JAN SUNDE (NPI# 1558422683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558422683 |
| Entity Type | Individual |
| Full Name | JAN SUNDE |
| Credential | MD |
| Practice Address |
1003 S 5th St Tacoma WA 98405-4210 |
| Practice Telephone | 2534031677 |
| Mailing Telephone | 2534031677 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2012-03-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
MD00029565 | WA | Allopathic & Osteopathic Physicians |
| Street Address |
1003 S 5TH ST |
| City | TACOMA |
| State | WA |
| Zip Code | 98405-4210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720079965 | Umesh A Chitaley | Internal Medicine | 1003 S 5th St, Tacoma, WA 98405-4210 | 2005-11-04 |
| 1265057608 | Brynna Nguyenton | Genetic Counselor, MS | 1003 S 5th St, Tacoma, WA 98405-4210 | 2020-06-11 |
| 1467917831 | Regina Morgan Steele | Nurse Practitioner | 1003 S 5th St, Tacoma, WA 98405-4210 | 2019-02-09 |
| 1497249932 | Jaycee Wong | Obstetrics & Gynecology | 1003 S 5th St, Tacoma, WA 98405-4210 | 2018-06-19 |
| 1255843041 | Genevieve Nicole Canning St-martin | Genetic Counselor, MS | 1003 S 5th St, Tacoma, WA 98405-4210 | 2017-11-02 |
| 1649637042 | Patrick James-emmett Linggi | Pharmacist | 1003 S 5th St, Tacoma, WA 98405-4210 | 2016-01-15 |
| 1407291230 | Nehal Masood | Internal Medicine | 1003 S 5th St, 4th Floor, Tacoma, WA 98405-4210 | 2013-05-07 |
| 1801093513 | Vijaya Lakshmi Galic | Obstetrics & Gynecology | 1003 S 5th St, 4th Floor, Tacoma, WA 98405-4210 | 2007-06-27 |
| 1821141524 | Justine M Bucknam | Nurse Practitioner | 1003 S 5th St, 3l, Tacoma, WA 98405-4210 | 2007-01-18 |
| 1275692261 | Jasmine T Daniels | Internal Medicine | 1003 S 5th St, 3l, Tacoma, WA 98405-4210 | 2006-12-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609486026 | Joanna Christine Hope | Physician Assistant | 2502 S Union Avenue, Tacoma, WA 98405 | 2020-08-01 |
| 1467077891 | Richard Jimenez | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 | 2020-06-11 |
| 1669008785 | Mariana Sanchez Corona | Behavior Technician | 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 | 2020-03-20 |
| 1811534845 | Jasmine Gregory | Social Worker | 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 | 2019-12-10 |
| 1548807506 | Holly Rebecca Brezynski | Student in an Organized Health Care Education/Training Program | Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 | 2019-12-09 |
| 1972064392 | Logan Brau | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way, Tacoma, WA 98405 | 2019-03-28 |
| 1629532536 | Preferred Orthotic and Prosthetic Services Inc | Prosthetic/Orthotic Supplier | 1708 Yakima Ave Ste 60, Tacoma, WA 98405 | 2019-01-24 |
| 1669945911 | Heidi Weakley | Counselor | 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 | 2019-01-09 |
| 1972074011 | Taviance Benet Laster | Behavior Technician | 1416 S 9th St, Tacoma, WA 98405 | 2018-12-16 |
| 1336618040 | Bailey Bangerter | Physician Assistant | 1901 South Union, A-233, Tacoma, WA 98405 | 2018-11-26 |
| Find all providers in zip 98405 | ||||
| Taxonomy Code | 207VX0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecologic Oncology |
| An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497249932 | Jaycee Wong | Obstetrics & Gynecology | 1003 S 5th St, Tacoma, WA 98405-4210 | 2018-06-19 |
| 1528303336 | Christopher Michael Tarney | Obstetrics & Gynecology | 9040 Jackson Ave, Tacoma, WA 98431-7075 | 2012-12-05 |
| 1750529244 | Franciscan Medical Group | Obstetrics & Gynecology | 1624 S I St, Tacoma, WA 98405-5016 | 2009-01-22 |
| 1831224369 | Michelle F Benoit | Obstetrics & Gynecology | 1624 S I St, Suite #305, Tacoma, WA 98405-5016 | 2007-02-23 |
| 1497845770 | Roger B Lee | Obstetrics & Gynecology | 314 Martin Luther King Jr Way, Suite 201, Tacoma, WA 98405-4250 | 2006-10-15 |
| 1740377530 | Wafic A. Massry | Obstetrics & Gynecology | 1003 S 5th St, Tacoma, WA 98405 | 2006-10-05 |
| 1447281605 | Bahman Saffari | Obstetrics & Gynecology | 1624 S I St, Ste 402, Tacoma, WA 98405-5016 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750520516 | Providence Health & Services Wa | Obstetrics & Gynecology | 1717 13th Street, Suite 300, Everett, WA 98201-1621 | 2009-02-18 |
| 1619992724 | Amy Elizabeth Bondurant | Obstetrics & Gynecology | 1101 Madison St Ste 1500, Seattle, WA 98104-3551 | 2006-07-12 |
| 1235192584 | Michael Allan Bidus | Obstetrics & Gynecology | 11511 Canterwood Blvd Nw Ste 100, Gig Harbor, WA 98332 | 2006-04-08 |
| 1902892987 | Melanie Kim Bergman | Obstetrics & Gynecology | 101 W 8th Ave Ste 1400, Spokane, WA 99204-2307 | 2005-09-23 |
| 1982947149 | Deirdre Knobeloch | Obstetrics & Gynecology | 1560 N 115th St Ste 101, Seattle, WA 98133 | 2013-04-05 |
| 1508028788 | Kemi Morenikeji Doll | Obstetrics & Gynecology | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2008-06-27 |
| 1093999740 | Renata Rose Urban | Obstetrics & Gynecology | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2007-12-18 |
| 1871773226 | Gynecology Cancer Clinic Tr | Obstetrics & Gynecology | 1560 N 115th St, Suite 101, Seattle, WA 98133-8414 | 2007-11-13 |
| 1730389057 | John B Liao | Obstetrics & Gynecology | 825 Eastlake Ave E, Seattle, WA 98109-4405 | 2007-07-24 |
| 1205916103 | Hisham K Tamimi | Obstetrics & Gynecology | Seattle Cancer Care Alliance, 825 Eastlake Avenue East, Seattle, WA 98109 | 2006-10-16 |
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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.