DR. JOSIAH MOISES PENALVER (NPI# 1669662417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669662417 |
| Entity Type | Individual |
| Full Name | DR. JOSIAH MOISES PENALVER |
| Credential | MD |
| Practice Address |
1901 S Cedar St Ste 103 Tacoma WA 98405-2302 |
| Mailing Address |
1515 Dock St Unit 204 Tacoma WA 98402-3254 |
| Practice Telephone | 2532721812 |
| Mailing Telephone | 6467844370 |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2013-09-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
60361918 | WA | Allopathic & Osteopathic Physicians |
| Street Address |
1901 S CEDAR ST STE 103 |
| City | TACOMA |
| State | WA |
| Zip Code | 98405-2302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083775902 | Donald L Trippel | Pediatrics | 1901 S Cedar St Ste 103, Tacoma, WA 98405-2302 | 2006-12-13 |
| 1881755726 | Roberta Sue Stephenson | Pediatrics | 1901 S Cedar St Ste 103, Tacoma, WA 98405-2302 | 2006-12-13 |
| 1730240599 | Northwest Pediatric Heart Specialists Pllc | Pediatrics | 1901 S Cedar St Ste 103, Tacoma, WA 98405-2302 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609486026 | Joanna Christine Hope | Physician Assistant | 2502 S Union Avenue, Tacoma, WA 98405 | 2020-08-01 |
| 1467077891 | Richard Jimenez | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 | 2020-06-11 |
| 1669008785 | Mariana Sanchez Corona | Behavior Technician | 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 | 2020-03-20 |
| 1811534845 | Jasmine Gregory | Social Worker | 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 | 2019-12-10 |
| 1548807506 | Holly Rebecca Brezynski | Student in an Organized Health Care Education/Training Program | Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 | 2019-12-09 |
| 1972064392 | Logan Brau | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way, Tacoma, WA 98405 | 2019-03-28 |
| 1629532536 | Preferred Orthotic and Prosthetic Services Inc | Prosthetic/Orthotic Supplier | 1708 Yakima Ave Ste 60, Tacoma, WA 98405 | 2019-01-24 |
| 1669945911 | Heidi Weakley | Counselor | 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 | 2019-01-09 |
| 1972074011 | Taviance Benet Laster | Behavior Technician | 1416 S 9th St, Tacoma, WA 98405 | 2018-12-16 |
| 1336618040 | Bailey Bangerter | Physician Assistant | 1901 South Union, A-233, Tacoma, WA 98405 | 2018-11-26 |
| Find all providers in zip 98405 | ||||
| Taxonomy Code | 2080P0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Cardiology |
| A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083775902 | Donald L Trippel | Pediatrics | 1901 S Cedar St Ste 103, Tacoma, WA 98405-2302 | 2006-12-13 |
| 1871702068 | Matthew Amandus Studer | Pediatrics | Madigan Army Medical Ctr, Mchj-clp-s, Tacoma, WA 98431-1100 | 2007-05-22 |
| 1881755726 | Roberta Sue Stephenson | Pediatrics | 1901 S Cedar St Ste 103, Tacoma, WA 98405-2302 | 2006-12-13 |
| 1730240599 | Northwest Pediatric Heart Specialists Pllc | Pediatrics | 1901 S Cedar St Ste 103, Tacoma, WA 98405-2302 | 2006-12-13 |
| 1891872008 | Ronald Scott Wells | Pediatrics | 9040 Jackson Ave, Tacoma, WA 98431-1100 | 2006-11-01 |
| 1699875716 | Matthew V. Park | Pediatrics | 314 Martin Luther King Jr Way, #303, Tacoma, WA 98405-4250 | 2006-09-25 |
| 1164445367 | Pediatrix Cardiology of Washington, P.C. | Pediatrics | 314 Martin Luther King Jr Way, Ste. 303, Tacoma, WA 98405-4250 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760823801 | Ashish Garg | Pediatrics | 112 Columbia Point Dr Ste 103, Richland, WA 99352-4390 | 2013-07-16 |
| 1164690046 | Jason Deen | Pediatrics | 4745 49th Ave Ne, Seattle, WA 98105-3829 | 2008-02-13 |
| 1225215999 | Agustin Eduardo Rubio | Pediatrics | 4800 Sand Point Way Ne Seattle Children's Hospital, Division of Pediatric Cardiology, G-0035, Seattle, WA 98105-3901 | 2008-01-24 |
| 1760685861 | Brian D Soriano | Pediatrics | 4800 Sand Point Way Ne # G-0035, Seattle, WA 98105-3901 | 2007-06-06 |
| 1689068173 | Joshua John Price | Pediatrics | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2015-03-24 |
| 1659787075 | Iman Naimi | Pediatrics | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2014-07-07 |
| 1265859375 | Erik L Frandsen | Pediatrics | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2014-03-26 |
| 1548603301 | Humera Ahmed | Pediatrics | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2013-04-11 |
| 1184966384 | Elizabeth C Caris | Pediatrics | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2013-03-26 |
| 1952650145 | Eyal Sagiv | Pediatrics | 4800 Sand Point Way Ne, Seattle, WA 98105 | 2012-09-04 |
| Find all providers with the same taxonomy | ||||
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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.