MICHELLE ANGELIKA KAUFFMAN (NPI# 1083909428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083909428 |
| Entity Type | Individual |
| Full Name | MICHELLE ANGELIKA KAUFFMAN |
| Other Name | MICHELLE ANGELIKA WHITLOCK |
| Credential | D.O. |
| Practice Address |
5708 E Lake Sammamish Pkwy Se Ste 102 Issaquah WA 98029-8942 |
| Practice Telephone | 4256885488 |
| Practice Fax Number | 4252336869 |
| Mailing Telephone | 4256885488 |
| Mailing Fax Number | 4252336869 |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2019-05-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | OP60454388 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | RESIDENCY TRAINING PERMIT NUMBER | R1919 | 01 |
| Street Address |
5708 E LAKE SAMMAMISH PKWY SE STE 102 |
| City | ISSAQUAH |
| State | WA |
| Zip Code | 98029-8942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134730161 | Katelyn Creech | Counselor | 1505 16th Lane Ne, Apt 404 Building O, Issaquah, WA 98029 | 2020-08-13 |
| 1326695438 | M Shoaib Haider Siddiqui | Dentist | Issaquah Modern Dentistry, 1416 Highlands Drie Ne, Suite 120, Issaquah, WA 98029 | 2019-08-22 |
| 1053885061 | Rose Osborne | Registered Nurse | 4580 Klahanie Dr Se #181, Sammamish, WA 98029 | 2019-01-14 |
| 1598260960 | Caryn Crosbie | Behavior Technician | 22526 Se 64th Place, Building D Suite 210, Issaquah, WA 98029 | 2018-03-28 |
| 1194110908 | May Y. Mar | Family Medicine | 5708 E. Lake Sammamish Pkwy Se, Issaquah, WA 98029 | 2015-03-30 |
| 1659765816 | Eastside Social Skills Therapy LLC | Preferred Provider Organization | 5436 232nd Ave Se, Issaquah, WA 98029 | 2015-03-26 |
| 1649513946 | Linda Scoppettone Knodel | Registered Nurse | 5303 231 Ave. Se, Issaquah, WA 98029 | 2013-04-04 |
| 1720323116 | Morley Slutsky | Preventive Medicine | 4580 Klahanie Dr. S.e.,#125, Issaquah, WA 98029 | 2012-12-11 |
| 1619248820 | Silas Dickenson Dudley | Dentist | 2520 Ne Park Dr, Suite C, Issaquah, WA 98029 | 2012-01-19 |
| 1659641678 | Cynthia J Creel | Technician/Technologist | 4580 Klahanie Dr. Se, #332, Issaquah, WA 98029 | 2012-01-06 |
| Find all providers in zip 98029 | ||||
| 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 |
|---|---|---|---|---|
| 1194110908 | May Y. Mar | Family Medicine | 5708 E. Lake Sammamish Pkwy Se, Issaquah, WA 98029 | 2015-03-30 |
| 1073772539 | Lee Ha Chan | Family Medicine | 3710 Providence Point Dr Se, Issaquah, WA 98029-6242 | 2008-06-09 |
| 1225295330 | Elizabeth Mullen Bennett | Family Medicine | 415 Everwood Ct Nw, Issaquah, WA 98027-2602 | 2008-05-19 |
| 1083751333 | Sarah Hiam | Family Medicine | 5708 E. Lake Sammamish Pkwy, Issaquah, WA 98129 | 2007-01-30 |
| 1912043720 | Issaquah Medical Group | Family Medicine | 450 Nw Gilman Blvd Ste 201, Issaquah, WA 98027-2483 | 2007-01-29 |
| 1699840769 | Rebecca Jean Richardson | Family Medicine | 18501 Se Newport Way, #f-129, Issaquah, WA 98027-9036 | 2006-11-22 |
| 1063590529 | Anthony Scott Barnett | Family Medicine | 751 Ne Blakely Dr., Suite 5010, Issaquah, WA 98029-6201 | 2006-11-01 |
| 1821173279 | David S Farrell | Family Medicine | 3707 Providence Point Dr Se, Ste G, Issaquah, WA 98029-6216 | 2006-10-26 |
| 1760490692 | Reinier Dejong Vancoevorden | Family Medicine | 1490 Nw Gilman Blvd., Issaquah, WA 98027 | 2006-08-04 |
| 1396768412 | Samantha Marie Maplethorpe | Family Medicine | 3707 Providence Point Dr Se Ste G, Issaquah, WA 98029-6216 | 2006-07-26 |
| Find all providers in ISSAQUAH | ||||
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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.