DR. KAMERON FERDOWSALI (NPI# 1609074210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609074210 |
| Entity Type | Individual |
| Full Name | DR. KAMERON FERDOWSALI |
| Credential | M.D. |
| Practice Address |
200 Ne Mother Joseph Pl Suite 330 Vancouver WA 98664-3299 |
| Mailing Address |
10075 Gold Cup Ln Reno NV 89521-5212 |
| Practice Telephone | 3605142990 |
| Mailing Telephone | 7752334480 |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2020-06-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 12745 | NV | Allopathic & Osteopathic Physicians |
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
12745 | NV | Allopathic & Osteopathic Physicians |
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
MD.60710718 | WA | Allopathic & Osteopathic Physicians |
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
M-15137 | ID | Allopathic & Osteopathic Physicians |
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
9136402-1205 | UT | Allopathic & Osteopathic Physicians |
| Street Address |
200 NE MOTHER JOSEPH PL SUITE 330 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98664-3299 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457343766 | Laura Deesha Ramme | Physician Assistant | 200 Ne Mother Joseph Pl, Suite 410, Vancouver, WA 98664-3299 | 2005-08-22 |
| 1154874956 | Brody Kadow | Physician Assistant | 200 Ne Mother Joseph Pl, Suite 110, Vancouver, WA 98664-3299 | 2016-07-27 |
| 1831642818 | Erik Lehrbach | Physician Assistant | 200 Ne Mother Joseph Pl, Suite 300, Vancouver, WA 98664-3299 | 2016-07-26 |
| 1497007983 | Matthew Earnest Nipper | Clinical Exercise Physiologist | 200 Ne Mother Joseph Pl, Physicians Pavilion, Ste 400, Vancouver, WA 98664-3299 | 2012-10-08 |
| 1104187384 | James Webster | Physical Therapist | 200 Ne Mother Joseph Pl, Suite 210, Vancouver, WA 98664-3299 | 2012-06-04 |
| 1043502560 | Deven A Karvelas | Physical Medicine & Rehabilitation | 200 Ne Mother Joseph Pl, Ste 210, Vancouver, WA 98664-3299 | 2011-05-03 |
| 1588969984 | Lindsay Rae Pfender | Physician Assistant | 200 Ne Mother Joseph Pl, Ste 110, Vancouver, WA 98664-3299 | 2011-01-14 |
| 1922302942 | Janell Louise Riepma | Nurse Practitioner | 200 Ne Mother Joseph Pl, Suite 400, Vancouver, WA 98664-3299 | 2011-01-05 |
| 1285946079 | Jonathan Garrett Matthews | Physician Assistant | 200 Ne Mother Joseph Pl, Suite 300, Vancouver, WA 98664-3299 | 2010-07-08 |
| 1649508805 | Bret Allen Lautt | Physical Therapist | 200 Ne Mother Joseph Pl, Suite 210, Vancouver, WA 98664-3299 | 2009-11-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285249938 | Angelica Maria Parle-fresquez | Speech-Language Pathologist | Early Childhood Assessment Center - Lieser School, 301 S. Lieser Rd, Vancouver, WA 98664 | 2020-09-10 |
| 1467923441 | Elizabeth Steen | Counselor | 230 E. State St., Mossyrock, WA 98664 | 2018-12-17 |
| 1497241657 | Chelsey Nicole Parker | Peer Specialist | 9815 Ne 3rd St, Vancouver, WA 98664 | 2018-07-10 |
| 1881145431 | Brent Homan | Occupational Therapist | 807 Se Morgan Rd., Vancouver, WA 98664 | 2016-10-19 |
| 1114474277 | Rebecca Marie Stefan | Nurse's Aide | 10025 Ne 19th St, Vancouver, WA 98664 | 2016-09-07 |
| 1528454105 | Alicia Ford | Dietitian, Registered | 700 Ne 87th Ave Ste 280, Vancouver, WA 98664 | 2015-04-10 |
| 1033504261 | Reid Roberts Bennett | Anesthesiology | 505 Ne 87th Ave Ste 210, Vancouver, WA 98664 | 2015-04-03 |
| 1235550856 | Nikolay Nikolaevich Chernukhin Jr. | Chiropractor | 221-a Ne 104th Ave, Suite 205, Vancouver, WA 98664 | 2013-12-27 |
| 1013278712 | Serena Harker | Physical Therapy Assistant | 221a Ne 104th Ave, Suite #205, Vancouver, WA 98664 | 2012-05-30 |
| 1295091080 | Rebeca C Johnson | Massage Therapist | 11015 Ne 4th Plain Suite B, Vancouver, WA 98664 | 2012-04-05 |
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| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578172425 | Sarah Kristin Andersen | Internal Medicine | 4048 West 32nd Avenue, Vancouver, BC V6S1Z6 | 2020-07-27 |
| 1245506237 | Matthew James Flynn | Internal Medicine | 12607 Se Mill Plain Blvd Ste N713, Vancouver, WA 98684-6055 | 2012-03-24 |
| 1497986871 | Bashar Alkinj | Internal Medicine | 700 Ne 87th Ave Ste 250, Vancouver, WA 98664 | 2009-08-03 |
| 1316366073 | Jessica Lau | Internal Medicine | 700 Ne 87th Ave Ste 250, Vancouver, WA 98664-4896 | 2014-04-09 |
| 1538484746 | Knewton Kazunori Sakata | Internal Medicine | 700 Ne 87th Ave, Vancouver, WA 98664-1913 | 2010-03-30 |
| 1093920779 | Stephanie Angela Coates | Internal Medicine | 700 Ne 87th Ave, Ste 250, Vancouver, WA 98664-1913 | 2007-05-14 |
| 1689764086 | Todd W Gienapp | Internal Medicine | 700 Ne 87th Ave, Vancouver, WA 98664-1913 | 2006-10-14 |
| 1891704169 | Jeffrey Heng-yi Lin | Internal Medicine | 400 Ne Mother Joseph Pl, Pulmonary and Critical Care Associates, Vancouver, WA 98664-3200 | 2006-08-05 |
| 1487684353 | Michael Puruckherr | Internal Medicine | 700 Ne 87th Ave, Suite 250, Vancouver, WA 98664-1913 | 2006-07-04 |
| 1437198512 | John Fowler | Internal Medicine | 700 Ne 87th Ave, Vancouver, WA 98664-1913 | 2006-06-05 |
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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.