DR. PRISCILLA J HANCOCK (NPI# 1225082092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225082092 |
Entity Type | Individual |
Full Name | DR. PRISCILLA J HANCOCK |
Credential | MD |
Practice Address |
1200 E Columbia Ave Colville WA 99114-3354 |
Mailing Address |
Po Box 421 Liberty Lake WA 99019-0421 |
Practice Telephone | 5096843701 |
Practice Fax Number | 5096845817 |
Mailing Telephone | 8667472455 |
Mailing Fax Number | 5099449644 |
Enumeration Date | 2006-05-19 |
Last Update Date | 2014-10-27 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
MD00020626 | WA | Allopathic & Osteopathic Physicians |
Street Address |
1200 E COLUMBIA AVE |
City | COLVILLE |
State | WA |
Zip Code | 99114-3354 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952301483 | Richard C. Lee | Pharmacist | 1200 E Columbia Ave, Colville, WA 99114-3354 | 2005-07-27 |
1346856986 | Cheryl Swanson Nelson | Social Worker | 1200 E Columbia Ave, Colville, WA 99114-3354 | 2020-09-18 |
1962064683 | Gregory Ian Collin | Registered Nurse | 1200 E Columbia Ave, Colville, WA 99114 | 2019-07-02 |
1235605213 | Brianna L Wing | Physician Assistant | 1200 E Columbia Ave, Colville, WA 99114-3354 | 2018-10-17 |
1821444704 | Kelly Christine Glidewell | Nurse Practitioner | 1200 E Columbia Ave, Colville, WA 99114-3354 | 2016-05-10 |
1528445368 | Kristin Michelle Comstock | Family Medicine | 1200 E Columbia Ave, Colville, WA 99114-3354 | 2015-04-30 |
1851778070 | Jill M Neiman | Family Medicine | 1200 E Columbia Ave, Colville, WA 99114-3354 | 2015-04-27 |
1568874733 | Katrina Marie Maher | Family Medicine | 1200 E Columbia Ave, Colville, WA 99114 | 2014-05-22 |
1649607631 | Richard Jason Cardenas | Physician Assistant | 1200 E Columbia Ave, Colville, WA 99114-3354 | 2013-10-04 |
1902242365 | Joseph Cwik | Family Medicine | 1200 E Columbia Ave, Colville, WA 99114-3354 | 2013-05-13 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033774799 | Salamia Mikheyeva | Massage Therapist | 697 Gillette Rd., Colville, WA 99114 | 2019-05-07 |
1053897694 | Rochelle Diconti | Counselor | 358 E Birch Ave Ste 101, Colville, WA 99114 | 2018-07-17 |
1679073928 | Laurel Shull | Massage Therapist | 298 S. Main St., Suite 208, Colville, WA 99114 | 2018-02-13 |
1235638123 | Taylor Vanwicklen | Nurse's Aide | 165 E. Hawthorne Ave, Colville, WA 99114 | 2018-02-06 |
1932608833 | Sandra Ingram | Registered Nurse | 165 E. Hawthorne Avenue, Colville, WA 99114 | 2018-02-06 |
1831451350 | Catherine M Lochner | Occupational Therapist | 1366 Onion Creek Rd., Colville, WA 99114 | 2012-06-11 |
1245552215 | Georgia Rae Goot | Hearing Instrument Specialist | 519 S. Main St., Colville, WA 99114 | 2010-02-18 |
1801018619 | David W King | Counselor | 165 E Hawthorne Avenue, Colville, WA 99114 | 2007-05-02 |
1497976484 | Jack Darrell Esvelt | Dentist | 181 E 1st, Colville, WA 99114 | 2007-05-01 |
1730229709 | Carol H Leach | Registered Nurse | 982 E Columbia Ave Ste 201, Colville, WA 99114 | 2007-02-07 |
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Taxonomy Code | 2080N0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Neonatal-Perinatal Medicine |
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417118399 | Claudia Nadernejad | Pediatrics | 35 W 8th Ave Ste 442, Spokane, WA 99204-2361 | 2008-06-23 |
1316151376 | Jeff Yuan | Pediatrics | 6601 Cascade Ave, Gig Harbor, WA 98335-1971 | 2007-05-09 |
1356453708 | Ashraf Adib Morkos | Pediatrics | 17209 Se 57th Pl, Bellevue, WA 98006-5952 | 2006-08-31 |
1730295569 | Gary A Twiggs | Pediatrics | 3626 Ne 45th Street, Suite 300, Seattle, WA 98105-5643 | 2006-08-22 |
1013932680 | Dennis Mayock | Pediatrics | Pediatrics, Box 356320, University of Washington, Seattle, WA 98195-6320 | 2006-07-13 |
1447200704 | Bruce Willham | Pediatrics | 315 M L King Jr Way, Attn: Pediatrix Medical Group, Tacoma, WA 98405-4234 | 2006-05-10 |
1942262027 | Ron C Ilg | Pediatrics | 35 W 8th Ave, Suite 440, Spokane, WA 99204-2361 | 2006-04-05 |
1417918160 | Delores Mary Gries | Pediatrics | 9040 Read St, Madigan Army Medical Center, Attn: Mchj-qcr, Tacoma, WA 98431-0001 | 2006-03-31 |
1154766699 | Min Ji Hwang | Pediatrics | 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-1000 | 2013-05-09 |
1881960268 | Mihai Puia-dumitrescu | Pediatrics | 4800 Sand Point Way Ne, Seattle, WA 98105 | 2012-03-29 |
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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.