JESSICA SANTIAGO KHAN (NPI# 1376563601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376563601 |
Entity Type | Individual |
Full Name | JESSICA SANTIAGO KHAN |
Other Name | JESSICAN HILARIO SANTIAGO |
Credential | MD |
Practice Address |
1701 3rd St Se Puyallup WA 98372-4511 |
Practice Telephone | 2536975767 |
Mailing Telephone | 2536975767 |
Enumeration Date | 2006-07-20 |
Last Update Date | 2016-01-22 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207R00000X | Internal Medicine | MD60602505 | WA | Allopathic & Osteopathic Physicians |
N | 207R00000X | Internal Medicine | K4469 | TX | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861849317 | Jessica Khan | Student in an Organized Health Care Education/Training Program | 4037 Nw 86th Ter, 3154, Gainesville, FL 32606-9277 | 2016-05-14 |
1871966234 | Jessica Elaine Khan | Nurse Anesthetist, Certified Registered | 301 Nw 82nd Ave, Plantation, FL 33324-1811 | 2015-11-07 |
1639475015 | Jessica Khan | Registered Nurse | 2250 Hickory Rd, Plymouth Meeting, PA 19462-1047 | 2011-02-02 |
1124293915 | Jessica L Khan | Nurse Anesthetist, Certified Registered | 2620 Eagan Woods Dr Ste 300, Eagan, MN 55121-1138 | 2008-04-23 |
Street Address |
1701 3RD ST SE |
City | PUYALLUP |
State | WA |
Zip Code | 98372-4511 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467425330 | Nichol T Iverson | Internal Medicine | 1701 3rd St Se, Suite 300, Puyallup, WA 98372-4511 | 2006-02-09 |
1750597480 | Dedicated Womens Health Specialists Inc P.s. | Obstetrics & Gynecology | 1701 3rd St Se, Suite 200, Puyallup, WA 98372-4511 | 2007-05-16 |
1235343963 | Laurie J Morris | Obstetrics & Gynecology | 1701 3rd St Se, Suite 200, Puyallup, WA 98372-4511 | 2007-05-10 |
1366567471 | Mohammed Hosam Aldin Baccora | Internal Medicine | 1701 3rd St Se, Ste 300, Puyallup, WA 98372-4511 | 2007-03-20 |
1215076971 | Stephen R Kerr | Specialist | 1701 3rd St Se, Suite 300, Puyallup, WA 98372-4511 | 2007-02-06 |
1811040173 | Joel Fausto Kliatchko Estrada | Internal Medicine | 1701 3rd St Se, Suite 300, Puyallup, WA 98372-4511 | 2007-01-19 |
1841393865 | Paul H Eun | Obstetrics & Gynecology | 1701 3rd St Se, Suite 200, Puyallup, WA 98372-4511 | 2006-09-06 |
1649373663 | Kenneth Murray Edstrom | Obstetrics & Gynecology | 1701 3rd St Se, Suite 200, Puyallup, WA 98372-4511 | 2006-09-06 |
1598778458 | Jebin Mathew Chacko | Psychiatry & Neurology | 1701 3rd St Se, Puyallup, WA 98372-4511 | 2006-08-14 |
1588611313 | Charles Nam | Internal Medicine | 1701 3rd St Se, 300, Puyallup, WA 98372-4511 | 2006-05-27 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295371532 | Jeffrey Allen Zhan | Urology | Good Samaritan Medical Office Bldg 1450 5th St Se, Suite 2100- Urology Clinic, Puyallup, WA 98372 | 2019-11-21 |
1447811419 | Serenity Counseling & Consulting, LLC | Marriage & Family Therapist | 102 23rd St Se, Unit B, Puyallup, WA 98372 | 2019-06-21 |
1316401565 | Katherine Juarez Davidson | Nurse Practitioner | 325 E Pioneer # A145, Puyallup, WA 98372 | 2019-01-22 |
1679041404 | Cara Ann Lundin | Nurse Practitioner | 11926 43rd St Crt E, Edgewood, WA 98372 | 2018-11-09 |
1104392109 | Megan Black | Occupational Therapist | 40 29th St Ne, Puyallup, WA 98372 | 2018-10-17 |
1063919470 | Myriah Shekinah Olakpe | Occupational Therapist | 516 Se 23rd Ave, Puyallup, WA 98372 | 2018-04-11 |
1902330202 | Tyler Girdler | Student in an Organized Health Care Education/Training Program | 1322 3rd Street Se Suite 240, Puyallup, WA 98372 | 2017-04-13 |
1770039471 | Mahalakshmi Hariharan | Pharmacist | 2117 28th St Se, Puyallup, WA 98372 | 2016-09-01 |
1801241112 | Nawazish Ali | Internal Medicine | 401 15th Ave Se Multicare God Samartian Hopsital, Puyallup, WA 98372 | 2016-04-25 |
1932567559 | Denice L. Voss | Physical Therapist | 400 29th St. Ne, Puyallup, WA 98372 | 2016-02-10 |
Find all providers in zip 98372 |
Taxonomy Code | 207R00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801241112 | Nawazish Ali | Internal Medicine | 401 15th Ave Se Multicare God Samartian Hopsital, Puyallup, WA 98372 | 2016-04-25 |
1427302025 | Nadeem Jaffer | Internal Medicine | 3800 3rd St. Se, Puyallup, WA 98374 | 2012-11-04 |
1063787372 | Julie Cella | Internal Medicine | 3705 S Meridian Ste B, Puyallup, WA 98373-3709 | 2012-03-20 |
1588944474 | Franciscan Medical Group | Internal Medicine | 424 29th St Ne, Ste D, Puyallup, WA 98372-6766 | 2011-08-23 |
1205094489 | Sancar Eke | Internal Medicine | 1450 5th St Se Ste 3500, Puyallup, WA 98372-4687 | 2008-05-24 |
1760658645 | Qudsia Khan | Internal Medicine | 1824 S Meridian, Puyallup, WA 98371-7514 | 2008-05-01 |
1881804276 | Ranee Naa Bigi Quaye | Internal Medicine | 5901 111th Street Ct E, #10, Puyallup, WA 98373-4325 | 2007-05-23 |
1063429652 | Michael Gregory Blackburn | Internal Medicine | 201 15th Ave Sw Ste C, Puyallup, WA 98371-7495 | 2006-08-03 |
1023024270 | John David Piatt | Internal Medicine | 12005 Meridian E Ste 101, Puyallup, WA 98373-3423 | 2006-07-31 |
1902839111 | Fadi Alhafez | Internal Medicine | 117 15th Ave Se, Puyallup, WA 98372-3753 | 2006-07-09 |
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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.