DR. WESLEY D WERMUTH (NPI# 1619386216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619386216 |
| Entity Type | Individual |
| Full Name | DR. WESLEY D WERMUTH |
| Credential | D.D.S |
| Practice Address |
433 30th St Astoria OR 97103-2807 |
| Mailing Address |
1325 Madison Ave Astoria OR 97103-3945 |
| Practice Telephone | 5033386000 |
| Mailing Telephone | 2087096280 |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2014-08-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | OR | Student, Health Care |
| Street Address |
433 30TH ST |
| City | ASTORIA |
| State | OR |
| Zip Code | 97103-2807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386688059 | Jennifer L. Harr | Dentist | 433 30th St, Astoria, OR 97103-2807 | 2006-06-15 |
| 1962011817 | Atef Monier Rezk Masak | Dentist | 433 30th St, Astoria, OR 97103-2807 | 2020-07-27 |
| 1194299271 | Arrow Dental LLC | Dentist | 433 30th St, Astoria, OR 97103-2807 | 2019-01-11 |
| 1497278394 | Heather Renee Flowers | Dentist | 433 30th St, Astoria, OR 97103-2807 | 2017-07-23 |
| 1134359698 | Bonnie J Moeller | Dentist | 433 30th St, Astoria, OR 97103-2807 | 2009-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730552845 | Kpg Oregon, LLC | Internal Medicine | 486 12th Street #200, Astoria, OR 97103 | 2015-11-11 |
| 1205239043 | Brittany Dawn Vigoren | Dental Hygienist | 433 30th St., Astoria, OR 97103 | 2014-10-08 |
| 1497188858 | Jennifer U Boggs | Counselor | 10 Pier 1 Ste 203, Astoria, OR 97103 | 2013-08-20 |
| 1780022046 | Judy J Curnow | Massage Therapist | 1 12th Street Suite 10, Astoria, OR 97103 | 2013-06-10 |
| 1659626612 | Megan Lampson | Physical Therapist | 646 16th Ave., Astoria, OR 97103 | 2012-07-16 |
| 1043580947 | Matthew Thomas Cassity | Physical Therapy Assistant | 646 16th St., Astoria, OR 97103 | 2012-01-09 |
| 1881975969 | Rebecca Nicole Roe | Contractor | 25 Whitebush Way, Astoria, OR 97103 | 2011-09-02 |
| 1346542214 | Michele Lynn Hart | Social Worker | 2120 Exchange, Astoria, OR 97103 | 2010-11-29 |
| 1447551197 | Barbara Ellen Arnold | Pharmacist | 3250 Leif Erickson Dr, Astoria, OR 97103 | 2010-11-11 |
| 1083915219 | Christina Louise Jones | Pharmacist | 3250 Lief Erickson Dr, Astoria, OR 97103 | 2010-11-04 |
| Find all providers in zip 97103 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235743535 | Alexa Anastasio | Student in an Organized Health Care Education/Training Program | 3091 31st St Fl 3, Astoria, NY 11102-1974 | 2020-09-03 |
| 1972132702 | Anuj Paul | Student in an Organized Health Care Education/Training Program | 2130 30th Ave Apt 2, Astoria, NY 11102-3332 | 2020-04-03 |
| 1730717596 | James Robert Skala IIi | Student in an Organized Health Care Education/Training Program | 3115 30th St Apt 3r, Astoria, NY 11106-2828 | 2020-03-29 |
| 1588205926 | Panagiotis Sotiropoulos | Student in an Organized Health Care Education/Training Program | 2032 20th St Apt 3a, Astoria, NY 11105-3588 | 2019-10-07 |
| 1386208072 | Rowan Mahmoud | Student in an Organized Health Care Education/Training Program | 3028 41st St Apt 2th, Astoria, NY 11103-3410 | 2019-04-28 |
| 1033672423 | Reema Anjum | Student in an Organized Health Care Education/Training Program | 1824 Astoria Park S, Astoria, NY 11102-3444 | 2019-04-11 |
| 1679044473 | Joanna Kominis | Student in an Organized Health Care Education/Training Program | 2329 33rd Rd, Astoria, NY 11106-4243 | 2018-12-06 |
| 1598231292 | Mayuri Ardak | Student in an Organized Health Care Education/Training Program | 25-40 30th Road Suite A1, Astoria, NY 11102 | 2018-10-19 |
| 1427545235 | Vera A Tsetlina | Student in an Organized Health Care Education/Training Program | 2062 31st St Apt D4, Astoria, NY 11105-2532 | 2018-04-17 |
| 1609372283 | Thomas Allen Mehuron IIi | Student in an Organized Health Care Education/Training Program | 3133 37th St Apt 3, Astoria, NY 11103-3932 | 2018-04-03 |
| Find all providers in ASTORIA | ||||
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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.