CHERON L. WITTMAN (NPI# 1427087378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427087378 |
| Entity Type | Individual |
| Full Name | CHERON L. WITTMAN |
| Other Name | CHERON L. MOYLE |
| Credential | PA-C |
| Practice Address |
10004 204th Ave E Ste 2200 Bonney Lake WA 98391-6539 |
| Practice Telephone | 2534473300 |
| Mailing Telephone | 2534473300 |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2013-11-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA10003918 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
10004 204TH AVE E STE 2200 |
| City | BONNEY LAKE |
| State | WA |
| Zip Code | 98391-6539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588656284 | Kelly A Osborn | Physical Therapist | 10004 204th Ave E, Ste 3100, Bonney Lake, WA 98391-6539 | 2005-08-18 |
| 1053946459 | Jean Piere Nieves | Physician Assistant | 10004 204th Ave E, Bonney Lake, WA 98391-6539 | 2020-03-05 |
| 1508408923 | Heidi Rose Heiser | Midwife | 10004 204th Ave E, Bonney Lake, WA 98391-6539 | 2019-10-17 |
| 1881189470 | Kristina Omalley Dubow | Midwife | 10004 204th Ave E, Bonney Lake, WA 98391 | 2018-06-26 |
| 1588115158 | Sujin Lee | Pharmacist | 10004 204th Ave E, Bonney Lake, WA 98391-6539 | 2016-10-19 |
| 1487101994 | Chi Ming Chan | Pharmacist | 10004 204th Ave E, #1100, Bonney Lake, WA 98391-6539 | 2016-09-01 |
| 1487015657 | Kala Gardner | Occupational Therapist | 10004 204th Ave E, Ste 3100, Bonney Lake, WA 98391-6539 | 2016-03-15 |
| 1073985057 | Bryan James Antonius | Radiologic Technologist | 10004 204th Ave E, Suite 2600, Bonney Lake, WA 98391-6539 | 2015-10-29 |
| 1487023701 | Rachel Pruessing | Physical Therapist | 10004 204th Ave E, Ste 3100, Bonney Lake, WA 98391-6539 | 2015-09-16 |
| 1891161865 | Julia Morris | Nurse Practitioner | 10004 204th Ave E, #3400, Bonney Lake, WA 98391-6539 | 2015-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982218814 | Lenny Yann | Pharmacist | 21301 Wa 410, Bonney Lake, WA 98391 | 2020-09-08 |
| 1497244552 | Kayla Grasso | Technician, Other | 18444 139th Street East, Bonney Lake, WA 98391 | 2018-05-04 |
| 1407359151 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 9801 204th Ave E, Bonney Lake, WA 98391 | 2018-03-08 |
| 1992217152 | Rachel Renee Andringa | Massage Therapist | 19102 Wa-410, Bonney Lake, WA 98391 | 2017-10-27 |
| 1437679099 | Emily A. Hansen | Occupational Therapist | 12202 209th Ave Ct. E., Liberty Ridge Elementary School, Bonney Lake, WA 98391 | 2017-06-26 |
| 1245782986 | Advance Behavior Education Continuum, Inc | Behavioral Analyst | 2305 164th Ave Ct, Bonney Lake, WA 98391 | 2016-10-28 |
| 1619343191 | Lauren Christine Difolco | Specialist | 10920 199th Ave. Ct. E., Bonney Lake Hs, Bonney Lake, WA 98391 | 2015-08-19 |
| 1699018192 | Michael Nelson | Dentist | 2803 176th Ave East, Lake Tapps, WA 98391 | 2013-04-03 |
| 1700141066 | Jacqueline Nguyen | Pharmacist | 20025 State Route 410 E, Bonney Lake, WA 98391 | 2012-07-11 |
| 1265737860 | Braden Shingleton | Massage Therapist | 19102 Sr 410 E Suite A, Bonney Lake, WA 98391 | 2011-01-13 |
| Find all providers in zip 98391 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982765616 | Willie F Binion | Physician Assistant | 10004 204th Ave E # 1200, Bonney Lake, WA 98391-6539 | 2006-12-13 |
| 1437186889 | Kimberly Joy Kinnebrew | Physician Assistant | 21137 Sr 410 E Ste I, Bonney Lake, WA 98391-8775 | 2006-06-28 |
| 1467950782 | Zachary Adam Sullivan | Physician Assistant | 9230 Sky Island Dr E, Bonney Lake, WA 98391-7385 | 2018-02-01 |
| 1740564798 | Lisa Marie Gail | Physician Assistant | 10004 204th Ave E, # 1200, 3400, Bonney Lake, WA 98391-6539 | 2011-10-07 |
| 1992859045 | Garry Gregory | Physician Assistant | 10004 204th Ave E, #1200, Bonney Lake, WA 98391-6539 | 2007-01-23 |
| 1346394491 | Scott B Ahrndt | Physician Assistant | 21137 Sr 410 E Ste I, Bonney Lake, WA 98391-8775 | 2007-01-23 |
| 1598820508 | Daniel J Hahn | Physician Assistant | 10004 204th Ave E # 1200, Bonney Lake, WA 98391-6539 | 2006-12-27 |
| 1013949452 | Brandon Alan Swisher | Physician Assistant | 10004 204th Ave E, #1200, Bonney Lake, WA 98391-6539 | 2006-07-07 |
| 1619915261 | Sonya A Cottrell | Physician Assistant | 10004 204th Ave E, # 3400, Bonney Lake, WA 98391-6539 | 2006-06-04 |
| 1003873621 | Don Massey | Physician Assistant | 10004 204th Ave E, #1200, Bonney Lake, WA 98391-6539 | 2006-04-27 |
| Find all providers in BONNEY LAKE | ||||
| City | BONNEY LAKE |
| Zip Code | 98391 |
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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.