DR. JOHN CHRISTOPHER EDWARDS (NPI# 1619961570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619961570 |
Entity Type | Individual |
Full Name | DR. JOHN CHRISTOPHER EDWARDS |
Credential | MD |
Practice Address |
3417 Ensign Rd Ne Olympia WA 98506-5064 |
Practice Telephone | 3604934600 |
Practice Fax Number | 3604934603 |
Mailing Telephone | 3604934600 |
Mailing Fax Number | 3604934603 |
Enumeration Date | 2005-09-07 |
Last Update Date | 2019-01-30 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MD00047431 | WA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | L&I-SOUTH SOUND RADIOLOGY | 0378745 | 01 |
WA | L&I-RADIA REST OF WA | 0383902 | 01 |
WA | 1014770 | 05 | |
WA | 1619961570 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861817959 | John Mark Edwards | Counselor | 4445 Jay St Apt 202, Wheat Ridge, CO 80033-3795 | 2014-02-26 |
1740451970 | John Joseph Edwards | Psychologist | 215 Beech Tree Holw, Sugar Hill, GA 30518-8005 | 2008-03-15 |
1023131372 | John O Edwards | Counselor | 205 Powell Pl, Brentwood, TN 37027-7522 | 2007-04-09 |
1760503080 | John A Edwards | Psychologist | 294 East Kennebec Road, Machias, ME 04654 | 2007-04-03 |
1093842833 | John W. Edwards | Chiropractor | 3105 Alcoa Hwy Ste H, Knoxville, TN 37920-4783 | 2007-02-28 |
1922188911 | John Odis Edwards Jr. | Physical Therapist | 1300 Corporation Pkwy, Raleigh, NC 27610-0132 | 2006-10-16 |
1699788075 | John David Edwards | Pharmacist | 2448 Us Highway 60 E, Henderson, KY 42420-2509 | 2006-08-15 |
1336158294 | John D Edwards | Otolaryngology | 22999 Highway 59 N Ste 400, Kingwood, TX 77339-4441 | 2006-08-07 |
1649299199 | John Edwards | Physical Medicine & Rehabilitation | 215 N. Fresno St., 370, Fresno, CA 93701 | 2006-07-18 |
1487692794 | John Randall Edwards | Pediatrics | 8111 S Emerson Ave Ste 207, Indianapolis, IN 46237-8601 | 2006-06-02 |
Street Address |
3417 ENSIGN RD NE |
City | OLYMPIA |
State | WA |
Zip Code | 98506-5064 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659682722 | Zachary A. Winter | Radiology | 3417 Ensign Rd Ne, Olympia, WA 98506-5064 | 2010-06-23 |
1235364894 | Tariq Hesham Balawi | Radiology | 3417 Ensign Rd Ne, Olympia, WA 98506-5064 | 2009-05-26 |
1083827992 | Samuel J. Boynton | Radiology | 3417 Ensign Rd Ne, Olympia, WA 98506 | 2007-05-07 |
1396882106 | Chrystel Therese Venturini | Radiology | 3417 Ensign Rd Ne, Olympia, WA 98506-5064 | 2007-01-31 |
1841350618 | Peter Ping Hu | Radiology | 3417 Ensign Rd Ne, Olympia, WA 98506-5064 | 2006-12-11 |
1508933227 | Colin Poon | Radiology | 3417 Ensign Rd Ne, Olympia, WA 98506-5064 | 2006-11-29 |
1407931793 | Kevin Jay Roscoe | Radiology | 3417 Ensign Rd Ne, Olympia, WA 98506-5075 | 2006-10-26 |
1871689794 | Terence T Chan | Radiology | 3417 Ensign Rd Ne, Olympia, WA 98506-5064 | 2006-10-05 |
1902990500 | South Sound Radiologists, Inc., P.s. | Radiology | 3417 Ensign Rd Ne, Olympia, WA 98506-5064 | 2006-10-03 |
1629000484 | John Harding Bartow II | Radiology | 3417 Ensign Rd Ne, Olympia, WA 98506-5064 | 2006-07-06 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477185460 | Chloe Harper | Technician, Other | 3443 Lilly Rd Se, Ste B, Olympia, WA 98506 | 2020-02-07 |
1912543539 | Jessica Marie Radakovich | Licensed Practical Nurse | 3426 Mary Elder Rd, Olympia, WA 98506 | 2019-11-19 |
1669014973 | Arlene Josephine Adams | Registered Nurse | 413 Lily Rd Ne, Olympia, WA 98506 | 2019-10-09 |
1861999120 | Debra Delores Barker | Licensed Practical Nurse | 3710 South Bay Rd Ne, Olympia, WA 98506 | 2018-04-12 |
1801304431 | Michelle Warner | Nurse Practitioner | 205 Lilly Rd Ne Ste A1, Olympia, WA 98506 | 2018-01-17 |
1396258364 | Institute for Family Development | Community/Behavioral Health | 204 Quince St. Ne, Suite 200, Olympia, WA 98506 | 2017-11-13 |
1083137715 | Cameron Kunkel | Specialist/Technologist | 2512 20th Ave Ne, Olympia, WA 98506 | 2017-07-25 |
1184144768 | Trevor Shane Kwan | Family Medicine | 525 Lilly Road Ne, Olympia, WA 98506 | 2017-06-23 |
1073043212 | Michael H Harburg | Behavior Technician | 3857 Martin Way Ne, Olympia, WA 98506 | 2017-06-19 |
1780114371 | Priscilla Kangyang Jadu | Counselor | 3857 Martin Way E., Olympia, WA 98506 | 2017-06-15 |
Find all providers in zip 98506 |
Taxonomy Code | 2085R0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Diagnostic Radiology |
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437263175 | Mihai Florin Iancu | Radiology | 3417 Ensign Road Northeast, Olympia, WA 98506-5075 | 2006-08-19 |
1780664482 | Rodney Shigeo Matsubara | Radiology | 3417 Ensign Road Ne, Olympia, WA 98506-5075 | 2006-01-19 |
1861483182 | Steven James Lengle | Radiology | 4603 33rd Ct Ne, Olympia, WA 98516-1425 | 2005-11-04 |
1356340970 | Olympia Radiologists, P.s. | Radiology | 3525 Ensign Rd Ne, Suite B, Olympia, WA 98506-5065 | 2005-07-15 |
1992709604 | Gary Lee Wood | Radiology | 3900 Capital Mall Dr Sw, Olympia, WA 98502-8654 | 2005-06-09 |
1659682722 | Zachary A. Winter | Radiology | 3417 Ensign Rd Ne, Olympia, WA 98506-5064 | 2010-06-23 |
1235364894 | Tariq Hesham Balawi | Radiology | 3417 Ensign Rd Ne, Olympia, WA 98506-5064 | 2009-05-26 |
1083827992 | Samuel J. Boynton | Radiology | 3417 Ensign Rd Ne, Olympia, WA 98506 | 2007-05-07 |
1396882106 | Chrystel Therese Venturini | Radiology | 3417 Ensign Rd Ne, Olympia, WA 98506-5064 | 2007-01-31 |
1841350618 | Peter Ping Hu | Radiology | 3417 Ensign Rd Ne, Olympia, WA 98506-5064 | 2006-12-11 |
Find all providers in OLYMPIA |
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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.