JORDAN ELLIOTT GENUT (NPI# 1285861005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285861005 |
| Entity Type | Individual |
| Full Name | JORDAN ELLIOTT GENUT |
| Credential | MD |
| Practice Address |
2950 Squalicum Pkwy Suite B Bellingham WA 98225-1857 |
| Mailing Address |
1115 Se 164th Ave Dept. 358 Vancouver WA 98683-9324 |
| Practice Telephone | 3607886063 |
| Mailing Telephone | 8772023597 |
| Enumeration Date | 2009-06-19 |
| Last Update Date | 2014-07-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
MD60463058 | WA | Allopathic & Osteopathic Physicians |
| Street Address |
2950 SQUALICUM PKWY SUITE B |
| City | BELLINGHAM |
| State | WA |
| Zip Code | 98225-1857 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578547543 | Connie L. Zastrow | Surgery | 2950 Squalicum Pkwy, Suite A, Bellingham, WA 98225-1857 | 2005-12-02 |
| 1568884005 | Natasha Rogall | Physician Assistant | 2950 Squalicum Pkwy, Suite B, Bellingham, WA 98225-1857 | 2014-01-17 |
| 1598190365 | Danielle N. Wiley | Physician Assistant | 2950 Squalicum Pkwy, Suite B, Bellingham, WA 98225-1857 | 2013-09-11 |
| 1083960751 | Mahnaz Lary Md Inc Ps | Internal Medicine | 2950 Squalicum Pkwy, Bellingham, WA 98225-1857 | 2012-07-31 |
| 1225341472 | Eric James Crook | Physician Assistant | 2950 Squalicum Pkwy, Suite B, Bellingham, WA 98225-1857 | 2010-07-16 |
| 1831380153 | Michelle Eun-sun Sohn | Surgery | 2950 Squalicum Pkwy, Bellingham, WA 98225-1857 | 2007-08-05 |
| 1740314772 | Bellingham Ear Nose & Throat | Audiologist-Hearing Aid Fitter | 2950 Squalicum Pkwy, Bellingham, WA 98225-1857 | 2007-03-14 |
| 1235222563 | Douglas Wynne | Internal Medicine | 2950 Squalicum Pkwy, Bellingham, WA 98225-1857 | 2006-09-30 |
| 1457443186 | Douglas F Wynne Md | Internal Medicine | 2950 Squalicum Pkwy, Bellingham, WA 98225-1857 | 2006-09-29 |
| 1336119916 | Shane Foree Spears | Physician Assistant | 2950 Squalicum Pkwy, Bellingham, WA 98225-1857 | 2006-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578183729 | Family Care Network Pllc | Clinic/Center | 3548 Meridian St, Suite #101-b, Bellingham, WA 98225 | 2020-04-17 |
| 1770129264 | Ariella K Ross | Massage Therapist | 2701 Northwest Avenue, Bellingham, WA 98225 | 2019-11-20 |
| 1467006205 | Family Care Network, Pllc | Family Medicine | 805 W. Orchard Drive, Suite 6, Bellingham, WA 98225 | 2019-07-30 |
| 1487110375 | Rhonda Beth Steel | Massage Therapist | Fairhaven Harbor, 1310 9th Street Penthouse No. 504, Fairhaven/bellingham, WA 98225 | 2019-02-15 |
| 1366915316 | Alexander Knight Acupuncture Inc | Acupuncturist | 12 Bellwether Way, Suite 201, Bellingham, WA 98225 | 2019-01-02 |
| 1902372998 | Northwest Telepsychiatry, Pllc | Psychiatry & Neurology | 114 W. Magnolia St., Suite 505, Bellingham, WA 98225 | 2018-10-17 |
| 1639650336 | Jennifer Sue Cogen | Massage Therapist | 2701 Northwest Ave. (ohana Pacific, Inc.), Bellingham, WA 98225 | 2018-08-22 |
| 1013414036 | Tamara C Dee | Social Worker | 1313 E Maple St Ste 229, Bellingham, WA 98225 | 2018-04-06 |
| 1417468596 | Samantha Grace Smith | Counselor | 920 Harris Avenue, 202-e, Bellingham, WA 98225 | 2017-10-17 |
| 1710406731 | Shalom Maria Shreve | Counselor | 1133 Railroad Ave., Suite 100, Bellingham, WA 98225 | 2017-09-11 |
| Find all providers in zip 98225 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720038086 | Roy Andrew Taylor | Surgery | 4540 Cordata Pkwy Ste 201, Bellingham, WA 98226-8059 | 2006-05-10 |
| 1982653788 | Bayside Vein & Laser Center, Pllc | Surgery | 3104 Squalicum Pkwy # 103, Bellingham, WA 98225-1936 | 2006-05-09 |
| 1578547543 | Connie L. Zastrow | Surgery | 2950 Squalicum Pkwy, Suite A, Bellingham, WA 98225-1857 | 2005-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710496922 | Sunnyside Community Hospital Association | Surgery | 1005 W Walnut St Ste 201, Yakima, WA 98902-3384 | 2017-09-20 |
| 1750762415 | Anna Ohlsson | Surgery | 325 9th Ave # 359908, Seattle, WA 98104-2420 | 2015-06-17 |
| 1356722938 | Usa Vascular Centers of Kent Pllc | Surgery | 26124a Pacific Hwy S Ste A, Kent, WA 98032-6910 | 2015-06-09 |
| 1154602084 | Memorial Physicians, Pllc | Surgery | 1812 E Edison Ave, Sunnyside, WA 98944-1653 | 2011-09-06 |
| 1528387941 | Sara Jane Wasilenko | Surgery | 128 Lilly Rd Ne Ste 205, Olympia, WA 98506-7400 | 2010-05-25 |
| 1801051404 | Franciscan Medical Group | Surgery | 710 S 348th St, Ste A, Federal Way, WA 98003-7042 | 2008-07-23 |
| 1013104165 | John S Arthur | Surgery | 2528 Wheaton Way Ste 101, Bremerton, WA 98310-3305 | 2007-10-02 |
| 1891986097 | Vascular Associates, Ps | Surgery | 801 Broadway Ste 522, Seattle, WA 98122-4325 | 2007-08-05 |
| 1447464730 | Mai Thanh Pham | Surgery | 1229 Madison St Suite # 1190, Seattle, WA 98104 | 2007-05-09 |
| 1649491481 | Dae Young Lee | Surgery | 1100 Goethals Drive 3rd Floor, Kadlec Clinic Vascular Surgery, Richland, WA 99352-3304 | 2007-05-01 |
| Find all providers with the same taxonomy | ||||
| City | BELLINGHAM |
| Zip Code | 98225 |
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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.