MS. SUSAN MARGARET KALLAL (NPI# 1447312384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447312384 |
| Entity Type | Individual |
| Full Name | MS. SUSAN MARGARET KALLAL |
| Credential | MD PHARM D |
| Practice Address |
4540 Cordata Pkwy Suite 101 Bellingham WA 98226-8059 |
| Practice Telephone | 3602555049 |
| Practice Fax Number | 3607782395 |
| Mailing Telephone | 3602555049 |
| Mailing Fax Number | 3607782395 |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2015-03-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | A70271 | CA | Allopathic & Osteopathic Physicians |
| Y | 207N00000X | Dermatology | 60450667 | WA | Allopathic & Osteopathic Physicians |
| Street Address |
4540 CORDATA PKWY SUITE 101 |
| City | BELLINGHAM |
| State | WA |
| Zip Code | 98226-8059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891765616 | Ellie Anna Griffin | Ophthalmology | 4540 Cordata Pkwy, Suite 103, Bellingham, WA 98226-8059 | 2006-01-24 |
| 1255728887 | Birch Bay Dermatology P.s. | Dermatology | 4540 Cordata Pkwy, Ste 101, Bellingham, WA 98226-8059 | 2015-04-21 |
| 1952620486 | Kristy Lynn Hendrickson | Technician/Technologist | 4540 Cordata Pkwy, Suite #103, Bellingham, WA 98226-8059 | 2010-05-24 |
| 1073847596 | B.e.p. Optical LLC | Eyewear Supplier (Equipment, not the service) | 4540 Cordata Pkwy, Suite #103, Bellingham, WA 98226-8059 | 2009-09-30 |
| 1942470232 | Pacific Medical Rehabilitation, Pllc | Clinic/Center | 4540 Cordata Pkwy, Suite 101, Bellingham, WA 98226-8059 | 2008-03-03 |
| 1588844294 | Jean Brian Kassem | Ophthalmology | 4540 Cordata Pkwy, Suite 103, Bellingham, WA 98226-8059 | 2007-11-09 |
| 1871563429 | Christopher D Kullas | Ophthalmology | 4540 Cordata Pkwy, Suite 103, Bellingham, WA 98226-8059 | 2006-01-25 |
| 1780654335 | Robert L Alan | Ophthalmology | 4540 Cordata Pkwy, Suite 103, Bellingham, WA 98226-8059 | 2006-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558901090 | Advancement Northwest, LLC | Community/Behavioral Health | 410 W Bakerview Rd Suite 110, Space 107, Bellingham, WA 98226 | 2020-01-13 |
| 1295374882 | Unity Care Northwest | Community/Behavioral Health | Roosevelt Elementary School Bh Services, 2900 Yew St., Bellingham, WA 98226 | 2019-12-30 |
| 1710454913 | Shane Humason | Pharmacist | 1225 East Sunset Drive, Ste 110, Bellingham, WA 98226 | 2018-10-26 |
| 1508342759 | Lydia Place A Nonprofit Corporation | Counselor | 1430 North Garden Street, Bellingham, WA 98226 | 2018-07-11 |
| 1609384486 | Lindsay Grace Davis | Massage Therapist | 1572 Huntley Rd, Bellingham, WA 98226 | 2018-01-16 |
| 1760900765 | Melissa Peters | Massage Therapist | 823 W Larson Rd, Bellingham, WA 98226 | 2017-08-30 |
| 1245754001 | Amber Michelle Wilson | Physical Therapy Assistant | 4860 Cordata Pkwy, North Cascades Health and Rehab, Bellingham, WA 98226 | 2017-08-02 |
| 1063935310 | Sophie Elizabeth Kangas | Speech-Language Pathologist | 4152 Meridian Street, Suite 105, Pmb 159, Bellingham, WA 98226 | 2017-07-19 |
| 1639607849 | Sharon Lynn Katz-kunde | Physical Therapist | 317 E Mcleod Rd #101, Bellingham, WA 98226 | 2017-06-01 |
| 1376998179 | Hyowon Choi | Podiatrist | 2075 Barkley Blvd Ste 220, Bellingham, WA 98226 | 2016-04-28 |
| Find all providers in zip 98226 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215179502 | Corinne Marie Hecht | Dermatology | 4465 Cordata Pkwy Ste B, Bellingham, WA 98226 | 2009-04-01 |
| 1023293792 | Elizabeth M. Vennos, Md | Dermatology | 2075 Barkley Blvd Ste 230, Bellingham, WA 98226-6697 | 2007-12-31 |
| 1215028527 | Richard Lynn Gardner | Dermatology | 3614 Meridian Ste 200, Bellingham, WA 98225 | 2006-09-28 |
| 1922103332 | Elizabeth Katrina Ross | Dermatology | 3614 Meridian, Ste 200, Bellingham, WA 98225 | 2006-09-13 |
| 1053428490 | Jan Peter Dank | Dermatology | 905 Squalicum Way, Suite 101, Bellingham, WA 98225-2076 | 2006-08-23 |
| 1801892260 | Mark J. Doherty | Dermatology | 1151 Ellis St Ste 202, Bellingham, WA 98225-5203 | 2005-06-21 |
| 1255728887 | Birch Bay Dermatology P.s. | Dermatology | 4540 Cordata Pkwy, Ste 101, Bellingham, WA 98226-8059 | 2015-04-21 |
| 1528180015 | Thomas J. Langei | Dermatology | 3105 Old Fairhaven Pkwy, Suite 101, Bellingham, WA 98225 | 2007-04-04 |
| 1366519621 | Richard C Steinberg | Dermatology | 4465 Cordata Pkwy, Bellingham, WA 98226-8037 | 2006-11-29 |
| 1497826424 | Nizar R. Makan | Dermatology | 4465 Cordata Pkwy, Bellingham, WA 98226-8037 | 2006-11-13 |
| Find all providers in BELLINGHAM | ||||
| City | BELLINGHAM |
| Zip Code | 98226 |
Please comment or provide details below to improve the information on MS. SUSAN MARGARET KALLAL.
| 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.