LIDIA YEMCHUK (NPI# 1588098909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588098909 |
| Entity Type | Individual |
| Full Name | LIDIA YEMCHUK |
| Credential | PA |
| Practice Address |
4201 Rucker Ave Everett WA 98203-2215 |
| Practice Telephone | 4253824000 |
| Practice Fax Number | 4253824001 |
| Mailing Telephone | 4253824000 |
| Mailing Fax Number | 4253824001 |
| Enumeration Date | 2013-08-22 |
| Last Update Date | 2020-01-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 60921045 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 54117 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 018293 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 4071550 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 184 Barton St, Buffalo, NY 142131573 | 7168816191 | 7168816247 |
| Street Address |
4201 RUCKER AVE |
| City | EVERETT |
| State | WA |
| Zip Code | 98203-2215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104447598 | Safa Abderrahman | Family Medicine | 4201 Rucker Ave, Everett, WA 98203-2215 | 2020-04-27 |
| 1104315167 | Quyen Tran | Registered Nurse | 4201 Rucker Ave, Everett, WA 98203-2237 | 2018-05-05 |
| 1497263438 | Kimberly Jean Fusaro Warth | Family Medicine | 4201 Rucker Ave, Everett, WA 98203-2215 | 2018-01-11 |
| 1548786296 | Community Health Center of Snohomish County | Clinic/Center | 4201 Rucker Ave, Everett, WA 98203-2237 | 2017-08-15 |
| 1891178521 | Gurbir Gill | Internal Medicine | 4201 Rucker Ave, Everett, WA 98203-2215 | 2015-06-30 |
| 1942682745 | Christine Marechal | Family Medicine | 4201 Rucker Ave, Everett, WA 98203-2237 | 2015-06-29 |
| 1326428723 | Baljinder Dhillon | Family Medicine | 4201 Rucker Ave, Everett, WA 98203 | 2015-06-02 |
| 1629345863 | Mary Therese Schatz | Counselor | 4201 Rucker Ave, Everett, WA 98203-2237 | 2011-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083226039 | Lisa Mcgregor | Counselor | Sea Mar Community Health Centers, 5007 Claremont Way, Everett, WA 98203 | 2020-08-20 |
| 1417572009 | Megan Ostermick-durkee | Student in an Organized Health Care Education/Training Program | Sunrise Services Inc., 811 Madison Street, Everett, WA 98203 | 2020-06-10 |
| 1134741424 | Tara Lin Garcia | Peer Specialist | 4256 Federal Avenue, Everett, WA 98203 | 2020-05-11 |
| 1225505241 | Reverie Aurora Shunny | Counselor | Sunrise Service Inc., 811 Madison Street, Everett, WA 98203 | 2018-10-29 |
| 1205313483 | Kristina Renee Bylenga | Counselor | Compass Health 4526 Federal Avenue M/s # 11, Everett, WA 98203 | 2018-07-20 |
| 1306384300 | Shantijoy Inc | Naturopath | 5208 S 2nd Ave, Everett, WA 98203 | 2017-02-09 |
| 1922545276 | Ekaterina Malinovska Dds Pllc | Dentist | 5920 Evergreen Way Suite E, Everett, WA 98203 | 2017-01-25 |
| 1326404104 | Job Oichoe | Counselor | 4625 Federal Ave, Everett, WA 98203 | 2016-01-08 |
| 1427423292 | Ross Lee Voorhees | Counselor | 4423 S 3rd Ave, Everett, WA 98203 | 2015-12-04 |
| 1447642376 | Adam Schneider | Counselor | 4526 Federal Ave # 40, Everett, WA 98203 | 2015-03-02 |
| Find all providers in zip 98203 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912521956 | Juliana Martins | Physician Assistant | 31 Freeman Ave, Everett, MA 02149-5204 | 2020-06-05 |
| 1528606324 | Lynda Lee Consolo | Physician Assistant | 18 Woodlawn Ave, Everett, MA 02149-5417 | 2019-12-12 |
| 1538519202 | Kristen Shafer | Physician Assistant | 2038 Winding Ridge Rd, Everett, PA 15537-4274 | 2016-06-14 |
| 1134426133 | Anthony Joseph Danna | Physician Assistant | 103 Garland St Emergency Department, Everett, MA 02149-5066 | 2011-02-28 |
| 1902058019 | Matthew James Slater | Physician Assistant | 1330 Rockefeller Ave Ste 400, Everett, WA 98201-1676 | 2008-10-21 |
| 1417133216 | Patricia Ann Buehler | Physician Assistant | 3726 Broadway Ste 101, Everett, WA 98201-3787 | 2008-01-11 |
| 1558404814 | Margarita G Burdetsky | Physician Assistant | 391 Broadway Ste 204, Prohealth Intagrated Medical, Everett, MA 02149-3471 | 2007-02-15 |
| 1427127158 | Marcy Jo Herzog | Physician Assistant | 185 Hospital Dr Ste 1, Everett, PA 15537-7018 | 2006-11-07 |
| 1376553966 | Erin M Richards | Physician Assistant | 249 Hospital Drive Suite 1, Everett, PA 15537 | 2006-08-08 |
| 1144277724 | Rebecca S Souza | Physician Assistant | 3726 Broadway, Suite 201, Everett, WA 98201-3787 | 2006-05-28 |
| Find all providers in EVERETT | ||||
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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.