JOHN P RUNDLE (NPI# 1184699746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184699746 |
| Entity Type | Individual |
| Full Name | JOHN P RUNDLE |
| Credential | MD |
| Practice Address |
3200 Main Street Vancouver WA 98663 |
| Mailing Address |
Po Box 61896 Vancouver WA 98666-1896 |
| Practice Telephone | 3606964691 |
| Practice Fax Number | 3608232260 |
| Mailing Telephone | 3608232012 |
| Mailing Fax Number | 3608232260 |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2019-01-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | MD00010095 | WA | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | MD06391 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8196701 | 05 |
| Street Address |
3200 MAIN STREET |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98663 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619942265 | Theresa L Clayton | Ophthalmology | 3200 Main Street, Vancouver, WA 98663 | 2006-02-17 |
| 1639146467 | Michael Chunguck Kim | Ophthalmology | 3200 Main Street, Vancouver, WA 98663 | 2006-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053946673 | Jessica Maree Carnes | Dental Hygienist | 6505 Nw Cherry Street, Vancouver, WA 98663 | 2020-03-04 |
| 1598247207 | Kristine Marie Mcginley | Acupuncturist | 100 East 33rd St., Ste 203a, Vancouver, WA 98663 | 2018-08-30 |
| 1932689460 | Jennifer Fowler | Behavioral Analyst | 1901 Broadway St Apt 103, Vancouver, WA 98663 | 2018-08-15 |
| 1083109755 | Kallie A Wikman | Physical Therapist | 100 E 33rd St Ste 204, Vancouver, WA 98663 | 2018-06-26 |
| 1407344872 | Kyle Besaw | Student in an Organized Health Care Education/Training Program | 300 E 33rd St Ste 100, Vancouver, WA 98663 | 2018-05-01 |
| 1023521747 | Focal Clinic Inc | Counselor | 3305 Main St Ste 205, Vancouver, WA 98663 | 2017-11-16 |
| 1215455365 | Thirty Three Oaks, LLC | Skilled Nursing Facility | 400 E. 33rd St., Vancouver, WA 98663 | 2017-09-08 |
| 1174047690 | Douglas Gangat Uy | Counselor | 1610 C Street, Suite 102, Vancouver, WA 98663 | 2017-07-26 |
| 1699206243 | Maggie May Mcgraw | Social Worker | 410 E 20th Street, Vancouver, WA 98663 | 2017-03-24 |
| 1356740328 | Joseph Kelly | Dentist | 1008 Nw 59th St., Vancouver, WA 98663 | 2014-08-15 |
| Find all providers in zip 98663 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| 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 Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033377973 | Matthew J Hauck | Ophthalmology | 2525 Ne 139th St Ste 280, Vancouver, WA 98686 | 2008-05-28 |
| 1760674592 | Stanley Lloyd Crews | Ophthalmology | 12306 Se Mill Plain Blvd, Vancouver, WA 98684-6061 | 2007-08-15 |
| 1013959279 | Emanuel Tanne | Ophthalmology | 6517 Buena Vista Drive, Vancouver, WA 98661 | 2006-06-12 |
| 1801842596 | Brian Ralph Will | Ophthalmology | 8100 Ne Parkway Dr, Suite #125, Vancouver, WA 98662-6742 | 2006-05-25 |
| 1447213004 | Janet I Gordon | Ophthalmology | 7017 Ne Hwy 99, Suite 201, Vancouver, WA 98665 | 2006-04-06 |
| 1619942265 | Theresa L Clayton | Ophthalmology | 3200 Main Street, Vancouver, WA 98663 | 2006-02-17 |
| 1467437509 | Joyce E Choe | Ophthalmology | 2205 Ne 129th St, Vancouver, WA 98686-3252 | 2005-12-13 |
| 1013364165 | Matthew James Benage | Ophthalmology | 2525 Ne 139th St Ste 280, Vancouver, WA 98686-2719 | 2016-05-18 |
| 1942568670 | David Loren Simons | Ophthalmology | 2525 Ne 139th St Ste 280, Vancouver, WA 98686-2719 | 2012-05-01 |
| 1700158110 | Eye Care Specialists of Vancouver, PC | Ophthalmology | 505 Ne 87th Ave, Suite 100, Vancouver, WA 98664-1989 | 2012-01-31 |
| Find all providers in VANCOUVER | ||||
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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.