ELAINE LESLIE BRENT (NPI# 1427002260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427002260 |
| Entity Type | Individual |
| Full Name | ELAINE LESLIE BRENT |
| Credential | MS MD |
| Practice Address |
9040 Reid St Attn: Mdhj Qcr, Madigan Army Medical Center Tacoma WA 98431-1100 |
| Practice Telephone | 2539682252 |
| Practice Fax Number | 2539683278 |
| Mailing Telephone | 2539682252 |
| Mailing Fax Number | 2539683278 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZD0900X |
Pathology Specialization: Dermatopathology |
19500 | AL | Allopathic & Osteopathic Physicians |
| Street Address |
9040 REID ST ATTN: MDHJ QCR, MADIGAN ARMY MEDICAL CENTER |
| City | TACOMA |
| State | WA |
| Zip Code | 98431-1100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881671170 | Roger K Yabu | Pharmacist | 9040 Reid St, Tacoma, WA 98431-1100 | 2005-12-28 |
| 1407241763 | Sofiya Nukalo | Student in an Organized Health Care Education/Training Program | 9040 Reid St, Madigan Army Medical Center, Tacoma, WA 98431-1100 | 2015-04-03 |
| 1588993968 | Wendy Robin Cruz | Pharmacist | 9040 Reid St, Tacoma, WA 98431-1100 | 2009-12-15 |
| 1841428646 | Eileen Owen-williams | Nurse Practitioner | 9040 Reid St, Tacoma, WA 98431-1100 | 2009-06-30 |
| 1598992927 | Deborah R Judkins | Counselor | 9040 Reid St, Tacoma, WA 98431-1100 | 2009-06-11 |
| 1407001837 | Michael Cleary | Social Worker | 9040 Reid St, Tacoma, WA 98431-1100 | 2008-11-26 |
| 1255586889 | Brent C Olson | Physician Assistant | 9040 Reid St, Tacoma, WA 98431-1100 | 2008-11-24 |
| 1467604892 | Martha A Smith | Dietitian, Registered | 9040 Reid St, Tacoma, WA 98431-1100 | 2008-10-16 |
| 1285899849 | Christina Marieke Long | Pediatrics | 9040 Reid St, Tacoma, WA 98431-1100 | 2008-07-23 |
| 1225292758 | Madigan Army Medical Center | Military Hospital | 9040 Reid St, Tacoma, WA 98431-1100 | 2008-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497212260 | Catrina Renee Grugin | Registered Nurse | Madigan Army Medical Center, Attn Mchj-clq-c, 9040 Jackson Ave, Tacoma, WA 98431 | 2019-02-27 |
| 1801307681 | Bianca Gomez | Dental Assistant | Bldg 9900 Lincoln Street, Jblm, WA 98431 | 2017-10-19 |
| 1184133225 | Darren Paris | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave., Attn: Mchj-clq-c, Tacoma, WA 98431 | 2017-09-20 |
| 1922538206 | Sarah Frerichs | Dentist | Madigan Annex, Second Floor, Bldg. 9900, Apo, AA 98431 | 2017-06-19 |
| 1740736495 | Misty Hill | Dental Assistant | 9119 Mill Park Ave, Tacoma, WA 98431 | 2016-08-31 |
| 1336695535 | Jacqueline D Massouda | Dentist | Jblm Dentac, 9900 Lincoln Sreet, 2nd Floor, Apo, AA 98431 | 2016-08-28 |
| 1609239375 | Gregg V Palmer | Licensed Practical Nurse | 17th and C Street, Bldg 11582, Tacoma, WA 98431 | 2016-03-31 |
| 1114323904 | Deanna Sheets | Nurse Practitioner | 911 Mil Park Ave, Tacoma, WA 98431 | 2014-11-06 |
| 1679905434 | Austin William Schaar | Dentist | Building 9900, 2nd Floor, Tacoma, WA 98431 | 2013-08-05 |
| 1518209758 | Maurice Ibrahim Khayat | Internal Medicine | 9040 Jackson Ave Mche-qd (creds), Tacoma, WA 98431 | 2013-03-26 |
| Find all providers in zip 98431 | ||||
| Taxonomy Code | 207ZD0900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Dermatopathology |
| A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source added] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. A subspecialty certificate was first issued by the ABMS in 1974. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104864792 | Geraldine Anne Peterdy | Pathology | 112 S Greenridge Dr, Liberty Lake, WA 99019-9566 | 2006-06-03 |
| 1740504554 | Oliver Chang | Pathology | 1959 Ne Pacific St, Box 356100, Seattle, WA 98195-6100 | 2010-03-23 |
| 1598946469 | Henry R. Carag | Pathology | 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 | 2007-11-20 |
| 1861545535 | Jonathan A Rhim | Pathology | 200 15th Ave E, Seattle, WA 98112-5260 | 2007-01-18 |
| 1811052855 | Ryan Robert Fortna | Pathology | 3614 Meridian St, Suite 100, Bellingham, WA 98225-1748 | 2006-12-27 |
| 1093890824 | Evan George | Pathology | University of Washington Medical Ctr, 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2006-10-27 |
| 1801837885 | Mancong Zhang | Pathology | 13103 E Mansfield, Incyte Pathology Ps, Spokane, WA 99216 | 2006-06-09 |
| 1801849369 | Gregory Michael Wolgamot | Pathology | 3614 Meridian St, Suite 100, Bellingham, WA 98225-1748 | 2006-05-18 |
| 1609837566 | Steven Matthew Ruhoy | Pathology | 1100 9th Ave, Seattle, WA 98101-2756 | 2006-03-30 |
| 1386603413 | Charles Joseph Hunter | Pathology | 747 Broadway, Seattle, WA 98122-4307 | 2006-03-18 |
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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.