DR. THOMAS WILLIAM KONOWALCHUK (NPI# 1679856439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679856439 |
Entity Type | Individual |
Full Name | DR. THOMAS WILLIAM KONOWALCHUK |
Credential | MD, JD |
Practice Address |
1070 Ne 7th Dr Newport OR 97365-2518 |
Practice Telephone | 5412653804 |
Mailing Telephone | 5412653804 |
Enumeration Date | 2011-09-27 |
Last Update Date | 2020-07-23 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208800000X | Urology | 15049 | OR | Allopathic & Osteopathic Physicians |
Y | 208D00000X | General Practice | 15049 | OR | Allopathic & Osteopathic Physicians |
Street Address |
1070 NE 7TH DR |
City | NEWPORT |
State | OR |
Zip Code | 97365-2518 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063036101 | Integrity Women's Health & Wellness, LLC | Obstetrics & Gynecology | 594 Se Running Springs, Newport, OR 97365 | 2020-06-04 |
1538799333 | Big Creek Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 1664 N Coast Hwy, Newport, OR 97365 | 2020-01-21 |
1710527999 | Costal Support Services | Case Management | 125 Se Mast Ave #55, Lincoln City, OR 97365 | 2020-01-15 |
1821650169 | Darren Lee Taylor | Peer Specialist | 35 North Cottage Street, Newport, OR 97365 | 2019-07-08 |
1518405091 | The City of Newport 60 Plus Activity Center | Clinic/Center | 20 Se 2nd St, Newport, OR 97365 | 2017-02-06 |
1982020384 | Kristine Elizabeth Foley | Dental Hygienist | 123 Se Douglas Street, Family Dental, Newport, OR 97365 | 2014-03-10 |
1245655075 | Catherine Marie Vickers | Registered Nurse | 36 Sw Nye Street, Lincoln County Health and Human Services, Newport, OR 97365 | 2014-03-04 |
1114295342 | Donna Cressy | Physical Therapist | 140 Nw 4th Street, Newport, OR 97365 | 2011-12-02 |
1063647949 | Wrazen & Rash PC, Physicians | Pediatrics | 775 Sw 9th Street, Annex A, Newport, OR 97365 | 2009-05-21 |
1194950048 | Stephen Macbain Burns, Md, PC | Pediatrics | 775 Sw 9th Street, Annex A, Newport, OR 97365 | 2009-05-21 |
Find all providers in zip 97365 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
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1942822978 | Sme New Hampshire P.C. | General Practice | 87 Libby Hill Rd, Newport, ME 04953-4147 | 2020-05-13 |
1689688210 | Joseph Blumen | General Practice | 23 Powel Ave, Newport, RI 02840-2616 | 2006-07-28 |
1417983800 | Pinnacle Health Medical Services | General Practice | 300 Bretz Ct, Suite 100, Newport, PA 17074-8614 | 2006-06-25 |
1467410571 | Seock Sone | General Practice | 1507 N Pecan, Newport, AR 72112 | 2006-05-01 |
1629032776 | David E Tanner | General Practice | 82 Red Hill Rd, Newport, PA 17074-8708 | 2006-04-14 |
1427053107 | William Arthur Birge | General Practice | 76 Lakemont Rd, Newport, VT 05855-9690 | 2005-06-17 |
1770972176 | Christopher Lane Pope Sr. | General Practice | 43 Smith Rd, Newport, RI 02841 | 2015-01-22 |
1487973830 | Jerry Silver | General Practice | 401 Park Ave, Newport, KY 41071-1751 | 2010-05-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285234674 | Sme Hawaii PC Inc | General Practice | 6021 Se Heike St, Hillsboro, OR 97123-8296 | 2020-10-27 |
1194223107 | Landmark Connect of Oregon PC | General Practice | 5933 Ne Win Sivers Dr Ste 310, Portland, OR 97220 | 2018-01-24 |
1346751443 | Providence Health & Services Oregon | General Practice | 4400 Ne Halsey St, Pop 2, 3rd Floor, Portland, OR 97213-1545 | 2017-10-16 |
1801333901 | Kaiser Foundation Health Plan of The Northwest | General Practice | 3175 Nw Aloclek Dr, Hillsboro, OR 97124-7135 | 2017-01-26 |
1336697143 | Rita Lawler | General Practice | 8353 Se Clatsop Ct, Portland, OR 97266-6159 | 2016-09-21 |
1821541939 | Samuel R. Sabo | General Practice | 18171 Waldow Rd., Oregon City, OR 97045 | 2016-07-26 |
1659730760 | Propel Network, LLC | General Practice | 14525 Sw Millikan Way, Beaverton, OR 97005-2343 | 2016-02-17 |
1235526849 | Hollis Lule Augee | General Practice | 5151 S.w. 88th Ave., Portland, OR 97225-1717 | 2015-04-21 |
1023428034 | Victoria L. Larson | General Practice | 10,000 Se 222nd Ave., Damascus, OR 97089-6517 | 2014-04-29 |
1093134496 | Red Leaf Natural Health Clinic | General Practice | 833 Sw 11th Ave Ste 1018, Portland, OR 97205-2124 | 2014-04-14 |
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.