JONATHAN G WASH DPM PA (NPI# 1639122708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639122708 |
| Entity Type | Organization |
| Organization Name | JONATHAN G WASH DPM PA |
| Practice Address |
6609 Sanger Ave Waco TX 76710-4252 |
| Practice Telephone | 2547411824 |
| Practice Fax Number | 2547411836 |
| Mailing Telephone | 2547411824 |
| Mailing Fax Number | 2547411836 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2011-06-20 |
| Authorized Official Name | JONATHAN GORDON WASH (OWNER) |
| Authorized Official Telephone | 2547411824 |
| Authorized Official Credential | D.P.M. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 178105601 | 05 |
| Street Address |
6609 SANGER AVE |
| City | WACO |
| State | TX |
| Zip Code | 76710-4252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942292719 | M. Theresa Emerson | Psychologist | 6609 Sanger Ave, Waco, TX 76710-4252 | 2005-08-18 |
| 1255769261 | Stephanie Bui Catuogno | Physician Assistant | 6609 Sanger Ave, Waco, TX 76710-4252 | 2013-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740741156 | Jessica Cook-lindsay | Physical Therapist | 2121 W Hwy 6, Waco, Waco, TX 76710 | 2019-03-28 |
| 1306354824 | Paula A Huffhines | Technician, Other | 115 S 25th, Waco, TX 76710 | 2018-01-18 |
| 1982154639 | Nha Do | Pharmacist | 1301 Wood Acres, Waco, TX 76710 | 2016-10-06 |
| 1649662495 | Pediatric Advanced Life Services Home Health LLC | Home Health | 3640 W Waco Dr, Waco, TX 76710 | 2015-03-02 |
| 1881008795 | Soumava Sen, Dds, P.C. | Dentist | 4215 Franklin Ave, Ste. 300, Waco, TX 76710 | 2014-06-18 |
| 1053742221 | Dustin Dwain Kelm | Physical Therapist | 5400 Laurel Dr., Waco, TX 76710 | 2013-12-12 |
| 1881038776 | Penelope Diane Lane | Counselor | 7524 Bosque, Waco, TX 76710 | 2013-04-22 |
| 1538400627 | Erik Alexander Pernes Caluscusao | Physical Therapist | 415 Owen Ln Apt 911, Waco, TX 76710 | 2013-03-14 |
| 1447509039 | Sheree L Mach | Occupational Therapist | 5400 Laurel Lake Dr., Waco, TX 76710 | 2012-08-29 |
| 1568738425 | Ramanathan Anandaraman | Internal Medicine | 2608 Skyline Drive, Waco, TX 76710 | 2012-03-26 |
| Find all providers in zip 76710 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093220584 | K. Kyle Ballew, D.p.m., P.a. | Podiatrist | 7125 New Sanger Rd Ste 502, Waco, TX 76712-4054 | 2017-12-06 |
| 1932346376 | Podiatry of Central Texas, Pa | Podiatrist | 1137 N Loop 340, Waco, TX 76705-2486 | 2009-01-07 |
| 1437124633 | Kenneth Kyle Ballew | Podiatrist | 7125 New Sanger Ave Ste 502, Waco, TX 76712-4054 | 2006-02-21 |
| 1710981220 | Mark Couture | Podiatrist | 7125 New Sanger Road, Suite 502, Waco, TX 76712-4054 | 2005-06-13 |
| 1093245110 | Eduardo Antonio Hernandez | Podiatrist | 4800 Memorial Dr, Waco, TX 76711-1329 | 2017-06-13 |
| 1699039800 | James P Townson Jr. | Podiatrist | 201 Colonnade Pkwy, Suite 100, Waco, TX 76712-6174 | 2012-07-02 |
| 1942597851 | David Sadoskas | Podiatrist | 7700 Fish Pond Rd, Waco, TX 76710-1031 | 2011-06-30 |
| 1194790303 | Brian D Battles | Podiatrist | 7700 Fish Pond Rd, Waco, TX 76710 | 2006-02-21 |
| 1154396760 | Ballew & Associates Podiatry, P.a. | Podiatrist | 201 Colonnade Pkwy, Suite 100, Waco, TX 76712-6174 | 2006-02-18 |
| 1003899972 | Jonathan Gordon Wash | Podiatrist | 5100 Franklin Ave, Suite C, Waco, TX 76710-6922 | 2005-11-23 |
| Find all providers in WACO | ||||
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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.