SHILPA JOG (NPI# 1154516268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154516268 |
| Entity Type | Individual |
| Full Name | SHILPA JOG |
| Credential | MD |
| Practice Address |
3901 Hoyt Ave Everett WA 98201-4918 |
| Mailing Address |
Po Box 5127 Everett WA 98206-5127 |
| Practice Telephone | 4253395420 |
| Mailing Telephone | 4252583900 |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2012-12-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | MD00048506 | WA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | MD00048506 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1057747 | 05 | |
| WA | STATE LICENSE | MD00048506 | 01 |
| Street Address |
3901 HOYT AVE |
| City | EVERETT |
| State | WA |
| Zip Code | 98201-4918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720086168 | Louie E Tsiktsiris | Internal Medicine | 3901 Hoyt Ave, Everett, WA 98201-4918 | 2005-07-11 |
| 1720606288 | Janelle Pennock | Social Worker | 3901 Hoyt Ave, Everett, WA 98201-4918 | 2020-07-10 |
| 1124660881 | Kathryn G Arneson | Nurse Practitioner | 3901 Hoyt Ave, Everett, WA 98201-4918 | 2019-10-15 |
| 1144879933 | Laura Gaskill | Nurse Practitioner | 3901 Hoyt Ave, Everett, WA 98201-4918 | 2019-09-05 |
| 1114572336 | Katie Mcwilliams | Nurse Practitioner | 3901 Hoyt Ave, Everett, WA 98201-4918 | 2019-08-05 |
| 1134782543 | Nicole Lee Reis-eibara | Nurse Practitioner | 3901 Hoyt Ave, Everett, WA 98201-4918 | 2019-04-22 |
| 1689139941 | Bridget Frauenholtz | Physician Assistant | 3901 Hoyt Ave, Everett, WA 98201-4918 | 2019-01-31 |
| 1598229445 | Vanessa Nelson | Dietitian, Registered | 3901 Hoyt Ave, Everett, WA 98201-4918 | 2019-01-24 |
| 1740779115 | Jamie Dong Viet Nguyen | Pharmacist | 3901 Hoyt Ave, Everett, WA 98201 | 2018-05-01 |
| 1902322274 | Aarica Arora | Family Medicine | 3901 Hoyt Ave, Everett, WA 98201-4918 | 2017-08-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306471867 | Shannon Michelle Dewald | Registered Nurse | D8s 1700 13th St, Everett, WA 98201 | 2020-03-05 |
| 1578123113 | Precious Medicial Spa, LLC | Registered Nurse | 1728 W. Marine View Dr Suite 212, Everett, WA 98201 | 2019-06-17 |
| 1508429796 | Alix Deschain | Counselor | 2801 Broadway, Everett, WA 98201 | 2019-04-15 |
| 1811457534 | Khushboo Patel | Pharmacist | 1330 Rockefeller Ave Ste 150, Everett, WA 98201 | 2019-03-20 |
| 1164991188 | Grace Talbot Davis | Registered Nurse | 2601 Summit Avenue, Bldg. C, Everett, WA 98201 | 2018-11-20 |
| 1063924603 | Tracy Sisk | Counselor | 3120 Colby Ave, 502, Everett, WA 98201 | 2017-11-03 |
| 1710403126 | Michelle Durham | Counselor | 3322 Boadway Fl 2, Everett, WA 98201 | 2017-08-17 |
| 1861927949 | Melanie Schmidt | Counselor | 2610 Westmore Ave, Everett, WA 98201 | 2017-04-26 |
| 1518413327 | Joseph Madson Dmd Pllc | Clinic/Center | 3802 Colby Ave, 4th Floor, Everett, WA 98201 | 2016-08-31 |
| 1043683162 | Jennifer Adams | Counselor | 1511 26th St, Everett, WA 98201 | 2015-11-11 |
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| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902223365 | Amy Vannortwick | Internal Medicine | 1321 Colby Ave Ofc, Everett, WA 98201-1665 | 2014-03-24 |
| 1174889075 | Summit Cardiology Ps | Internal Medicine | 1800 13th Street, Everett, WA 98201 | 2012-04-04 |
| 1851684856 | Jocelyn Ronda | Internal Medicine | Mgh Everett Family Care, 19 Norwood St, Everett, MA 02149 | 2011-05-24 |
| 1801113154 | Niket Nathani | Internal Medicine | 12728 19th Ave Se Ste 300, Everett, WA 98208 | 2010-04-27 |
| 1871787663 | Justin R. Cuschieri | Internal Medicine | 4225 Hoyt Avenue, Ste A, Everett, WA 98203-2318 | 2007-09-05 |
| 1649462102 | Bhawna Gupta | Internal Medicine | 1330 Rockefeller Ave Ste 210, Everett, WA 98201-1676 | 2007-08-17 |
| 1881899011 | Conrad Jablonski | Internal Medicine | 3901 Hoyt Avenue, Founders Building, Everett, WA 98201 | 2007-06-18 |
| 1376660472 | Leigh R. Anderson | Internal Medicine | 12728 19th Ave Se Ste 200, Everett, WA 98208 | 2007-03-23 |
| 1225100373 | Frederick C Manning | Internal Medicine | 4005 Hoyt Ave, Everett, WA 98201-4920 | 2006-11-14 |
| 1144318056 | Wayne Crawford Draper | Internal Medicine | 135 Santilli Highway, Suite 310, Everett, MA 02149-1906 | 2006-10-10 |
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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.