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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | 0028694 | WA | Other Service Providers |
Street Address |
205 15TH AVE SW SUITE C |
City | PUYALLUP |
State | WA |
Zip Code | 98371-7873 |
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 |
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 Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
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. |
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 |
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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.