DR. J. CHRISS CANCRO (NPI# 1245218668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245218668 |
| Entity Type | Individual |
| Full Name | DR. J. CHRISS CANCRO |
| Credential | MD |
| Practice Address |
122 3rd St Ne Auburn WA 98002-4013 |
| Practice Telephone | 2538337750 |
| Practice Fax Number | 2538879804 |
| Mailing Telephone | 2538337750 |
| Mailing Fax Number | 2538879804 |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2008-04-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MD00015504 | WA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | DSHS | 1151406 | 01 |
| WA | REGENCE | C142 | 01 |
| WA | LABOR & INDUSTRIES | 69849 | 01 |
| Street Address |
122 3RD ST NE |
| City | AUBURN |
| State | WA |
| Zip Code | 98002-4013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831199777 | Gregory T Caudill | Physician Assistant | 122 3rd St Ne, Auburn, WA 98002-4098 | 2005-07-21 |
| 1699253047 | Stephen Wheeler | Physician Assistant | 122 3rd St Ne, Auburn, WA 98002-4013 | 2018-07-29 |
| 1225389935 | Donna E Smith | Specialist | 122 3rd St Ne, Auburn, WA 98002-4013 | 2012-09-21 |
| 1619171576 | Alan Chen | Specialist | 122 3rd St Ne, Auburn, WA 98002-4013 | 2007-06-13 |
| 1205972320 | Cecilia Shum | Physical Therapist | 122 3rd St Ne, Auburn, WA 98002-4013 | 2007-01-29 |
| 1194876979 | Carlos Enrique Moravek | Physical Medicine & Rehabilitation | 122 3rd St Ne, Auburn, WA 98002-4098 | 2007-01-16 |
| 1144392606 | Andelle Teng | Orthopaedic Surgery | 122 3rd St Ne, Auburn, WA 98002-4013 | 2006-11-13 |
| 1285737387 | Elizabeth Erin Louder | Physical Therapist | 122 3rd St Ne, Auburn, WA 98002-4013 | 2006-09-06 |
| 1306952684 | Courtney Lynn Mclaughlin | Occupational Therapist | 122 3rd St Ne, Auburn, WA 98002-4013 | 2006-08-21 |
| 1205867447 | Patricia Mae Cyr | Physical Therapist | 122 3rd St Ne, Auburn, WA 98002 | 2006-07-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336756451 | Natalia Marquez Avalos | Interpreter | 1001 37th St Se, Apt 2, Auburn, WA 98002 | 2020-09-24 |
| 1871065607 | Carrie Ann Sasser | Registered Nurse | 1005 37th Street Se, Auburn, WA 98002 | 2018-12-18 |
| 1730658881 | Nataliya Guga | Physical Therapy Assistant | 1323 17th St Se Apt A, Auburn, WA 98002 | 2018-11-19 |
| 1952876294 | Modeline Jules | Nurse Practitioner | 125 3rd St Ne Ste 403, Auburn, WA 98002 | 2018-10-12 |
| 1679055941 | Stephanie Storm Lariccia | Social Worker | 1000 Auburn Way S., Auburn, WA 98002 | 2018-09-04 |
| 1104330349 | North Auburn Health, LLC | Skilled Nursing Facility | 2830 I Street Ne, Auburn, WA 98002 | 2017-11-27 |
| 1265950554 | Allison Ortwein | Occupational Therapist | 2830 I St. Ne, Auburn, WA 98002 | 2017-09-06 |
| 1184171167 | Emily Faber | Counselor | 505 29th St, Auburn, WA 98002 | 2016-09-07 |
| 1255887907 | Elaine Priscilla Lucas | Counselor | 29th St Se Chartley House, 505, Auburn, WA 98002 | 2016-08-31 |
| 1871955823 | Melissa Mae Gustafson | Massage Therapist | 4220 A. St. Se, Suite 103, Auburn, WA 98002 | 2016-03-28 |
| Find all providers in zip 98002 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811406085 | Veronica Evette Magana | Specialist | 11485 C Ave, Auburn, CA 95603 | 2017-09-20 |
| 1487014809 | Madison Clair Emry | Specialist | 4017 A Street Se, B101, Auburn, WA 98002 | 2016-02-26 |
| 1114396017 | Megan Walker | Specialist | 3573 Opal Dr Apt 2, Auburn, CA 95602-2426 | 2015-09-21 |
| 1912390527 | Amanda Pergrim | Specialist | 12727 Se 318th Way, Auburn, WA 98092-3672 | 2015-03-06 |
| 1225434160 | Michele Derouin | Specialist | 502 50th St Se, Auburn, WA 98092-9499 | 2014-11-04 |
| 1871914010 | Michelle M Allen | Specialist | 821 Harvey Rd Ne, Auburn, WA 98002-4225 | 2013-12-13 |
| 1962846923 | Susan Phillips-coe | Specialist | 3259 Franklin Street Rd, Auburn, NY 13021-8936 | 2013-04-22 |
| 1407197510 | Leah Jensen | Specialist | 6365 Barbara Ln, Auburn, CA 95602-8830 | 2013-03-14 |
| 1992053235 | Kimberly K Dennis | Specialist | 1101 Supermall Way #1269, Auburn, WA 98001 | 2012-08-16 |
| 1821350810 | Sarah Messenger Gleason | Specialist | 5319 W Lake Rd, Auburn, NY 13021-1151 | 2012-06-14 |
| Find all providers in AUBURN | ||||
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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.