LYDIA KATHERINE MCCLARAN (NPI# 1124628359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124628359 |
| Entity Type | Individual |
| Full Name | LYDIA KATHERINE MCCLARAN |
| Credential | PA-C, MPAS |
| Practice Address |
801 Broadway Ste 617 Seattle WA 98122-4319 |
| Mailing Address |
916 13th Ave Unit B Seattle WA 98122-4475 |
| Practice Telephone | 2066230922 |
| Practice Fax Number | 2066231588 |
| Mailing Telephone | 5038674381 |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2020-10-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA.PA.61102619 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
801 BROADWAY STE 617 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98122-4319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598733172 | Glen M. Rogers | Physician Assistant | 801 Broadway Ste 617, Seattle, WA 98122-4319 | 2006-03-09 |
| 1063924116 | Proliance Surgeons, Inc., P.s | Orthopaedic Surgery | 801 Broadway Ste 617, Seattle, WA 98122-4319 | 2017-10-30 |
| 1679663488 | Todd P Kreps | Physician Assistant | 801 Broadway Ste 617, Seattle, WA 98122-4319 | 2006-10-13 |
| 1023087780 | Jeffrey L Garr | Orthopaedic Surgery | 801 Broadway Ste 617, Seattle, WA 98122-4319 | 2006-03-15 |
| 1407825292 | Alexis Falicov | Orthopaedic Surgery | 801 Broadway Ste 617, Seattle, WA 98122-4319 | 2006-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053938506 | Quality Counseling and Consultation Service LLC | Counselor | 1525 Harvard Ave #509, Seattle, WA 98122 | 2020-07-01 |
| 1912535626 | Cesar Andrade | Student in an Organized Health Care Education/Training Program | 550 16th Avenue #400, Seattle, WA 98122 | 2020-03-29 |
| 1366089666 | Peter Nguyen | Pharmacy Technician | 914 East Jefferson Street, Campion Hall, Seattle, WA 98122 | 2019-12-05 |
| 1356903140 | Jason Dandino | Specialist/Technologist | 550 14th Avenue, Seattle, WA 98122 | 2019-07-02 |
| 1962066415 | Seattle Colleges | Local Education Agency (LEA) | Mainstay At Seattle Central College, 1701 Broadway Ms Be3210, Seattle, WA 98122 | 2019-04-30 |
| 1538621412 | Mitchell R Ornelas | Student in an Organized Health Care Education/Training Program | Swedish Family Medicine Residency Cherry Hill; 550 16th, Avenue #400, Seattle, WA 98122 | 2019-04-01 |
| 1003374265 | Michael Russell | Surgery | 747 Broadway Heath Building 10th Floor, Seattle, WA 98122 | 2019-03-06 |
| 1639646821 | Maritza E Cajiao | Doula | 747 Broadway, Seattle, Seattle, WA 98122 | 2018-10-25 |
| 1336616762 | Suzanna M Lovin | Social Worker | 401 Broadway, 1st Floor, Seattle, WA 98122 | 2018-10-24 |
| 1184137770 | Walter Franklin Krengel Jr. | Orthopaedic Surgery | 2000 1st Ave Suite 2201, Seattle, WA 98122 | 2017-11-06 |
| Find all providers in zip 98122 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770198954 | Ashish Chaudhary | Physician Assistant | 1215 Dexter Ave N Apt 704, Seattle, WA 98109-3567 | 2020-09-14 |
| 1144835422 | Juleeann Stocking | Physician Assistant | 1517 17th Ave S, Seattle, WA 98144-3522 | 2020-09-13 |
| 1558973909 | Margaret Webster | Physician Assistant | 6501 36th Ave Nw, Seattle, WA 98117-6010 | 2020-08-18 |
| 1902415888 | Elaine J Kow | Physician Assistant | 520 Terry Ave Unit 423, Seattle, WA 98104-2282 | 2020-07-27 |
| 1720603954 | Jill Kristine Nelson | Physician Assistant | 544 N 67th St, Seattle, WA 98103-5312 | 2020-06-12 |
| 1548742380 | Janal Kim | Physician Assistant | 4726 11th Ave Ne, Apt 511, Seattle, WA 98105 | 2018-08-29 |
| 1740762400 | Natalie Thoma | Physician Assistant | 2309 Boylston Ave E Apt 401, Seattle, WA 98102-3381 | 2018-08-29 |
| 1417463720 | Amadi Aesthetics Plastic Surgery Pllc | Physician Assistant | 1503 2nd Ave W, Seattle, WA 98119-3007 | 2017-12-21 |
| 1669990230 | Olivia Price | Physician Assistant | Medex Northwest 4311 11th Avenue Ne, Suite 200, Seattle, WA 98105 | 2017-09-05 |
| 1174062434 | Ngoc Diep Vu | Physician Assistant | 5832 Ne 75th St Unit E103, Seattle, WA 98115-6307 | 2017-02-20 |
| Find all providers in SEATTLE | ||||
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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.