MS. SUSAN MARGARET KALLAL


Address: 4540 Cordata Pkwy, Suite 101, Bellingham, WA 98226-8059
Phone: 3602555049

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 4540 CORDATA PKWY
SUITE 101
City BELLINGHAM
State WA
Zip Code 98226-8059

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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City BELLINGHAM
Zip Code 98226

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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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