DR. EVELYN LEECHAWENGWONGS (NPI# 1538364450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538364450 |
| Entity Type | Individual |
| Full Name | DR. EVELYN LEECHAWENGWONGS |
| Credential | M.D. |
| Practice Address |
16821 Se Mcgillivray Blvd Suite 110 Vancouver WA 98683-0499 |
| Practice Telephone | 3605671773 |
| Practice Fax Number | 3605671967 |
| Mailing Telephone | 3605671773 |
| Mailing Fax Number | 3605671967 |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2012-09-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | MD60279701 | WA | Allopathic & Osteopathic Physicians |
| N | 207RA0201X |
Internal Medicine Specialization: Allergy & Immunology |
MD157966 | OR | Allopathic & Osteopathic Physicians |
| N | 207RA0201X |
Internal Medicine Specialization: Allergy & Immunology |
N7557 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
16821 SE MCGILLIVRAY BLVD SUITE 110 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98683-0499 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114008737 | Advanced Medical Imaging Center LLC | Radiology | 16821 Se Mcgillivray Blvd, Vancouver, WA 98683-0499 | 2006-10-18 |
| 1275983355 | Northwest Pain Relief Centers, LLC | Clinic/Center | 16821 Se Mcgillivray Blvd, Suite 204, Vancouver, WA 98683-0499 | 2016-06-20 |
| 1780068528 | Seattle Pain Center | Anesthesiology | 16821 Se Mcgillivray Blvd, Ste 110, Vancouver, WA 98683-0499 | 2015-07-10 |
| 1447640347 | Vancouver Chiropractic Group | Physician Assistant | 16821 Se Mcgillivray Blvd, Suite 204, Vancouver, WA 98683-0499 | 2015-01-29 |
| 1437411667 | Vancouver Medical Group Pllc | Chiropractor | 16821 Se Mcgillivray Blvd, Ste 204, Vancouver, WA 98683-0499 | 2012-06-13 |
| 1932436086 | Emily Schrock Forsyth | Physician Assistant | 16821 Se Mcgillivray Blvd, Ste 110, Vancouver, WA 98683-0499 | 2009-11-11 |
| 1396993556 | Alberto Rodriguez | Physician Assistant | 16821 Se Mcgillivray Blvd, Vancouver, WA 98683-0499 | 2008-08-29 |
| 1255598918 | Thomas Earl Kessinger | Chiropractor | 16821 Se Mcgillivray Blvd, Suite 204, Vancouver, WA 98683-0499 | 2008-05-20 |
| 1578640116 | Carolyn R Comer | Allergy & Immunology | 16821 Se Mcgillivray Blvd, Suite 110, Vancouver, WA 98683-0499 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235761222 | Nathaniel James Eugene Powell | Behavior Technician | 4101se 192nd Ave, Ste 101, Vancouver, WA 98683 | 2020-02-07 |
| 1295294973 | Ubmhc1, LLC | Clinical Medical Laboratory | 18110 Southeast 34th St, Building 2, Suite 240, Vancouver, WA 98683 | 2019-03-13 |
| 1982116695 | Amy K Adams | Massage Therapist | 2716 Se 169th Ave, X-232, Vancouver, WA 98683 | 2017-11-03 |
| 1477088920 | Alexandra Ransonet | Dental Hygienist | 19111 Se 34th. St., Vancouver, WA 98683 | 2017-04-21 |
| 1639618630 | Digestive Gi Care | Internal Medicine | 305 Sw Chkalov Dr, 111-140, Vancouver, WA 98683 | 2017-02-23 |
| 1447706742 | Jennifer Horst | Massage Therapist | 3401 Se 192nd. Ave. Suite 107, Vancouver, WA 98683 | 2016-08-28 |
| 1154702728 | Kacie Marie Hamreus | Physician Assistant | 3101 Se 192nd Avenue, Vancouver, WA 98683 | 2015-06-09 |
| 1851782338 | Kathryn Wiedeman | Physical Therapy Assistant | 801 Se Park Crestt Ave, Vancouver, WA 98683 | 2015-02-05 |
| 1407255326 | Jesse Ryan Moses | Dentist | 16600 Se 15th Street, Suite A, Vancouver, WA 98683 | 2014-08-15 |
| 1366869893 | Stephen J Wold II | Podiatrist | 16701 Ne Mcgillivray Blvd, Ste 220, Vancouver, WA 98683 | 2014-03-21 |
| Find all providers in zip 98683 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912048745 | Allergy & Asthma Center of Sw Washington LLC | Allergy & Immunology | 1406 Se 164th Ave Ste 250, Vancouver, WA 98683-9663 | 2007-02-12 |
| 1740366913 | George S Allen | Allergy & Immunology | 8506 E Mill Plain Blvd, Suite A, Vancouver, WA 98664-2011 | 2006-10-31 |
| 1710973839 | Sanjeev Jain | Allergy & Immunology | 1406 Se 164th Ave, Suite 250, Vancouver, WA 98683-9663 | 2005-09-23 |
| 1023013984 | John A Kazmierowski | Allergy & Immunology | 2415 Ne 134th St Ste 107, Vancouver, WA 98686-3031 | 2005-06-16 |
| 1043537426 | Carrie Nicole Caruthers | Allergy & Immunology | 2525 Ne 139th St, Suite 210, Vancouver, WA 98686 | 2010-04-26 |
| 1245409531 | Sally Ann Newbrough | Allergy & Immunology | 1115 Se 164th Ave, Dept. 364, Vancouver, WA 98683-9324 | 2008-02-21 |
| 1043439730 | Gregory Owens Jr. | Allergy & Immunology | 2525 Ne 139th St, Suite 210, Vancouver, WA 98686-2719 | 2007-04-24 |
| 1578640116 | Carolyn R Comer | Allergy & Immunology | 16821 Se Mcgillivray Blvd, Suite 110, Vancouver, WA 98683-0499 | 2006-11-01 |
| 1396841169 | Renganathan Srinivasan | Allergy & Immunology | 2525 Ne 139th St, Vancouver, WA 98686-2719 | 2006-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306265483 | Rayna Doll | Allergy & Immunology | 508 W 6th Ave Ste 700, Spokane, WA 99204-2730 | 2014-04-15 |
| 1902168107 | Andrew R Parker | Allergy & Immunology | 3015 Squalicum Pkwy Ste 180, Bellingham, WA 98225-1946 | 2012-06-13 |
| 1548571284 | Jennifer Ann Regan | Allergy & Immunology | 1740 Nw Maple St Ste 211, Issaquah, WA 98027-8127 | 2010-06-28 |
| 1144547662 | John Sherman Hardy Jr. | Allergy & Immunology | 7153 Seawitch Ln Nw, Seabeck, WA 98380-9593 | 2010-04-23 |
| 1841429743 | Advanced Allergy and Asthma, Pllc | Allergy & Immunology | 2430 Nw Myhre Rd Ste 101, Silverdale, WA 98383-7669 | 2009-07-13 |
| 1104081314 | Ronald L. Case | Allergy & Immunology | 4705 8th Avenue N.e., Lacey, WA 98516-6301 | 2008-07-28 |
| 1033234075 | Yakima Allergy & Longevity Clinic | Allergy & Immunology | 302 S 12th Ave, Yakima, WA 98902 | 2007-03-20 |
| 1255406617 | Northwest Asthma & Allergy Center | Allergy & Immunology | 1801 E Division St, Mount Vernon, WA 98274-4632 | 2006-11-21 |
| 1063581775 | Terance R Kordash | Allergy & Immunology | 6312 E Jamieson Rd, Spokane, WA 99223 | 2006-11-07 |
| 1053401661 | Atoosa Kourosh | Allergy & Immunology | 4426 Burke Ave N, Seattle, WA 98103-7536 | 2006-10-13 |
| 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.