NEON CORPUZ (NPI# 1487066130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487066130 |
Entity Type | Individual |
Full Name | NEON CORPUZ |
Credential | PA |
Practice Address |
4932 163rd Pl Se Bellevue WA 98006-4733 |
Practice Telephone | 2063722566 |
Practice Fax Number | 4256442462 |
Mailing Telephone | 2063722566 |
Mailing Fax Number | 4256442462 |
Enumeration Date | 2014-05-29 |
Last Update Date | 2014-05-29 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA10001330 | WA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
4932 163RD PL SE |
City | BELLEVUE |
State | WA |
Zip Code | 98006-4733 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346638152 | Natividad Alviz Corpuz | Registered Nurse | 4932 163rd Pl Se, Bellevue, WA 98006-4733 | 2014-12-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033602628 | Junmei Jin | Acupuncturist | 4317 Factoria Blvd Se Ste C, Bellevue, WA 98006 | 2018-06-08 |
1144733106 | Justin J Ho | Physical Therapist | 12917 Se 38th St Ste 208, Bellevue, WA 98006 | 2017-11-13 |
1932507191 | & Foot Specialists of Puget Sound, Ps | Podiatrist | 4140 Factoria Blvd Se Suite 1b, Bellevue, WA 98006 | 2014-12-19 |
1437556347 | Hilla Asadi | Naturopath | 12600 Se 38th St. #130, Bellevue, WA 98006 | 2014-11-21 |
1023433141 | Lori Anne Price | Speech-Language Pathologist | 12 Lummi Key, Bellevue, WA 98006 | 2014-02-26 |
1841628344 | Cohen, Manavi & Pakrvan Inc | Dentist | 3630a Factoria Blvd Se, Bellevue, WA 98006 | 2013-10-17 |
1740617836 | Kathleen L Carter | Massage Therapist | 5446 119th Ave Se #d, Bellevue, WA 98006 | 2013-10-03 |
1790037547 | Mellissa Ann Ilgen | Dentist | 4100 Factoria Blvd. Se, Suite C, Bellevue, WA 98006 | 2012-10-03 |
1982994364 | Hero House | Community/Behavioral Health | 12838 Se 40th Pl, Bellevue, WA 98006 | 2011-04-19 |
1356657738 | Lilia Schastlivaya | Massage Therapist | 13210 Se Newport Way, K201, Bellevue, WA 98006 | 2010-08-24 |
Find all providers in zip 98006 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558601450 | Shannon Nicole Buster | Physician Assistant | 3503 Samson Way Ste 108, Bellevue, NE 68123-4303 | 2013-03-01 |
1407124407 | Natalya Vlaskin | Physician Assistant | 3900 Factoria Blvd Se Ste A, Bellevue, WA 98006-1234 | 2011-12-05 |
1831230911 | Nancy L Clark | Physician Assistant | 13033 Bellevue Redmond Rd, #110, Bellevue, WA 98005-2633 | 2007-02-09 |
1649326273 | Gary N Wellman | Physician Assistant | 301 116th Ave Se Ste 105, Suite #250, Bellevue, WA 98004-6482 | 2007-01-26 |
1164503314 | Bryna Dunaway Mccollum | Physician Assistant | 13231 Se 36th St Ste 110, Bellevue, WA 98006-7321 | 2006-10-17 |
1689201113 | Brenna Nicole Carlson | Physician Assistant | 2510 Bellevue Medical Center Dr Ste 145a, Bellevue, NE 68123-1556 | 2020-03-25 |
1356871404 | Nicole B Bazar | Physician Assistant | 11511 Ne 10th St, Bellevue, WA 98004-8578 | 2017-06-12 |
1861840332 | Miguel A Escalera | Physician Assistant | 1427 116th Ave Ne, Bellevue, WA 98004-3807 | 2016-05-25 |
1538516927 | Rachel I Drayer | Physician Assistant | 11511 Ne 10th St, Bellevue, WA 98004 | 2016-05-16 |
1962838516 | Jana Soltero | Physician Assistant | 10400 Ne 4th St Ste 2250, Bellevue, WA 98004-5186 | 2013-09-15 |
Find all providers in BELLEVUE |
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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.