LOWER COLUMBIA HEAD & NECK ASSOCIATES PC (NPI# 1215150313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215150313 |
| Entity Type | Organization |
| Organization Name | LOWER COLUMBIA HEAD & NECK ASSOCIATES PC |
| Practice Address |
820 11th Ave Longview WA 98632-2072 |
| Practice Telephone | 3604230960 |
| Practice Fax Number | 3604238902 |
| Mailing Telephone | 3604230960 |
| Mailing Fax Number | 3604238902 |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ALEXANDER P IEROKOMOS (PRESIDENT) |
| Authorized Official Telephone | 3604230960 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 204E00000X | Oral & Maxillofacial Surgery | MD00022010 | WA | Allopathic & Osteopathic Physicians |
| X | 207Y00000X | Otolaryngology | MD00022010 | WA | Allopathic & Osteopathic Physicians |
| X | 207YP0228X |
Otolaryngology Specialization: Pediatric Otolaryngology |
MD00022010 | WA | Allopathic & Osteopathic Physicians |
| X | 207YS0012X |
Otolaryngology Specialization: Sleep Medicine |
MD00022010 | WA | Allopathic & Osteopathic Physicians |
| X | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
MD00022010 | WA | Allopathic & Osteopathic Physicians |
| X | 207YX0602X |
Otolaryngology Specialization: Otolaryngic Allergy |
MD00022010 | WA | Allopathic & Osteopathic Physicians |
| X | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
MD00022010 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | L&I | 60170 | 01 |
| WA | 7032030 | 05 |
| Street Address |
820 11TH AVE |
| City | LONGVIEW |
| State | WA |
| Zip Code | 98632-2072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912947722 | Susan K Healea | Audiologist | 820 11th Ave, Longview, WA 98632-2402 | 2006-06-08 |
| 1154571982 | Longview Clinic Inc | Internal Medicine | 820 11th Ave, Longview, WA 98632-2072 | 2008-09-29 |
| 1710927553 | Lower Columbia Ambulatory Surgery Center | Clinic/Center | 820 11th Ave, Longview, WA 98632-2402 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992366 | Honor Senior Care LLC | Home Health Aide | 1135 3rd Ave, Ste S101, Longview, WA 98632 | 2020-11-03 |
| 1417416728 | Sam Wise | Dentist | 1538 11th Ave Lowr Columbia, Longview, WA 98632 | 2019-03-16 |
| 1053870717 | Matthew Johnson | Physician Assistant | 900 Ocean Beach Hwy Ste 110, Longview, WA 98632 | 2019-03-12 |
| 1295205367 | Abid Valji | Occupational Therapist | Americana Health and Rehabilitation Center, 917 7th Ave, Longview, WA 98632 | 2018-11-30 |
| 1184106437 | Peacehealth | Durable Medical Equipment & Medical Supplies | Triangle Mall Suite 16 1015 Ocean Beach Hwy, Longview, WA 98632 | 2018-09-04 |
| 1982186318 | Linda Joan Mason | Licensed Practical Nurse | 1153 23rd Ave, Longview, WA 98632 | 2018-09-01 |
| 1891291910 | Ellen Sumner Hornbeak | Physical Therapist | 200 Triangle Shopping Ctr Ste 270, Longview, WA 98632 | 2018-04-05 |
| 1700399961 | Johnna Joyce Knapp | Speech-Language Pathologist | 2615 Lilac St, Longview, WA 98632 | 2017-11-09 |
| 1841711868 | Deborah Annette Burzynski | Registered Nurse | 1057 12th Avenue, Longview, WA 98632 | 2017-06-29 |
| 1598291122 | Cheyenne West | Counselor | 1616 10th Avenue, Longview, WA 98632 | 2017-05-02 |
| Find all providers in zip 98632 | ||||
| Taxonomy Code | 204E00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Oral & Maxillofacial Surgery |
| Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
| Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700188372 | Center for Facial Oral & Implant Surgery Pa | Oral & Maxillofacial Surgery | 705 E Marshall Ave, 4003, Longview, TX 75601-5573 | 2010-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770112575 | Charles David Smith | Oral & Maxillofacial Surgery | 1959 Ne Pacific Street; Hsb Room B 241, Seattle, WA 98195-0001 | 2020-04-03 |
| 1366079972 | Aaron Hui | Oral & Maxillofacial Surgery | 6222 Ne 74th Street Building 25, 2nd Floor, Seattle, WA 98115 | 2020-03-24 |
| 1275093973 | Elizabeth Grace Knoff Floodeen | Oral & Maxillofacial Surgery | University of Washington Department of Surgery, 1959 Ne Pacific Street, Seattle, WA 98195 | 2019-03-20 |
| 1952840274 | Onyinyechi Kelechukwu Esonu | Oral & Maxillofacial Surgery | 1959 Ne Pacific St # 357134, University of Washington Department of Oral Surgery, Seattle, WA 98195-0001 | 2017-02-20 |
| 1861855710 | Kevin Huang | Oral & Maxillofacial Surgery | 119 S 295th Pl, Federal Way, WA 98003-3659 | 2016-03-29 |
| 1598146730 | Chia-lin Michael Tsai | Oral & Maxillofacial Surgery | 1959 Ne Pacific Street Hsb Rm B241, Box 357134, Seattle, WA 98195-0001 | 2015-06-12 |
| 1386037570 | Rodney Nakano Nishimoto | Oral & Maxillofacial Surgery | University of Washington Oms, 1959 Ne Pacific Street Box 357134, Seattle, WA 98195 | 2015-03-11 |
| 1164815569 | Joseph Garcia | Oral & Maxillofacial Surgery | 2960 Eastlake Ave E Apt 208, Seattle, WA 98102-2003 | 2015-03-09 |
| 1154687770 | Joshua Stephen Brandner | Oral & Maxillofacial Surgery | 1959 Ne Pacific Street Box 357134, Seattle, WA 98195-3372 | 2012-04-09 |
| 1538398524 | J. Michael Edwards | Oral & Maxillofacial Surgery | 265 Carefree Way, Friday Harbor, WA 98250-9417 | 2009-07-10 |
| Find all providers with the same taxonomy | ||||
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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.