JOHN GAVARESKI


Address: 1330 Rockefeller Ave, Everett, WA 98201-1684
Phone: 4253395442

JOHN GAVARESKI (NPI# 1437524352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437524352
Entity Type Individual
Full Name JOHN GAVARESKI
Credential PA-C
Practice Address 1330 Rockefeller Ave
Everett
WA 98201-1684
Mailing Address Po Box 5127
Everett
WA 98206-5127
Practice Telephone 4253395442
Mailing Telephone 4253395442
Enumeration Date 2015-12-03
Last Update Date 2016-08-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant TA60628756 WA Physician Assistants & Advanced Practice Nursing Providers
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Provider Identifier

State Issuer Identifier Type Code
WA 2063236 05

Office Location

Street Address 1330 ROCKEFELLER AVE
City EVERETT
State WA
Zip Code 98201-1684

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366435943 John F Matista Physician Assistant 1330 Rockefeller Ave, Suite 225, Everett, WA 98201-1684 2005-08-29
1326598715 Providence Regional Medical Center Clinic/Center 1330 Rockefeller Ave, Suite 150 Medical Offfic Building, Everett, WA 98201-1684 2016-10-10
1861940504 Lindsay Cook Mertz Physician Assistant 1330 Rockefeller Ave, Suite 310, Everett, WA 98201-1684 2016-09-12
1700261120 Anna Chan Pharmacist 1330 Rockefeller Ave, Suite 150, Everett, WA 98201-1684 2015-07-27
1588051494 Luis Fernando Alberton Surgery 1330 Rockefeller Ave, Ste 400, Everett, WA 98201-1684 2015-04-17
1205222551 Patrick Willauer Surgery 1330 Rockefeller Ave, Everett, WA 98201-1684 2015-04-14
1538554761 Patrick M Haugstad Pharmacist 1330 Rockefeller Ave, Suite 150, Everett, WA 98201-1684 2015-04-03
1770972481 Lisa Mccabe Nurse Practitioner 1330 Rockefeller Ave, Suite 310, Everett, WA 98201-1684 2015-01-19
1851798714 Emily Rockwell Williamson Pharmacist 1330 Rockefeller Ave, Suite 150, Everett, WA 98201 2014-11-20
1922400407 Michael Vincent Rafer Physician Assistant 1330 Rockefeller Ave, Everett, WA 98201-1684 2014-09-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306471867 Shannon Michelle Dewald Registered Nurse D8s 1700 13th St, Everett, WA 98201 2020-03-05
1578123113 Precious Medicial Spa, LLC Registered Nurse 1728 W. Marine View Dr Suite 212, Everett, WA 98201 2019-06-17
1508429796 Alix Deschain Counselor 2801 Broadway, Everett, WA 98201 2019-04-15
1811457534 Khushboo Patel Pharmacist 1330 Rockefeller Ave Ste 150, Everett, WA 98201 2019-03-20
1164991188 Grace Talbot Davis Registered Nurse 2601 Summit Avenue, Bldg. C, Everett, WA 98201 2018-11-20
1063924603 Tracy Sisk Counselor 3120 Colby Ave, 502, Everett, WA 98201 2017-11-03
1710403126 Michelle Durham Counselor 3322 Boadway Fl 2, Everett, WA 98201 2017-08-17
1861927949 Melanie Schmidt Counselor 2610 Westmore Ave, Everett, WA 98201 2017-04-26
1518413327 Joseph Madson Dmd Pllc Clinic/Center 3802 Colby Ave, 4th Floor, Everett, WA 98201 2016-08-31
1043683162 Jennifer Adams Counselor 1511 26th St, Everett, WA 98201 2015-11-11
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912521956 Juliana Martins Physician Assistant 31 Freeman Ave, Everett, MA 02149-5204 2020-06-05
1528606324 Lynda Lee Consolo Physician Assistant 18 Woodlawn Ave, Everett, MA 02149-5417 2019-12-12
1538519202 Kristen Shafer Physician Assistant 2038 Winding Ridge Rd, Everett, PA 15537-4274 2016-06-14
1588098909 Lidia Yemchuk Physician Assistant 4201 Rucker Ave, Everett, WA 98203-2215 2013-08-22
1134426133 Anthony Joseph Danna Physician Assistant 103 Garland St Emergency Department, Everett, MA 02149-5066 2011-02-28
1902058019 Matthew James Slater Physician Assistant 1330 Rockefeller Ave Ste 400, Everett, WA 98201-1676 2008-10-21
1417133216 Patricia Ann Buehler Physician Assistant 3726 Broadway Ste 101, Everett, WA 98201-3787 2008-01-11
1558404814 Margarita G Burdetsky Physician Assistant 391 Broadway Ste 204, Prohealth Intagrated Medical, Everett, MA 02149-3471 2007-02-15
1427127158 Marcy Jo Herzog Physician Assistant 185 Hospital Dr Ste 1, Everett, PA 15537-7018 2006-11-07
1376553966 Erin M Richards Physician Assistant 249 Hospital Drive Suite 1, Everett, PA 15537 2006-08-08
Find all providers in EVERETT

Competitor

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City EVERETT
Zip Code 98201

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Dataset Information

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.

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