heather Lindsay Honey | Family Medicine | 3015 Squalicum Pkwy Ste 120, Bellingham, WA 98225-1906 | 2009-07-22 |
| 1720233224 | Eugene Fox Fairbanks | Family Medicine | 2607 Vining Street, Bellingham, WA 98226-4230 | 2008-11-25 |
| 1174652796 | Donald L. Rappe | Family Medicine | 2211 Rimland Dr Ste 114, Bellingham, WA 98226-8654 | 2007-03-02 |
| 1376697177 | Karen Marie Young | Family Medicine | 609 Northshore Drive, Lake Whatcom Residential and Treatment Center, Bellingham, WA 98226-6004 | 2007-01-22 |
| 1700942786 | Craig K Moore | Family Medicine | 1401 6th St, Bellingham, WA 98225-7365 | 2006-12-28 |
| 1164512596 | Philip M. Andress Jr. | Family Medicine | 2790 N Shore Rd, Bellingham, WA 98226-9406 | 2006-10-14 |
| 1174628838 | Janine Shaw | Family Medicine | 2592 Kwina Rd, Bellingham, WA 98226-9278 | 2006-09-14 |
| Find all providers in BELLINGHAM | ||||
| City | BELLINGHAM |
| Zip Code | 98226 |
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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.