CURTIS JOHN EDWARDS (NPI# 1336474816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336474816 |
Entity Type | Individual |
Full Name | CURTIS JOHN EDWARDS |
Credential | M.D. |
Practice Address |
4310 Foxhall Dr Ne Olympia WA 98516-1105 |
Practice Telephone | 3609230476 |
Mailing Telephone | 3609230476 |
Enumeration Date | 2009-10-16 |
Last Update Date | 2009-10-16 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208600000X | Surgery | MD00028278 | WA | Allopathic & Osteopathic Physicians |
Y | 208D00000X | General Practice | MD00028278 | WA | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700328697 | Curtis J Edwards | Behavioral Analyst | 9030 W Sahara Ave Unit 156, Las Vegas, NV 89117-5744 | 2016-11-09 |
1306028071 | Curtis Aaron Edwards | Counselor | 1519 Barclay Drive, Natchitoches, LA 71457 | 2007-12-04 |
1417075094 | Curtis Jay Edwards | Psychologist | 3766 Calle Mazatlan, Newbury Park, CA 91320-5044 | 2007-03-26 |
1023073319 | Curtis Drew Edwards | Psychologist | 3802- E Clemmons Rd, Clemmons, NC 27012 | 2006-04-19 |
1982230009 | Curtis Edwards | Case Manager/Care Coordinator | 515 Dayton St, Hamilton, OH 45011-3455 | 2020-03-20 |
1376810952 | Curtis J Edwards | Pharmacist | 2601 E Sauk Trl, Sauk Village, IL 60411-5262 | 2011-11-25 |
1982999876 | Curtis Jon Edwards | Pharmacist | 10404 N 43rd Ave, Glendale, AZ 85302-2019 | 2011-06-18 |
Street Address |
4310 FOXHALL DR NE |
City | OLYMPIA |
State | WA |
Zip Code | 98516-1105 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730744210 | Michael Oropeza | Behavioral Analyst | 8282 28th Court Northeast, Suite A, Lacey, WA 98516 | 2019-05-09 |
1902361330 | Amanda Jessica Mae Allen | Behavioral Analyst | Basics Nw LLC, 8282 28th Ct Ne Suite A, Lacey, WA 98516 | 2019-02-11 |
1619459393 | Kayla-renee Williams | Behavioral Analyst | Basics Nw LLC 8282 28th Ct Ne, Suite A, Lacey, WA 98516 | 2018-08-30 |
1174004303 | Julie Ann Lisowski | Massage Therapist | 3532 Cuddy Ln Ne, Lacey, WA 98516 | 2018-08-26 |
1740700145 | Joseph Brandon Kimmel | Denturist | 5032 Beverly Dr Ne, Olympia, WA 98516 | 2017-06-27 |
1649649880 | Katie Cole | Behavioral Analyst | 8282 28th Ct Ne, Suite A, Basics Nw, LLC, Lacey, WA 98516 | 2015-09-17 |
1306234166 | Reza Tahernia | Dentist | 8050 Freedon Lane Ne, Suite C, Lacey, WA 98516 | 2015-01-02 |
1770997603 | Qualified Surgical Services Pllc | Surgery | 3697 Cameron Dr Ne, Lacey, WA 98516 | 2014-06-18 |
1184048688 | Stephanie Renee Hjortedal | Specialist/Technologist | 8750 Tallon Lane Ne., Lacey, WA 98516 | 2014-02-05 |
1295169811 | Teasha Corrado | Behavioral Analyst | 8282 28th Court Ne, Suite A, Lacey, WA 98516 | 2013-08-30 |
Find all providers in zip 98516 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790843290 | Dich Quoc Vu | General Practice | 146 Milroy Street, Olympia, WA 98502 | 2006-12-05 |
1639188824 | Patricia Ruth Sylwester | General Practice | 1801 W Bay Dr Nw, Suite 208a, Olympia, WA 98502-4310 | 2006-08-05 |
1619099843 | Diana T Yu | General Practice | 412 Lilly Rd Ne, Olympia, WA 98506-5132 | 2007-04-06 |
1851456081 | Fernando Irizarry | General Practice | 700 Lilly Rd Ne, Olympia, WA 98506-5115 | 2006-12-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063971703 | Source Northwest Integrative Medicine | General Practice | 7206 267th St Nw Ste 102, Stanwood, WA 98292-6269 | 2019-03-12 |
1255896601 | Emily Christine Buck | General Practice | 940 Fitzsimmons Dr, Tacoma, WA 98431-0001 | 2019-02-08 |
1740755651 | Alyssa Ann Yruegas | General Practice | 2108 W Spruce St, Moses Lake, WA 98837-2853 | 2018-10-06 |
1306321237 | Rainier Springs Physician Group, LLC | General Practice | 2805 Ne 129th Street, Vancouver, WA 98686 | 2018-09-26 |
1962916437 | Parkview Medical Group Inc | General Practice | 615 S Division St Ste A, Moses Lake, WA 98837-3800 | 2017-11-20 |
1790212496 | Thien Thanh Ho | General Practice | 12307 Douglas Rd, Yakima, WA 98908-9129 | 2017-05-12 |
1285173625 | Regenerative Medicine Institute, Pllc | General Practice | 731 N Stanley St, Medical Lake, WA 99022-8940 | 2017-02-17 |
1457708430 | James Bailey | General Practice | 9040 Jackson Ave Tripler Army Medical Center, Tacoma, WA 98431-5001 | 2016-05-19 |
1740635887 | Peter Chulhi Kang | General Practice | 1425 Spring St Apt 802, Seattle, WA 98104-1635 | 2016-04-26 |
1831551084 | Anna Hackenmiller | General Practice | 1657 S Nettleton Ln, Spokane, WA 99224-6108 | 2016-03-27 |
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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.