MR. THOMAS MARVIN VINCENT (NPI# 1487683934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487683934 |
| Entity Type | Individual |
| Full Name | MR. THOMAS MARVIN VINCENT |
| Credential | PA-C |
| Practice Address |
4815 N Assembly St Spokane WA 99205-6185 |
| Practice Telephone | 5094347010 |
| Practice Fax Number | 5094347131 |
| Mailing Telephone | 5094347010 |
| Mailing Fax Number | 5094347131 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2016-10-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA10003468 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 805491500 | 05 | |
| WA | NCCPA CERTIFICATE # | 1019968 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417397076 | Thomas Blake Vincent | Family Medicine | 1253 Paris Rd # A, Mayfield, KY 42066-4989 | 2013-06-27 |
| 1881621639 | Thomas Henry Vincent II | Podiatrist | 620 W Tefft St, Nipomo, CA 93444-9187 | 2006-06-27 |
| 1518573039 | Thomas Vincent | Dentist | 8454 Highway 7, St Louis Park, MN 55426-3900 | 2020-09-21 |
| 1558576355 | Thomas A Vincent | Counselor | 359 Main St, Suite #4, Haverhill, MA 01830-4028 | 2007-05-14 |
| 1891835146 | Thomas A Vincent | Obstetrics & Gynecology | 7070 Samuel Morse Dr, Columbia, MD 21046-3424 | 2007-02-07 |
| Street Address |
4815 N ASSEMBLY ST |
| City | SPOKANE |
| State | WA |
| Zip Code | 99205-6185 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083611396 | Jeffrey John Emery | Family Medicine | 4815 N Assembly St, Spokane, WA 99205-6185 | 2005-06-30 |
| 1831798495 | Keri Ann Abbey | Dietitian, Registered | 4815 N Assembly St, Spokane, WA 99205-6185 | 2020-10-23 |
| 1104425479 | Virginia O Bice | Optometrist | 4815 N Assembly St, Spokane, WA 99205-6185 | 2020-10-19 |
| 1457965006 | Jennie Anne Chang | Pharmacist | 4815 N Assembly St, Spokane, WA 99205-6185 | 2020-09-01 |
| 1346850443 | Anthony Beck | Registered Nurse | 4815 N Assembly St, Spokane, WA 99205-6185 | 2020-08-04 |
| 1740899632 | Danne Jo Hudson | Family Medicine | 4815 N Assembly St, Spokane, WA 99205-6185 | 2020-07-27 |
| 1639790132 | Hannah Song | Optometrist | 4815 N Assembly St, Spokane, WA 99205-6185 | 2020-05-06 |
| 1093349482 | Julianne Baldwin | Dietitian, Registered | 4815 N Assembly St, Spokane, WA 99205-6185 | 2020-02-25 |
| 1134753643 | Susan Wardrop Ells | Dietitian, Registered | 4815 N Assembly St, Spokane, WA 99205-6185 | 2020-02-24 |
| 1265066708 | Lori A Ruckhaber | Dietitian, Registered | 4815 N Assembly St, Spokane, WA 99205-6185 | 2020-02-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275027740 | Jill Sanders | Behavior Technician | 1104 West Wellesley, Spokane, Wa, United States, Ste D, Spokane, WA 99205 | 2018-06-19 |
| 1265981997 | Lorraine Jeanette Diricco | Registered Nurse | 1717 W Francis Ave Ste 204, Spokane, WA 99205 | 2016-09-22 |
| 1992156749 | Dane Sultzer | Optometrist | 1123 W Fairview Ave, Spokane, WA 99205 | 2016-06-23 |
| 1770975864 | Trevor George | Naturopath | 3710 N Monroe, Spokane, WA 99205 | 2015-02-26 |
| 1003246661 | Rita Y Flanagan | Psychologist | 4815 N Assembly St, Room B256, Spokane Va Medical Center, Spokane, WA 99205 | 2013-11-19 |
| 1649616277 | Mary Anyango Okello | Nurse's Aide | 3614 W. Wellesley Ave, Spokane, WA 99205 | 2013-05-22 |
| 1710242367 | Amy Clement | Dentist | 4815 N Assembly St., Spokane, WA 99205 | 2012-07-10 |
| 1114202082 | Teresa J Stella | Pharmacist | 3919 N. Maple St., Spokane, WA 99205 | 2011-10-11 |
| 1184905218 | James Anthony Carnell | Dentist | 4610 N. Ash St., (suite 204), Spokane, WA 99205 | 2011-09-02 |
| 1508150632 | Jennifer Leigh Knuston | Social Worker | 207 W Nora Ave, Spokane, WA 99205 | 2011-06-06 |
| Find all providers in zip 99205 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104273648 | Grant Bursell | Physician Assistant | 5316 E Sumac Ln, Spokane, WA 99223-5090 | 2016-05-14 |
| 1881093904 | Jacob Gott | Physician Assistant | 122 W 7th Ave Ste 420, Spokane, WA 99204-2330 | 2014-08-14 |
| 1235215856 | Kurt D Fullmer | Physician Assistant | 406 E Rowan Ave, Suite200, Spokane, WA 99207-1243 | 2006-10-27 |
| 1689782740 | Lori Tschetter | Physician Assistant | 42 E Rowan Ave Ste A, Spokane, WA 99207-1212 | 2006-08-29 |
| 1316973498 | Daniel Ray Keele | Physician Assistant | 4815nwassembly, Spokane, WA 99205 | 2006-06-23 |
| 1386606093 | Kathleen Elizabeth Moudy | Physician Assistant | 9911 N Nevada St, Spokane, WA 99218-1298 | 2006-04-06 |
| 1750359154 | Terri J Roark | Physician Assistant | 911 W 5th Avenue, Spokane, WA 99204 | 2006-03-10 |
| 1942289392 | Mara Lea Geffken | Physician Assistant | 605 E Holland, Suite 218, Spokane, WA 99218-1246 | 2006-01-13 |
| 1285611665 | Amy M Gregg | Physician Assistant | 105 W 8th, Spokane, WA 99204-2304 | 2005-12-28 |
| 1215913850 | Marc A. Hawkins | Physician Assistant | 310 N Riverpoint Blvd Health Science Bldg #280-j, University of Washington Medex Nw Pa Program, Spokane, WA 99202 | 2005-12-15 |
| Find all providers in SPOKANE | ||||
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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.