CRYSTAL BAE (NPI# 1447789573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447789573 |
| Entity Type | Individual |
| Full Name | CRYSTAL BAE |
| Practice Address |
14701 179th Ave Se Monroe WA 98272-1108 |
| Practice Telephone | 3607947497 |
| Mailing Telephone | 3607947497 |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2020-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | MD61049632 | WA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | PA | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1316 W. Ontario Street, Temple University Hospital, 10th Floor, Jones Hall, Philadelphia, PA 19140 | 2157077550 |
| Street Address |
14701 179TH AVE SE |
| City | MONROE |
| State | WA |
| Zip Code | 98272-1108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104828813 | Michael E Dorney | Internal Medicine | 14701 179th Ave Se, Monroe, WA 98272-1108 | 2005-08-12 |
| 1811500887 | Jennifer J Walters | Registered Nurse | 14701 179th Ave Se, Monroe, WA 98272-1108 | 2020-08-28 |
| 1912539099 | Xin Wu | Nurse Practitioner | 14701 179th Ave Se, Monroe, WA 98272-1108 | 2020-02-06 |
| 1336786649 | Lauren Keanna Jensen | Registered Nurse | 14701 179th Ave Se, Monroe, WA 98272-1108 | 2019-12-05 |
| 1578129136 | Yoko Louise Criner | Occupational Therapist | 14701 179th Ave Se, Monroe, WA 98272-1108 | 2019-05-18 |
| 1770147431 | Kari Riedman | Dietitian, Registered | 14701 179th Ave Se, Monroe, WA 98272-1108 | 2019-04-29 |
| 1215498795 | Walter Fasch | Pharmacist | 14701 179th Ave Se, Monroe, WA 98272-1108 | 2019-03-27 |
| 1356834386 | Sarah Katherine Megahee | Physical Therapist | 14701 179th Ave Se, Monroe, WA 98272 | 2018-06-13 |
| 1629529599 | Sei-jung Lee | Pharmacist | 14701 179th Ave Se, Monroe, WA 98272-1108 | 2016-10-17 |
| 1528417318 | Jane Betzer | Dietitian, Registered | 14701 179th Ave Se, Monroe, WA 98272 | 2016-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710346135 | Kiran Agarwal | Internal Medicine | 17707 W Main St Fl 1, Monroe, WA 98272 | 2016-02-12 |
| 1982073136 | Rochelle Conway Toulouse | Behavioral Analyst | 642 North Street, Monroe, WA 98272 | 2015-09-17 |
| 1740658467 | Casey Jane Bahr | Social Worker | Casey Bahr, C.o. Tru- Sotap, 16550 177th Ave Se, Monroe, WA 98272 | 2015-09-11 |
| 1811395049 | Gianna M Rosewood | Massage Therapist | 101 East Main Street Set 201, Monroe, WA 98272 | 2014-12-22 |
| 1528478609 | Puget Sound Kidney Centers | Clinic/Center | 18121 149th Street Se, Monroe, WA 98272 | 2014-04-29 |
| 1215356878 | Sabiha K Barot | Emergency Medicine | Evergreenhealth Monroe, 14701 179th Ave. Se, Monroe, WA 98272 | 2014-04-10 |
| 1346677986 | Irina Emily Goldstein | Pharmacist | 179th Ave Se, Monroe, WA 98272 | 2013-09-27 |
| 1740612449 | Erik Michael Erxleben | Massage Therapist | 211 West Hill St., Monroe, WA 98272 | 2013-08-05 |
| 1780023796 | Jamie Marlo Selbe | Counselor | 16560 167th St Se, Monroe, WA 98272 | 2013-06-24 |
| 1942644620 | Robin Fenn | Counselor | 14841 179th Ave Se, St 230, Neary Naturopathic Clinic, Monroe, WA 98272 | 2013-04-24 |
| Find all providers in zip 98272 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790161396 | Medexpress Urgent Care, PC - Michigan | Emergency Medicine | 1261 N Telegraph Rd, Monroe, MI 48162-3368 | 2015-08-05 |
| 1497169171 | Leyda Hu | Emergency Medicine | 927 N Macomb St Apt 6c, Monroe, MI 48162-3069 | 2014-06-20 |
| 1215356878 | Sabiha K Barot | Emergency Medicine | Evergreenhealth Monroe, 14701 179th Ave. Se, Monroe, WA 98272 | 2014-04-10 |
| 1083995468 | Five Star Medical Care Pllc | Emergency Medicine | 5 Carter Ln, Unit#111, Monroe, NY 10950-6230 | 2011-08-30 |
| 1134448756 | Carl Christopher Musgrove | Emergency Medicine | 3721 Tilford Cir, Monroe, LA 71201-2067 | 2010-05-21 |
| 1427281013 | James S Chan | Emergency Medicine | 262 N Man St Advantage Care Na LLC Dba Monroe Urgent Ca, Monroe, OH 45050 | 2009-08-28 |
| 1619062163 | Daniel Alec Heinen | Emergency Medicine | 718 N. Macomb Street, Monroe, MI 48162 | 2006-10-03 |
| 1790728228 | Norman Boyd Williams | Emergency Medicine | 2408 Broadmoor Blvd, Suite B, Monroe, LA 71201-2994 | 2006-06-13 |
| 1467491795 | Richard Arriviello Jr. | Emergency Medicine | 3007 Wesley Chapel Stouts Rd Ste B, Monroe, NC 28110-4008 | 2006-06-05 |
| 1700824711 | Lee Feierabend | Emergency Medicine | 1007 Hilton St, Monroe, LA 71201-4317 | 2006-06-02 |
| Find all providers in MONROE | ||||
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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.