DR. DOUGLAS W GANT (NPI# 1093851446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093851446 |
| Entity Type | Individual |
| Full Name | DR. DOUGLAS W GANT |
| Credential | MD PS |
| Practice Address |
1824 Meridian S Puyallup WA 98371-7514 |
| Practice Telephone | 2538488741 |
| Practice Fax Number | 2538480407 |
| Mailing Telephone | 2538488741 |
| Mailing Fax Number | 2538480407 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | MD 00016431 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1375807 | 05 |
| Street Address |
1824 MERIDIAN S |
| City | PUYALLUP |
| State | WA |
| Zip Code | 98371-7514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588141550 | Karen Lynn Sorensen | Massage Therapist | 922 Valley Ave Nw Suite 101, Puyallup, WA 98371 | 2018-07-23 |
| 1487140257 | Bradley Dupea | Specialist/Technologist | 5702 44th St Se, Puyallup, WA 98371 | 2018-07-05 |
| 1740778695 | Pedraum Heydari | Dentist | 109 N Meridian Suite A, Puyallup, WA 98371 | 2018-04-26 |
| 1487030359 | Jennifer Block | Dental Hygienist | 601 4th Ave Sw, Puyallup, WA 98371 | 2015-08-03 |
| 1023423431 | On Your Own Inc. | Registered Nurse | 1602 Peach Park Ln Nw, Puyallup, WA 98371 | 2014-06-24 |
| 1841614997 | Enrique Somera | Registered Nurse | 1107 29th St Nw, Puyallup, WA 98371 | 2014-02-10 |
| 1033540893 | Ching Ju Chuang | Dentist | 1002 N. Meridian, Suite 104a, Puyallup, WA 98371 | 2013-12-04 |
| 1104161876 | Denise L. Vanaman | Registered Nurse | 214 W. Main, Puyallup, WA 98371 | 2012-12-06 |
| 1336491018 | Tacoma School District | Physical Therapy Assistant | 1721 8th Ave. S.w., Puyallup, WA 98371 | 2012-10-05 |
| 1275882052 | Robert Francis Saxton | Health Educator | 1121 W. Stewart, Puyallup, WA 98371 | 2012-09-07 |
| Find all providers in zip 98371 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710306436 | Prime Health Clinic Pllc | Obstetrics & Gynecology | 1420 3rd St Se Ste 106, Puyallup, WA 98372-3730 | 2014-04-09 |
| 1982982583 | Joann Li Yen Tye | Obstetrics & Gynecology | 1701 3rd St Se Ste 200, Puyallup, WA 98372-4511 | 2011-07-30 |
| 1518151224 | J. Michaelson, Jr. M.d. Facog, P.s. | Obstetrics & Gynecology | 1703 S Meridian Ste 301, Puyallup, WA 98371-7590 | 2007-09-05 |
| 1689891657 | Danielle Barczak Henderson | Obstetrics & Gynecology | 11102 Sunrise Blvd E Ste 110, Puyallup, WA 98374-8846 | 2007-04-19 |
| 1457406761 | Bruce D Romig | Obstetrics & Gynecology | 520 14th Ave Se, Puyallup, WA 98372-4683 | 2007-01-24 |
| 1346333754 | Victor L Obregon | Obstetrics & Gynecology | 1703 S Meridian Ste 103, Puyallup, WA 98371-7590 | 2006-09-30 |
| 1053367144 | Carrie Charlene Wong | Obstetrics & Gynecology | 1408 3rd St Se, 150 & 200, Puyallup, WA 98372-3702 | 2006-05-26 |
| 1619934429 | Pamela D Cowell | Obstetrics & Gynecology | 120 14th Ave Se, Suite C, Puyallup, WA 98372-3718 | 2006-04-26 |
| 1437544822 | Mai Tran | Obstetrics & Gynecology | 1701 3rd St Se Ste 200, Puyallup, WA 98372-4511 | 2015-04-02 |
| 1518372887 | Ashley Butlin | Obstetrics & Gynecology | 1701 3rd St Se Ste 200, Puyallup, WA 98372 | 2014-06-25 |
| Find all providers in PUYALLUP | ||||
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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.