DR. EDWARD GREGORY DEVITA


Address: 205 15th Ave Sw, Suite C, Puyallup, WA 98371-7873
Phone: 2538413077

DR. EDWARD GREGORY DEVITA (NPI# 1518069202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518069202
Entity Type Individual
Full Name DR. EDWARD GREGORY DEVITA
Credential M.D.
Practice Address 205 15th Ave Sw
Suite C
Puyallup
WA 98371-7873
Practice Telephone 2538413077
Practice Fax Number 2532760013
Mailing Telephone 2538413077
Mailing Fax Number 2532760013
Enumeration Date 2006-09-02
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist 0028694 WA Other Service Providers

Office Location

Street Address 205 15TH AVE SW
SUITE C
City PUYALLUP
State WA
Zip Code 98371-7873

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548215544 Franciscan Medical Group Neurological Surgery 205 15th Ave Sw, Ste D, Puyallup, WA 98371-7873 2006-05-24
1679012025 Karen J Fahey Md Pain Medicine 205 15th Ave Sw, Suite D, Puyallup, WA 98371-7873 2017-02-17
1053860635 Daffodil Valley Children's Therapy Occupational Therapist 205 15th Ave Sw, Suite B, Puyallup, WA 98371 2016-09-23
1710364880 The Massage and Bodywork Company LLC Preferred Provider Organization 205 15th Ave Sw, Suite C, Puyallup, WA 98371-7873 2015-04-28
1295168656 Neal Charles Buckner Respiratory Therapist, Certified 205 15th Ave Sw, Suite C, Puyallup, WA 98371-7873 2013-08-20
1497969042 Tawni L Miller Speech-Language Pathologist 205 15th Ave Sw, Puyallup, WA 98371-7873 2007-05-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588141550 Karen Lynn Sorensen Massage Therapist 922 Valley Ave Nw Suite 101, Puyallup, WA 98371 2018-07-23
1487140257 Bradley Dupea Specialist/Technologist 5702 44th St Se, Puyallup, WA 98371 2018-07-05
1740778695 Pedraum Heydari Dentist 109 N Meridian Suite A, Puyallup, WA 98371 2018-04-26
1487030359 Jennifer Block Dental Hygienist 601 4th Ave Sw, Puyallup, WA 98371 2015-08-03
1023423431 On Your Own Inc. Registered Nurse 1602 Peach Park Ln Nw, Puyallup, WA 98371 2014-06-24
1841614997 Enrique Somera Registered Nurse 1107 29th St Nw, Puyallup, WA 98371 2014-02-10
1033540893 Ching Ju Chuang Dentist 1002 N. Meridian, Suite 104a, Puyallup, WA 98371 2013-12-04
1104161876 Denise L. Vanaman Registered Nurse 214 W. Main, Puyallup, WA 98371 2012-12-06
1336491018 Tacoma School District Physical Therapy Assistant 1721 8th Ave. S.w., Puyallup, WA 98371 2012-10-05
1275882052 Robert Francis Saxton Health Educator 1121 W. Stewart, Puyallup, WA 98371 2012-09-07
Find all providers in zip 98371

Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124643978 Roxanne Grant-duell Specialist 12811 Canyon Rd E Ste D, Puyallup, WA 98373-6301 2020-06-08
1568903664 Lolita Arevalo Specialist 2535 S Meridian Apt W104, Puyallup, WA 98373-2735 2017-03-09
1578918207 Audra Sisak Specialist 7711 156th Street Ct E, Puyallup, WA 98375-7653 2016-05-02
1104286921 Karen Escudero Specialist 7503 144th St E, Puyallup, WA 98375-8269 2016-03-07
1346650967 Bethany Bevier Specialist 502 14th St Sw, Puyallup, WA 98371-5758 2014-05-05
1598106114 Susan Carol Richards Specialist 2717 E Main, Puyallup, WA 98372-3165 2013-07-11
1487931945 Dawn K. Hammer Specialist 105 W Main Ste A, Puyallup, WA 98371-5388 2011-11-12
1134412596 Jackie Marie Bennett Specialist 10508 123rd Street Ct E, Puyallup, WA 98374-2626 2011-05-18
1023336070 Whitney Lin Smith Specialist 8112 112th Street Ct E, Puyallup, WA 98373-7815 2010-05-13
1194057604 Ruth Keheley Burnett Specialist 818 39th Ave Sw Ste A, Puyallup, WA 98373-3308 2010-02-08
Find all providers in PUYALLUP

Competitor

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City PUYALLUP
Zip Code 98371

Improve Information

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Dataset Information

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.

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