DR. KRISSTINA LORRAINE GOWIN (NPI# 1477845089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477845089 |
| Entity Type | Individual |
| Full Name | DR. KRISSTINA LORRAINE GOWIN |
| Credential | D.O. |
| Practice Address |
3700 Pacific Hwy E Suite 100 Fife WA 98424-1148 |
| Practice Telephone | 2533826300 |
| Mailing Telephone | 2533826300 |
| Enumeration Date | 2011-05-15 |
| Last Update Date | 2016-12-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 20A11576 | CA | Allopathic & Osteopathic Physicians |
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
5853 | AZ | Allopathic & Osteopathic Physicians |
| N | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
AZ005853 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | RR MEDICARE | P01176255 | 01 |
| AZ | 716662 | 05 |
| Street Address |
3700 PACIFIC HWY E SUITE 100 |
| City | FIFE |
| State | WA |
| Zip Code | 98424-1148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053307926 | Shawna Olson Smith | Registered Nurse | 3700 Pacific Hwy E, Suite 100, Fife, WA 98424-1148 | 2005-09-26 |
| 1386010148 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 3700 Pacific Hwy E, Ste 1001, Fife, WA 98424-1160 | 2015-08-17 |
| 1457740359 | Salish Integrative Medicine, Inc | Naturopath | 3700 Pacific Hwy E, Suite 100, Fife, WA 98424-1148 | 2015-01-15 |
| 1053730580 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 3700 Pacific Hwy E, Suite 100, Fife, WA 98424-1160 | 2014-04-11 |
| 1538483037 | Sunara H Sotelo | Acupuncturist | 3700 Pacific Hwy E, Suite 100, Fife, WA 98424-1148 | 2010-03-26 |
| 1083703664 | Paul Edward Reilly | Acupuncturist | 3700 Pacific Hwy E, Suite 100, Fife, WA 98424-1148 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619447265 | Rachael E Vosika | Peer Specialist | 4210 20th St E Suite B&c, Fife, WA 98424 | 2018-11-27 |
| 1477023026 | Julie Ann Sawyer | Registered Nurse | 2150 Freeman Road East Ste 1, Fife, WA 98424 | 2018-11-27 |
| 1831668409 | Dorothy J Pierce | Counselor | 4210 20th St E Ste C, Fife, WA 98424 | 2018-11-13 |
| 1730606328 | Caitlin Anne Gallup | Specialist/Technologist | 4703 Pacific Hwy E Ste B, Fife, WA 98424 | 2017-08-24 |
| 1497121420 | Lane Whitaker Valentine | Massage Therapist | 6523 20th St E #4, Fife, WA 98424 | 2015-08-13 |
| 1609250646 | Enna Alexandra Codekas | Speech-Language Pathologist | 535 Dock Street, Suite 104, Tacoma, WA 98424 | 2015-07-18 |
| 1457608002 | Timothy Edward Day | Pharmacist | 522 64th Avenue Ct E, Fife, WA 98424 | 2012-08-13 |
| 1861768400 | Ryan Milo Glover | Pharmacist | 3700 Pacific Highway East, Suite 100, Fife, WA 98424 | 2012-03-28 |
| 1962794719 | Hongbunareth Hirata | Massage Therapist | 6329 Discovery St E, Fife, WA 98424 | 2011-05-12 |
| 1811155930 | Mvp Physical Therapy, Inc. | Massage Therapist | 502 54th Ave. E., Fife, WA 98424 | 2008-05-27 |
| Find all providers in zip 98424 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477150969 | John Michael Pesando | Internal Medicine | 1066 East Blaine Street, Seattle, WA 98102-4260 | 2020-10-07 |
| 1265944003 | Langdon Leforrest Miller | Internal Medicine | 3057 Perkins Ln W, Seattle, WA 98199-2418 | 2017-11-02 |
| 1306214168 | Alvaro Perona Blazquez | Internal Medicine | 5049 38th Ave Ne, Seattle, WA 98105-3022 | 2015-09-10 |
| 1013318245 | Vivien R V B Santos | Internal Medicine | 5049 38th Avenue Ne, Seattle, WA 98105 | 2014-09-08 |
| 1154663581 | Victor Alexander Chow | Internal Medicine | 1100 Fairview Ave N # D5-390, Seattle, WA 98109-4433 | 2013-03-24 |
| 1508150111 | Robert Eugene Burdick | Internal Medicine | 2201 39th Ave E, Seattle, WA 98112-2401 | 2011-06-01 |
| 1962701110 | Toni Kay Roberts | Internal Medicine | 2720 Clare Ave Ste A, Bremerton, WA 98310-3374 | 2011-03-26 |
| 1124334792 | Wayne Russell Godfrey | Internal Medicine | 410 W Harrison St, Suite 100, Seattle, WA 98119-4033 | 2010-08-20 |
| 1407173826 | Joshua Robert Veatch | Internal Medicine | 1100 Fairview Ave N # D5-100, Seattle, WA 98109-4433 | 2010-04-24 |
| 1346562816 | Song Zhao | Internal Medicine | 515 Minor Ave Fl 1, Seattle, WA 98104-2120 | 2010-02-24 |
| Find all providers with the same taxonomy | ||||
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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.