MICHAEL STEPHAN KRUEGER


Address: 501 Se 172nd Ave, Vancouver, WA 98684
Phone: 3608822778

MICHAEL STEPHAN KRUEGER (NPI# 1124041660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124041660
Entity Type Individual
Full Name MICHAEL STEPHAN KRUEGER
Credential PA-C
Practice Address 501 Se 172nd Ave
Vancouver
WA 98684
Mailing Address 700 Ne 87th Ave
Vancouver
WA 98664-1913
Practice Telephone 3608822778
Practice Fax Number 3606041723
Mailing Telephone 3602541240
Mailing Fax Number 3603973128
Enumeration Date 2006-07-25
Last Update Date 2018-08-05
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA10004647 WA Physician Assistants & Advanced Practice Nursing Providers
N 363AM0700X Physician Assistant
Specialization: Medical
PA01022 OR Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
WA 8486540 05

Other Providers MICHAEL KRUEGER

NPI Name Taxonomy Address Enumeration
1215588132 Michael Krueger Chiropractor 5750 Rivers Ave Ste A, North Charleston, SC 29406-6029 2019-09-23
1205954674 Michael Charles Krueger Pharmacist 1107 E 42nd St, Lowes Pharmacy #36, Odessa, TX 79762 2007-03-26
1396714937 Michael L Krueger Internal Medicine 7033 N Fresno St, Ste 301, Fresno, CA 93720 2006-03-16
1790155604 Michael Krueger Occupational Therapist 1615 E. Boot Rd., West Chester, PA 19380 2015-10-05
1235395153 Michael Krueger Orthopaedic Surgery 17270 Se 109th Terrace Rd, Summerfield, FL 34491-9015 2008-07-30
1730250572 Michael Joel Krueger Dentist 312 2nd Ave, Sterling, IL 61081-3607 2006-11-13
1497854228 Michael Paul Krueger Nurse Practitioner 3200 Vine St, Cincinnati, OH 45220-2213 2006-09-21
1477547040 Michael A Krueger Family Medicine 3329 N Richmond St, Appleton, WI 54911-1063 2005-09-09

Office Location

Street Address 501 SE 172ND AVE
City VANCOUVER
State WA
Zip Code 98684

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952301277 Jonathan R Sachs Internal Medicine 501 Se 172nd Ave, Vancouver, WA 98684-9542 2005-07-28
1265088157 Kalis J Kim Nurse Practitioner 501 Se 172nd Ave, Vancouver, WA 98684-9542 2019-08-15
1710401450 Arielle Shoshanna Gordon Nurse Practitioner 501 Se 172nd Ave, Vancouver, WA 98684-9542 2017-08-02
1225587710 Gina Mckenzie Nurse Practitioner 501 Se 172nd Ave, Vancouver, WA 98684 2016-09-26
1588112056 Amy Nichole Ryll Nurse Practitioner 501 Se 172nd Ave, Vancouver, WA 98684 2016-09-14
1336507326 Amanda Rae Levchuk Registered Nurse 501 Se 172nd Ave, Vancouver, WA 98684-9542 2016-02-04
1356720445 Cole Southworth Internal Medicine 501 Se 172nd Ave, Vancouver, WA 98684 2015-05-22
1952794372 Stephen J Ahearn Registered Nurse 501 Se 172nd Ave, Vancouver, WA 98684 2015-03-09
1427450626 Allison Lorenzi Nurse Practitioner 501 Se 172nd Ave, Suite 140, Vancouver, WA 98684 2014-09-18
1356776421 Kimberly Drynan Nurse Practitioner 501 Se 172nd Ave, Vancouver, WA 98684-9542 2013-09-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285291849 Pacifica Sylvan Park LLC Alzheimer Center (Dementia Center) 2400 Ne 112th Avenue, Vancouver, WA 98684 2019-05-20
1699242826 Heidi Ericka Jackson Registered Nurse 15606 Ne 12th Way, Vancouver, WA 98684 2018-10-25
1477076727 Brian Benasa Bardeloza Dentist 605 Se 164th Ave Ste 103, Vancouver, WA 98684 2017-07-19
1992226062 Judith Moreno-castro Massage Therapist 2501 Ne 138th Ave., #60, Vancouver, WA 98684 2017-06-29
1346790706 Samuel Joonsang Lee Registered Nurse 501 Se 172nd Ave Ste 210, Vancouver, WA 98684 2016-10-10
1912353178 Cheryl A. Hamilton-jefferson Counselor 11818 Se Mill Plain Blvd Ste 311g, Vancouver, WA 98684 2016-05-06
1063866424 Kim Forgione Optometrist 1900 Ne 162nd Ave Ste D103, Vancouver, WA 98684 2016-04-21
1700254257 Desiree Haggart Registered Nurse 406 Se 131st St., Suite A101, Vancouver, WA 98684 2015-09-14
1215318068 Paige M. King Behavioral Analyst 11818 Se Mill Plain Blvd Ste 203, Vancouver, WA 98684 2015-06-17
1417354366 Amanda Hilkey, Lmp Massage Therapist 108 Se 24th Ave, Ste 9, Vancouver, WA 98684 2014-11-20
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760028013 Nina Mulargia Physician Assistant 4912 Ne 54th Ave, Vancouver, WA 98661-2742 2019-11-21
1902387863 Theodore Rohan Thomas IIi Physician Assistant 2370 E 3rd Loop # 203a, Vancouver, WA 98661-7725 2018-08-28
1902310345 Elowyn Smith Physician Assistant 16219 Se 12th St Ste 206, Vancouver, WA 98683-8906 2017-11-21
1154702728 Kacie Marie Hamreus Physician Assistant 3101 Se 192nd Avenue, Vancouver, WA 98683 2015-06-09
1275910929 Brandon Bruce Mascott Physician Assistant 16811 Se Mcgillivray Blvd # 101, Vancouver, WA 98683-3404 2015-05-01
1043614167 Robyn Elizabeth Nash Physician Assistant 812 Se 136th Ave, Unit #l126, Vancouver, WA 98683-6943 2014-10-17
1588935498 Krista Letsch Physician Assistant 14201 Ne 20th Ave Ste 3101, Vancouver, WA 98686-6414 2012-01-24
1528335130 Jaime Erin Hamilton Physician Assistant 900 Ne 139th St Ste 202, Vancouver, WA 98685-2513 2011-11-28
1669760120 Todd J. Cichosz Physician Assistant 2510 Columbia House Blvd, Vancouver, WA 98661-7763 2011-07-19
1992092324 Jaime Larynn Simpkins Physician Assistant 400 Ne Mary Joseph Place, Vancouver, WA 98664 2011-07-06
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Competitor

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City VANCOUVER
Zip Code 98684

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Dataset Information

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.

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