MR. JESSY AWITEN ANG (NPI# 1255544359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255544359 |
| Entity Type | Individual |
| Full Name | MR. JESSY AWITEN ANG |
| Practice Address |
2411 S 19th St Tacoma WA 98405-2954 |
| Practice Telephone | 2536276606 |
| Practice Fax Number | 2535724291 |
| Mailing Telephone | 2536276606 |
| Mailing Fax Number | 2535724291 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
18096 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1548908 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639518327 | Jessy Edgardo Ang Jr. | Family Medicine | 1139 E Luzerne St, Philadelphia, PA 19124 | 2013-06-17 |
| Street Address |
2411 S 19TH ST |
| City | TACOMA |
| State | WA |
| Zip Code | 98405-2954 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770053704 | Neurostimulation Wellness Center, Pllc | Psychiatry & Neurology | 2411 S 19th St, Tacoma, WA 98405-2954 | 2018-12-03 |
| 1194083956 | Paul Andrew Sueno Md Pllc | Clinic/Center | 2411 S 19th St, Tacoma, WA 98405-2954 | 2012-04-30 |
| 1700074275 | Evergreen Medical Panel | Health Maintenance Organization | 2411 S 19th St, Tacoma, WA 98405-2954 | 2007-10-10 |
| 1396948956 | Paul A Sueno | Physical Medicine & Rehabilitation | 2411 S 19th St, Tacoma, WA 98405-2954 | 2007-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609486026 | Joanna Christine Hope | Physician Assistant | 2502 S Union Avenue, Tacoma, WA 98405 | 2020-08-01 |
| 1467077891 | Richard Jimenez | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 | 2020-06-11 |
| 1669008785 | Mariana Sanchez Corona | Behavior Technician | 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 | 2020-03-20 |
| 1811534845 | Jasmine Gregory | Social Worker | 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 | 2019-12-10 |
| 1548807506 | Holly Rebecca Brezynski | Student in an Organized Health Care Education/Training Program | Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 | 2019-12-09 |
| 1972064392 | Logan Brau | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way, Tacoma, WA 98405 | 2019-03-28 |
| 1629532536 | Preferred Orthotic and Prosthetic Services Inc | Prosthetic/Orthotic Supplier | 1708 Yakima Ave Ste 60, Tacoma, WA 98405 | 2019-01-24 |
| 1669945911 | Heidi Weakley | Counselor | 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 | 2019-01-09 |
| 1972074011 | Taviance Benet Laster | Behavior Technician | 1416 S 9th St, Tacoma, WA 98405 | 2018-12-16 |
| 1336618040 | Bailey Bangerter | Physician Assistant | 1901 South Union, A-233, Tacoma, WA 98405 | 2018-11-26 |
| Find all providers in zip 98405 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356505283 | Jennifer Ann Irwin | Psychiatry & Neurology | 618 N G St, Tacoma, WA 98403-2410 | 2008-07-10 |
| 1811195126 | Jerry J Thomas | Psychiatry & Neurology | Va Puget Sound Health Care System, American Lake Divisi, 9600 Veterans Drive Southwest, Buidling 61, Tacoma, WA 98493 | 2007-07-08 |
| 1902942089 | Fletcher Brandon Taylor | Psychiatry & Neurology | 2706 N Warner St, Tacoma, WA 98407-6259 | 2007-01-29 |
| 1518028414 | Lisa Ann Robinson | Psychiatry & Neurology | 2610 N Alder St, Tacoma, WA 98407-6221 | 2006-12-13 |
| 1518032374 | Agnes Barbara Kocsis | Psychiatry & Neurology | 2209 E.32nd Str, Tacoma, WA 98404 | 2006-11-21 |
| 1013004662 | Robert Edward Sands | Psychiatry & Neurology | 3609 So 19th St, Robert E Sands Md, Tacoma, WA 98405 | 2006-10-06 |
| 1801993894 | Rogelio Soria Zaragoza | Psychiatry & Neurology | Va Puget Sound Health Care System American Lake Divisio, 9600 Veterans Dr. Sw, Tacoma, WA 98493-0001 | 2006-09-20 |
| 1346346020 | Maya Chandran Kumar | Psychiatry & Neurology | 900 Veterans Dr, American Lake Vamc - Pshcs, Tacoma, WA 98493-0001 | 2006-09-16 |
| 1578665931 | Mary Foster | Psychiatry & Neurology | American Lake Veterans Administration, 9600 Veterans Drive, Tacoma, WA 98493 | 2006-09-05 |
| 1225130073 | Andre Tapp | Psychiatry & Neurology | Veterans Dr, Tacoma, WA 98493-0001 | 2006-09-02 |
| Find all providers in TACOMA | ||||
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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.