DR. MARY JEAN CUAYCONG (NPI# 1457681918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457681918 |
| Entity Type | Individual |
| Full Name | DR. MARY JEAN CUAYCONG |
| Credential | MD |
| Practice Address |
2321 W Dayton Airport Rd Shelton WA 98584-6319 |
| Practice Telephone | 3604264433 |
| Mailing Telephone | 3604264433 |
| Enumeration Date | 2010-01-06 |
| Last Update Date | 2010-01-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | MD00048231 | WA | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | MD00048231 | WA | Allopathic & Osteopathic Physicians |
| Street Address |
2321 W DAYTON AIRPORT RD |
| City | SHELTON |
| State | WA |
| Zip Code | 98584-6319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982667333 | Phoumy Bobby Bounkeua | Physician Assistant | 2321 W Dayton Airport Rd, Shelton, WA 98584-6319 | 2006-04-07 |
| 1760954960 | Kirk P Fowler | Counselor | 2321 W Dayton Airport Rd, Shelton, WA 98584-6319 | 2018-12-28 |
| 1841768645 | William Nathan Lewis | Counselor | 2321 W Dayton Airport Rd, Shelton, WA 98584-6319 | 2018-11-09 |
| 1447541834 | Washington Corrections Center | Clinic/Center | 2321 W Dayton Airport Rd, Shelton, WA 98584-6319 | 2011-04-20 |
| 1457666489 | Jane Ann Craig | Counselor | 2321 W Dayton Airport Rd, Shelton, WA 98584-6319 | 2010-08-14 |
| 1760700678 | Eric Larsen | Nurse Practitioner | 2321 W Dayton Airport Rd, Post Office Box 900, Shelton, WA 98584-6319 | 2010-05-17 |
| 1942530647 | Russell R. Amaru | Physician Assistant | 2321 W Dayton Airport Rd, Shelton, WA 98584-6319 | 2010-01-04 |
| 1396713806 | Randall Martyn Snow | Dentist | 2321 W Dayton Airport Rd, Shelton, WA 98584-6319 | 2006-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023627478 | Ashley Maria Elena Armstrong | Counselor | 307 W Cota St Shelton, Shelton, WA 98584 | 2020-07-30 |
| 1962011015 | Perry Philemon Little IIi | Dentist | 503 N 4th St, Shelton, WA 98584 | 2020-07-24 |
| 1588215271 | Rebecca Lynn Adams | Counselor | 601 West Franklin St, Shelton, WA 98584 | 2019-09-24 |
| 1366939670 | Robbie Chandler | Social Worker | 807 West Pine, Shelton, WA 98584 | 2018-04-23 |
| 1831603075 | Fir Lane Health-shelton,llc | Skilled Nursing Facility | 2430 North 13th St, Shelton, WA 98584 | 2017-11-27 |
| 1306361738 | Christine Lee Woods | Counselor | 58150 E. 66th Road, Miami, OK 98584 | 2017-08-07 |
| 1174063051 | Claudette V. Selkridge | Counselor | 1620 N. Olympic Hwy, Shelton, WA 98584 | 2017-02-27 |
| 1003278755 | Edward Charles Herman | Social Worker | 50 Se Bluff Loop Rd., Shelton, WA 98584 | 2016-03-22 |
| 1023497310 | Darren Cuevas | Family Medicine | 939 Mountain View Dr Ste 100, Shelton, WA 98584 | 2015-05-20 |
| 1639572977 | Thomas Vincent Phung Duffy | Dentist | 717 W. Railroad Ave., Shelton, WA 98584 | 2014-10-01 |
| Find all providers in zip 98584 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427133354 | John Farens | Internal Medicine | 224 Leavenworth Rd, Shelton, CT 06484-1809 | 2006-10-26 |
| 1811938533 | Bardia Asgari | Internal Medicine | 555 Bridgeport Ave, Shelton, CT 06484-4749 | 2006-06-10 |
| 1043215916 | Douglas Fletcher Lindahl | Internal Medicine | 901 Mountain View Dr, Shelton, WA 98584-4401 | 2005-06-16 |
| 1568824589 | Shaun Michael Najarian | Internal Medicine | 110 Commerce Dr, Shelton, CT 06484-6244 | 2016-03-29 |
| 1407262496 | Jimmy Ray Wesson Jr. | Internal Medicine | 237 Professional Way, Shelton, WA 98584-4404 | 2014-07-10 |
| 1992110621 | John A Farens M.d. PC | Internal Medicine | 224 Leavenworth Rd, Shelton, CT 06484-1881 | 2014-06-20 |
| 1033452073 | In Kyu Yoo | Internal Medicine | 237 Professional Way, Shelton, WA 98584-4404 | 2013-03-28 |
| 1740572338 | Princeton Longevity Medical Group of Connecticut LLC | Internal Medicine | 2 Corporate Dr, Shelton, CT 06484-6238 | 2011-05-14 |
| 1326238866 | Np Care, LLC | Internal Medicine | 6 Corporate Dr, Suite 420, Shelton, CT 06484-6270 | 2007-07-31 |
| 1467668178 | Robert Willig | Internal Medicine | 1 Far Mill Xing, Shelton, CT 06484-6121 | 2007-05-16 |
| Find all providers in SHELTON | ||||
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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.