JEANNE M ELLERN (NPI# 1689636649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689636649 |
Entity Type | Individual |
Full Name | JEANNE M ELLERN |
Credential | PAC |
Practice Address |
1807 N Hutchinson Rd Spokane Valley WA 99212-2444 |
Practice Telephone | 5094567414 |
Practice Fax Number | 5096240763 |
Mailing Telephone | 5094567414 |
Mailing Fax Number | 5096240763 |
Enumeration Date | 2006-04-05 |
Last Update Date | 2014-08-14 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA10003760 | WA | Physician Assistants & Advanced Practice Nursing Providers |
N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA10003760 | WA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1807 N HUTCHINSON RD |
City | SPOKANE VALLEY |
State | WA |
Zip Code | 99212-2444 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184699365 | Joel K Sears | Dermatology | 1807 N Hutchinson Rd, Spokane Valley, WA 99212-2444 | 2006-02-21 |
1619517539 | Mountain West Derm - Blackhart Pllc | Clinic/Center | 1807 N Hutchinson Rd, Spokane Valley, WA 99212-2444 | 2020-01-08 |
1013557933 | Mountain West Derm - Blackhart Pllc | Dermatology | 1807 N Hutchinson Rd, Spokane Valley, WA 99212-2444 | 2020-01-08 |
1477853760 | Thomas M Ryan, Md | Dermatology | 1807 N Hutchinson Rd, Spokane Valley, WA 99212-2444 | 2010-11-02 |
1710213558 | Kathleen R Lejameyer | Nurse Practitioner | 1807 N Hutchinson Rd, Spokane Valley, WA 99212-2444 | 2009-10-29 |
1467673061 | Chadd Sukut | Dermatology | 1807 N Hutchinson Rd, Spokane Valley, WA 99212-2444 | 2007-05-01 |
1154408631 | Elizabeth Joan Jacobsen | Physician Assistant | 1807 N Hutchinson Rd, Spokane Valley, WA 99212-2444 | 2006-11-01 |
1215023007 | Andrea Mead Dominey | Dermatology | 1807 N Hutchinson Rd, Spokane Valley, WA 99212-2444 | 2006-10-05 |
1972579845 | Advanced Dermatology and Skin Surgery Pllc | Clinical Medical Laboratory | 1807 N Hutchinson Rd, Spokane Valley, WA 99212-2444 | 2006-02-28 |
1881660751 | Advanced Dermatology and Skin Surgery, Pllc | Dermatology | 1807 N Hutchinson Rd, Spokane Valley, WA 99212-2444 | 2006-02-28 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750889580 | Melissa Lerai Lunsford | Massage Therapist | 1212 N Argonne Rd, Spokane Valley, WA 99212 | 2018-01-26 |
1225558539 | Paul James Hammerschmidt | Licensed Practical Nurse | 5600 E. 8th Avenue, Spokane Valley, WA 99212 | 2017-06-27 |
1497009302 | Ray A Schoessler | Pharmacist | 9009 E Trent Ave, Spokane, WA 99212 | 2012-10-30 |
1215205224 | Wchs Inc | Counselor | 4305 East Trent Avenue, Spokane, WA 99212 | 2011-12-05 |
1609159466 | Andrey V Altukhov | Specialist | 906 S. Park Rd, Spokane Valley, WA 99212 | 2011-09-27 |
1215189808 | Providence Health & Services - Wa | Home Health | 1000 N Argonne Rd, Spokane Valley, WA 99212 | 2008-10-15 |
1568674414 | Colleen Kirsten Monroe | Pharmacist | 5601 E Sprague, Spokane, WA 99212 | 2007-05-04 |
1205968534 | Jeremiah Michael Stevens | Naturopath | 1510 N Argonne Rd Ste G, Spokane Valley, WA 99212 | 2007-03-12 |
1104957547 | Lyudmila Larkin | Specialist | 8120 E. Vista Lane, Spokane, WA 99212 | 2007-03-08 |
1972613511 | Costco Wholesale Corporation | Pharmacy | 5601 E Sprague Ave, Spokane Valley, WA 99212 | 2006-08-30 |
Find all providers in zip 99212 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447269923 | Nathaniel Van Valin | Physician Assistant | 15425 E Mission Ave, Spokane Valley, WA 99037-9505 | 2006-08-05 |
1467970616 | Jesus Primitivo Rendon | Physician Assistant | 12709 E Mirabeau Pkwy, Bldg A Ste 200, Spokane Valley, WA 99216 | 2017-09-07 |
1982121125 | Christian D Garrido | Physician Assistant | 12709 E Mirabeau Pkwy, Bldg A Ste 200, Spokane Valley, WA 99216-1665 | 2017-08-28 |
1568864841 | Chris Palmer | Physician Assistant | 15812 E Indiana Ave, Spokane Valley, WA 99216-1875 | 2014-09-18 |
1407280704 | Kevin Bichler | Physician Assistant | 12418 E Saltese Ave, Spokane Valley, WA 99216-0357 | 2013-08-23 |
1811226962 | Kevin R Bichler | Physician Assistant | 12418 E Saltese Ave, Spokane Valley, WA 99216 | 2009-12-21 |
1881921211 | Amelia D Williams | Physician Assistant | 12401 E Sinto Ave, Spokane Valley, WA 99216-1081 | 2009-11-05 |
1548411770 | Kristofer K Johnson | Physician Assistant | 12606 E Mission Ave, Spokane Valley, WA 99216-3421 | 2008-10-07 |
1972754083 | Brian L Knutson | Physician Assistant | 9227 E Main Ave, Spokane Valley, WA 99206-3768 | 2008-10-07 |
1154408631 | Elizabeth Joan Jacobsen | Physician Assistant | 1807 N Hutchinson Rd, Spokane Valley, WA 99212-2444 | 2006-11-01 |
Find all providers in SPOKANE VALLEY |
City | SPOKANE VALLEY |
Zip Code | 99212 |
Please comment or provide details below to improve the information on JEANNE M ELLERN.
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.