IGOR NAZAROV (NPI# 1205151958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205151958 |
| Entity Type | Individual |
| Full Name | IGOR NAZAROV |
| Credential | MD |
| Practice Address |
15214 Canyon Rd E Puyallup WA 98375-7472 |
| Mailing Address |
15205 Ne 13th Pl 2908 Bellevue WA 98007-7509 |
| Practice Telephone | 2535394200 |
| Mailing Telephone | 2067954497 |
| Enumeration Date | 2010-04-06 |
| Last Update Date | 2016-07-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | UV075151 | ZZ | Allopathic & Osteopathic Physicians |
| Street Address |
15214 CANYON RD E |
| City | PUYALLUP |
| State | WA |
| Zip Code | 98375-7472 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124034723 | Marjorie A Bergsma | Physician Assistant | 15214 Canyon Rd E, Ste 100, Puyallup, WA 98375-7472 | 2006-08-01 |
| 1023667052 | Vicky Lee | Nurse Practitioner | 15214 Canyon Rd E, Puyallup, WA 98375-7457 | 2019-09-11 |
| 1962921767 | Sherri Lynne Hall | Dietitian, Registered | 15214 Canyon Rd E, Puyallup, WA 98375-7472 | 2017-09-12 |
| 1639609159 | Yolanda Lacher Bradford Rodriguez | Nurse Practitioner | 15214 Canyon Rd E, Puyallup, WA 98375 | 2017-06-18 |
| 1982038063 | Gregory Bryant Proulx | Nurse Practitioner | 15214 Canyon Rd E, Ste 120, Puyallup, WA 98375-7472 | 2013-08-26 |
| 1508107087 | Debra Ann Berger | Nurse Practitioner | 15214 Canyon Rd E, Puyallup, WA 98375-7472 | 2013-03-08 |
| 1952646424 | Marvin Paleracio Tolentino | Nurse Practitioner | 15214 Canyon Rd E, Puyallup, WA 98375-7472 | 2012-12-10 |
| 1285979351 | Kimberly Wing-wah Chu | Registered Nurse | 15214 Canyon Rd E, Puyallup, WA 98375-7472 | 2012-11-30 |
| 1184992091 | Emily Katherine Ann Turnbull | Registered Nurse | 15214 Canyon Rd E, Puyallup, WA 98375-7472 | 2011-12-06 |
| 1326357260 | Anna Kali Worden | Nurse Practitioner | 15214 Canyon Rd E, Ste 100, Puyallup, WA 98375-7472 | 2010-09-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673817 | Cheryl Dann | Registered Nurse | 7224 Pacific Highway E, Milton, WA 98375 | 2019-11-07 |
| 1326554601 | Jasmanpreet Kaur Sidhu | Nurse's Aide | 17003 83rd Ave Cte, Puyallup, WA 98375 | 2017-12-21 |
| 1295257137 | Rafael Martin Morones IIi | Registered Nurse | 17802 87th Ave E, Puyallup, WA 98375 | 2017-07-12 |
| 1467990556 | Tessa D Parker | Massage Therapist | 17528 Meridian E Suite 207, Puyallup, WA 98375 | 2017-02-08 |
| 1144674326 | June Park | Social Worker | 9414 185th Street Ct E, Puyallup, WA 98375 | 2016-04-14 |
| 1417384348 | Washington Dental Corporation, PC | Dentist | 16810 Meridian East Suite J107, Puyallup, WA 98375 | 2013-10-10 |
| 1861825663 | L&t Chinese Medicine LLC | Acupuncturist | 16515 Meridian E., Ste. 200b, Puyallup, WA 98375 | 2013-08-15 |
| 1508110081 | Jennifer Gillings | Speech-Language Pathologist | 17418 74th Ave E, Puyallup, WA 98375 | 2012-11-05 |
| 1275887267 | Andrew Nelson Smith | Pharmacist | 14308 Meridian Ave E., Puyallup, WA 98375 | 2012-10-30 |
| 1538440714 | Zorawar Singh | Dentist | 16810 Meridian E Suite J107, Puyallup, CA 98375 | 2011-09-01 |
| Find all providers in zip 98375 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609921840 | Rumi Iqbal | General Practice | 611 31at Ave Sw, Puyallup, WA 98373 | 2007-01-25 |
| 1801827068 | South Hill General Medical Clinic | General Practice | 10209 136th St E, South Hill General Medical Clinic, Puyallup, WA 98374 | 2006-07-06 |
| 1437125259 | Sandra J Frister | General Practice | 1409 2nd St Se, Puyallup, WA 98372-3706 | 2006-02-23 |
| 1053517763 | Daniel Millar | General Practice | 10217 125th Street Ct E, 3rd Floor, Puyallup, WA 98374-2761 | 2007-06-21 |
| 1427089689 | Andrew Man Kuen Tsoi | General Practice | 10209 136th St E, South Hill General Medical Clinic, Puyallup, WA 98374-3076 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063971703 | Source Northwest Integrative Medicine | General Practice | 7206 267th St Nw Ste 102, Stanwood, WA 98292-6269 | 2019-03-12 |
| 1255896601 | Emily Christine Buck | General Practice | 940 Fitzsimmons Dr, Tacoma, WA 98431-0001 | 2019-02-08 |
| 1740755651 | Alyssa Ann Yruegas | General Practice | 2108 W Spruce St, Moses Lake, WA 98837-2853 | 2018-10-06 |
| 1306321237 | Rainier Springs Physician Group, LLC | General Practice | 2805 Ne 129th Street, Vancouver, WA 98686 | 2018-09-26 |
| 1962916437 | Parkview Medical Group Inc | General Practice | 615 S Division St Ste A, Moses Lake, WA 98837-3800 | 2017-11-20 |
| 1790212496 | Thien Thanh Ho | General Practice | 12307 Douglas Rd, Yakima, WA 98908-9129 | 2017-05-12 |
| 1285173625 | Regenerative Medicine Institute, Pllc | General Practice | 731 N Stanley St, Medical Lake, WA 99022-8940 | 2017-02-17 |
| 1457708430 | James Bailey | General Practice | 9040 Jackson Ave Tripler Army Medical Center, Tacoma, WA 98431-5001 | 2016-05-19 |
| 1740635887 | Peter Chulhi Kang | General Practice | 1425 Spring St Apt 802, Seattle, WA 98104-1635 | 2016-04-26 |
| 1831551084 | Anna Hackenmiller | General Practice | 1657 S Nettleton Ln, Spokane, WA 99224-6108 | 2016-03-27 |
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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.