DR. JOSEPH LEE GENDREAU (NPI# 1649275926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649275926 |
| Entity Type | Individual |
| Full Name | DR. JOSEPH LEE GENDREAU |
| Credential | DO |
| Practice Address |
2914 144th St Ne Marysville WA 98271-8289 |
| Practice Telephone | 4253279277 |
| Practice Fax Number | 3606527646 |
| Mailing Telephone | 4253279277 |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085B0100X |
Radiology Specialization: Body Imaging |
WA | Allopathic & Osteopathic Physicians |
| Street Address |
2914 144TH ST NE |
| City | MARYSVILLE |
| State | WA |
| Zip Code | 98271-8289 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174155345 | Kaiser Foundation Health Plan of Washington | Pharmacy | 2335 172nd Street Ne, Marysville, WA 98271 | 2020-02-06 |
| 1124511126 | Roger Lucas, P.s. | Dentist | 3806 116th St. Ne, Marysville, WA 98271 | 2018-06-13 |
| 1679020150 | Vest Seattle, LLC | Psychiatric Hospital | 3955 156th St, Marysville, WA 98271 | 2016-09-01 |
| 1790141828 | Washington Dental Corporation, PC | Dentist | 17103 28th Dr. Ne, Suite 104, Marysville, WA 98271 | 2016-01-05 |
| 1376932533 | Mindy Wiese | Counselor | 2321 Marine Dr. Ne, Marysville, WA 98271 | 2015-01-12 |
| 1609276260 | Sara Julsrud | Counselor | 2828 Mission Hill Road, Tulalip, WA 98271 | 2014-09-01 |
| 1710395355 | Sandra Breaux | Pharmacist | 8924 Quil Ceda Blvd, Tulalip, WA 98271 | 2014-07-28 |
| 1245665207 | Delores Helen Dusterhoft | Registered Nurse | 4421 122nd Pl Ne, Marysville, WA 98271 | 2013-09-10 |
| 1295079390 | Santi Wibawantini | Marriage & Family Therapist | 2321 Marine Dr Ne, Tulalip, WA 98271 | 2012-11-15 |
| 1558690586 | Stephen Lee | Pharmacist | 8825 34th Avenue Ne, Suite A, Tulalip, WA 98271 | 2009-12-22 |
| Find all providers in zip 98271 | ||||
| Taxonomy Code | 2085B0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Body Imaging |
| A Radiology doctor of Osteopathy that specializes in Body Imaging. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407386824 | Sherry S Wang | Radiology | Uw Radiology, 1959 Ne Pacific Street, Box 357115, Seattle, WA 98195 | 2017-06-18 |
| 1356676506 | Ranu Taneja | Radiology | Radiology Body Imaging Rm Bb308, 1959 Ne Pacific Street, Box 357115, Seattle, WA 98195-7115 | 2009-10-06 |
| 1023219987 | Joseph K. Azar | Radiology | 4816 Ne Thurston Way Ste A, Vancouver, WA 98662-6661 | 2007-05-29 |
| 1033282777 | Justin K Yoon | Radiology | 17382 Se 54th Pl, Bellevue, WA 98006-5919 | 2006-11-17 |
| 1366441180 | Susan M. Balich | Radiology | 533 S 336th St, Suite C, Federal Way, WA 98003-6329 | 2005-07-14 |
| 1124627831 | Deepashri Basavalingu | Radiology | 1959 Ne Pacific Street, Seattle, WA 98195-7115 | 2020-10-22 |
| 1285121442 | Multicare Health System | Radiology | 315 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2018-04-13 |
| 1437577723 | Daniel Van Roekel | Radiology | 1304 Fawcett Ave Ste 100, Tacoma, WA 98402-1900 | 2014-04-03 |
| 1114356904 | Swedish Health Services | Radiology | 13020 Meridian Ave S, Everett, WA 98208-6468 | 2013-11-02 |
| 1699118034 | Andrew Nam Anh Nguyen | Radiology | 19020 33rd Ave W Ste 210, Lynnwood, WA 98036-4748 | 2013-04-16 |
| Find all providers with the same taxonomy | ||||
| City | MARYSVILLE |
| Zip Code | 98271 |
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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.