DIETRICH KONRAD KLINGHARDT (NPI# 1568661577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568661577 |
| Entity Type | Individual |
| Full Name | DIETRICH KONRAD KLINGHARDT |
| Credential | MD |
| Practice Address |
11656 98th Ave Ne Kirkland WA 98034-4216 |
| Practice Telephone | 4258238818 |
| Practice Fax Number | 4258238817 |
| Mailing Telephone | 4258238818 |
| Mailing Fax Number | 4258238817 |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2007-07-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | MD00022065 | WA | Allopathic & Osteopathic Physicians |
| Street Address |
11656 98TH AVE NE |
| City | KIRKLAND |
| State | WA |
| Zip Code | 98034-4216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780740142 | Michael C. Taggart | Chiropractor | 11656 98th Ave Ne, Ste B, Kirkland, WA 98034-4216 | 2006-12-29 |
| 1801418132 | Bahareh Tarassoli | Naturopath | 11656 98th Ave Ne, Kirkland, WA 98034-4216 | 2020-05-08 |
| 1548607450 | Alan Itkin Pllc | Physician Assistant | 11656 98th Ave Ne, Kirkland, WA 98034-4216 | 2013-05-31 |
| 1780866772 | Nazanin Kimiai | Naturopath | 11656 98th Ave Ne, Kirkland, WA 98034-4216 | 2007-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578116596 | Rachel Bowers | Behavior Technician | 1335 Northeast 122nd Way, Suite 105, Kirkland, WA 98034 | 2019-07-18 |
| 1740841048 | Kristina Louise Inghram | Behavior Technician | 11415 Ne 128th St., Suite 40, Kirkland, WA 98034 | 2019-06-26 |
| 1053978064 | Matthew A. Bagnulo, Dds, Ps | Dentist | 11830 Ne 128th St., #202, Kirkland, WA 98034 | 2019-05-24 |
| 1629568928 | Stephanie Michalko | Optometrist | 11800 Ne 128th St Ste 110, Kirkland, WA 98034 | 2018-05-14 |
| 1952800013 | Heath Family Counseling LLC | Marriage & Family Therapist | 12025 115th Ave. Ne, Building D, Ste 200, Kirkland, WA 98034 | 2018-02-05 |
| 1891202834 | Barbara Josephine Gorham | Counselor | 2025 115th Ave Ne, Bldg D, #200, Kirkland, WA 98034 | 2017-12-29 |
| 1548782915 | Eleanor Hollis Wall | Counselor | 14340 102nd Ave Ne, Kirkland, WA 98034 | 2017-07-07 |
| 1457885212 | Peter Schoonmaker | Hospitalist | 12040 Ne 128th Street, Ms105, Kirkland, WA 98034 | 2017-04-18 |
| 1780124370 | Rebecca Managan | Advanced Practice Midwife | 12303 Ne 130th Ln Ste Coral225, Kirkland, WA 98034 | 2017-03-01 |
| 1669821104 | Winter Gonzalez | Counselor | 11720 97th Ln Ne Apt A411, Kirkland, WA 98034 | 2016-06-06 |
| Find all providers in zip 98034 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821339938 | Hjordis Mannbeck Foy | General Practice | 11016 Ne 47th Pl, Kirkland, WA 98033-7706 | 2013-03-14 |
| 1316204175 | Robert W Enck | General Practice | 602 5th St, 4003, Kirkland, WA 98033-5677 | 2012-04-18 |
| 1528345550 | Chs Washington State Medical, P.C. | General Practice | 747 6th St S, Kirkland, WA 98033-6715 | 2011-11-04 |
| 1609009422 | Kaaren Andrea Nichols | General Practice | 9757 Ne Juanita Dr Ste 200, Kirkland, WA 98034-4291 | 2009-08-27 |
| 1114947876 | Thomas L. Michalsen | General Practice | 406 South 5th Street, Kirkland, IL 60146 | 2006-07-19 |
| 1316124134 | Iraj Aflatooni Md Ps | General Practice | 6511 Ne 138th Pl, Suite 217, Kirkland, WA 98034-4909 | 2008-01-23 |
| 1083772842 | Christopher Marko Farac | General Practice | 13120 Ne 70th Pl, Suite 2, Kirkland, WA 98033 | 2006-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063971703 | Source Northwest Integrative Medicine | General Practice | 7206 267th St Nw Ste 102, Stanwood, WA 98292-6269 | 2019-03-12 |
| 1255896601 | Emily Christine Buck | General Practice | 940 Fitzsimmons Dr, Tacoma, WA 98431-0001 | 2019-02-08 |
| 1740755651 | Alyssa Ann Yruegas | General Practice | 2108 W Spruce St, Moses Lake, WA 98837-2853 | 2018-10-06 |
| 1306321237 | Rainier Springs Physician Group, LLC | General Practice | 2805 Ne 129th Street, Vancouver, WA 98686 | 2018-09-26 |
| 1962916437 | Parkview Medical Group Inc | General Practice | 615 S Division St Ste A, Moses Lake, WA 98837-3800 | 2017-11-20 |
| 1790212496 | Thien Thanh Ho | General Practice | 12307 Douglas Rd, Yakima, WA 98908-9129 | 2017-05-12 |
| 1285173625 | Regenerative Medicine Institute, Pllc | General Practice | 731 N Stanley St, Medical Lake, WA 99022-8940 | 2017-02-17 |
| 1457708430 | James Bailey | General Practice | 9040 Jackson Ave Tripler Army Medical Center, Tacoma, WA 98431-5001 | 2016-05-19 |
| 1740635887 | Peter Chulhi Kang | General Practice | 1425 Spring St Apt 802, Seattle, WA 98104-1635 | 2016-04-26 |
| 1831551084 | Anna Hackenmiller | General Practice | 1657 S Nettleton Ln, Spokane, WA 99224-6108 | 2016-03-27 |
| 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.