MICHAEL J. KAMINSKI (NPI# 1376571083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376571083 |
| Entity Type | Individual |
| Full Name | MICHAEL J. KAMINSKI |
| Credential | MD |
| Practice Address |
14410 Se Petrovitsky Rd Ste 104 Renton WA 98058-8900 |
| Mailing Address |
3600 Lind Ave Sw Suite 100 Attn Credentialing Renton WA 98057-4970 |
| Practice Telephone | 4256903405 |
| Practice Fax Number | 4256909405 |
| Mailing Telephone | 4256902715 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2020-03-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD00018335 | WA | Allopathic & Osteopathic Physicians |
| N | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
MD00018335 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1043930 | 05 | |
| WA | MEDICARE - VALLEY MEDICAL GROUP | G8891710 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164547477 | Michael Todd Kaminski | Chiropractor | 405 Williamsburg Ave, Geneva, IL 60134-1091 | 2007-03-20 |
| 1588193825 | Michael Francis Kaminski | Emergency Medicine | 630 E River St, Elyria, OH 44035-5902 | 2017-06-09 |
| 1861540122 | Michael John Kaminski | Dentist | 17902 Georgia Ave, Suite 200, Olney, MD 20832-2272 | 2007-01-05 |
| 1033207717 | Michael Scott Kaminski | Optometrist | 7575 W Lower Buckeye Rd, Phoenix, AZ 85043-3450 | 2006-10-10 |
| 1841387479 | Michael J Kaminski | Chiropractor | 5306 N Port Washington Rd, Glendale, WI 53217-4913 | 2006-10-06 |
| 1679680128 | Michael S Kaminski | Optometrist | 80 Nashua Rd, Londonderry, NH 03053-3426 | 2006-08-23 |
| 1134121130 | Michael J Kaminski | Specialist | 2400 Patterson St, Suite 400, Nashville, TN 37203-1562 | 2005-08-10 |
| Street Address |
14410 SE PETROVITSKY RD STE 104 |
| City | RENTON |
| State | WA |
| Zip Code | 98058-8900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649227380 | Public Hospital District #1 of King County | Physician Assistant | 14410 Se Petrovitsky Rd, Suite 104, Renton, WA 98058-8900 | 2006-05-28 |
| 1871995191 | Irene Chege | Physician Assistant | 14410 Se Petrovitsky Rd, Ste 104, Renton, WA 98058-8900 | 2014-09-17 |
| 1730521329 | Joan M Amistoso | Nurse Practitioner | 14410 Se Petrovitsky Rd, Ste 104, Renton, WA 98058-8900 | 2013-07-23 |
| 1649617382 | Devin P Schock | Family Medicine | 14410 Se Petrovitsky Rd, Ste 104, Renton, WA 98058-8900 | 2013-06-03 |
| 1902151491 | Anit Merry Mathew | Dentist | 14410 Se Petrovitsky Rd, #113, Renton, WA 98058 | 2012-07-20 |
| 1376826677 | Ruthe Lillian Graham | Physical Therapist | 14410 Se Petrovitsky Rd, Ste. 202, Renton, WA 98058-8900 | 2011-09-22 |
| 1639307309 | Dawn Renee Kuzaro | Massage Therapist | 14410 Se Petrovitsky Rd, Suite109, Renton, WA 98058-8900 | 2009-07-01 |
| 1831330141 | Brittney S.l. Christopher | Massage Therapist | 14410 Se Petrovitsky Rd, Suite 202, Renton, WA 98058-8900 | 2009-03-16 |
| 1063677375 | Katrina Alene Mccallon | Massage Therapist | 14410 Se Petrovitsky Rd, Suite 209, Renton, WA 98058-8900 | 2008-07-25 |
| 1558586487 | Fairwood Chiropractic Clinic | Chiropractor | 14410 Se Petrovitsky Rd, Ste 109, Renton, WA 98058-8900 | 2007-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639799471 | Fairwood Dental LLC | Dentist | 14250 Se 176th #j7, Renton, WA 98058 | 2020-04-22 |
| 1538641386 | Kenneth Graber | Physical Therapist | 17650 140th Avenue Sw, Suite B-07, Renton, WA 98058 | 2018-08-29 |
| 1508210154 | Lucy Johnson | Specialist/Technologist | 11808 Se 172nd Ln Apt N303, Renton, WA 98058 | 2016-04-20 |
| 1104253947 | Bertila Martinez | Dental Hygienist | 14600 Se 176th St #v4, Renton, WA 98058 | 2013-10-10 |
| 1326340456 | Tabatha Burris | Specialist | 14410 Petrovistsky Rd Se #109, Renton, WA 98058 | 2010-11-22 |
| 1295042570 | Hanh Q Nguyen | Pharmacist | 16940 116th Avenue Southeast, Renton, WA 98058 | 2010-09-08 |
| 1861692675 | Ernestine Johanna Rombouts | Counselor | 16205 128th Place Se, Renton, WA 98058 | 2007-07-19 |
| 1912100991 | Cara Rozell | Pharmacist | 400 South 43rd St, Renton, WA 98058 | 2007-06-07 |
| 1699821231 | Lynne Suzanne Balderson | Massage Therapist | 14410 Se Petrovitsky Rd #201, Renton, WA 98058 | 2007-01-26 |
| 1023173465 | Sara Jean Denherder | Massage Therapist | 17070 - 140th Ave Se, Renton, WA 98058 | 2006-12-26 |
| Find all providers in zip 98058 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427672310 | Andrea Lauren Cistulli | Family Medicine | 3619 Talbot Rd S Ste 401, Renton, WA 98055-5708 | 2020-06-05 |
| 1639609803 | Kirsten Margaret Anderson | Family Medicine | 1205 N 10th St Ste 103-c, Renton, WA 98057-5577 | 2017-06-19 |
| 1366823742 | Timothy Asher | Family Medicine | 10555 Se Carr Rd # M, Renton, WA 98055-5820 | 2015-06-11 |
| 1508150152 | Kristin F Parker | Family Medicine | 3915 Talbot Rd S Ste 200, Renton, WA 98055-5738 | 2011-05-31 |
| 1124264577 | Kaiser Foundation Health Plan of Washington | Family Medicine | 2715 Naches Ave Sw, Gsw-a1n-02, Renton, WA 98057-2627 | 2009-01-06 |
| 1124204748 | Judith Lynn Molin | Family Medicine | Ne 8th Ave and Park Ave North, The Boeing Company, Renton, WA 98055 | 2008-01-14 |
| 1215012596 | William Zeev N Young | Family Medicine | 920 N 1st St, Renton, WA 98057-5759 | 2006-10-26 |
| 1285724831 | Paradigm Family Medicine Pllc | Family Medicine | 700 Sw 39th St, Suite 216, Renton, WA 98055-4952 | 2006-10-13 |
| 1568579092 | John K Mayeno | Family Medicine | 17900 Talbot Rd, S # 102, Renton, WA 98055 | 2006-08-23 |
| 1801817465 | Ronald Schubert | Family Medicine | 707 S Grady Way Ste 600, Renton, WA 98057-3227 | 2006-07-21 |
| Find all providers in RENTON | ||||
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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.