JONATHAN KENDRICK LAM (NPI# 1720540867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720540867 |
| Entity Type | Individual |
| Full Name | JONATHAN KENDRICK LAM |
| Credential | PA-S |
| Practice Address |
2508 7th St Se Puyallup WA 98374-1105 |
| Mailing Address |
1201 Pacific Ave Ste 1950 Tacoma WA 98402-4301 |
| Practice Telephone | 2538416600 |
| Practice Fax Number | 2533973530 |
| Mailing Telephone | 2533008453 |
| Enumeration Date | 2019-04-05 |
| Last Update Date | 2019-09-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA60964048 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164042461 | Jonathan Lam | Optometrist | Us 191 & Hospital Dr., Chinle, AZ 86503 | 2020-04-16 |
| 1962997619 | Jonathan Maxwell Lam | Internal Medicine | 3440 N Broad St Fl West3, Philadelphia, PA 19140-5104 | 2018-06-26 |
| 1538459110 | Jonathan H. Lam | Psychologist | 4545 Connecticut Ave Nw Ste 309, Washington, DC 20008-6016 | 2011-04-15 |
| 1598311268 | Jonathan Lam | Psychologist | 303 5th Ave Rm 610, New York, NY 10016-6620 | 2019-08-17 |
| 1396255253 | Jonathan Wei Lam | Physical Therapy Assistant | 390 N Sepulveda Blvd, El Segundo, CA 90245-4475 | 2017-10-05 |
| 1447665294 | Jonathan Lam | Pharmacist | 5303 Bowen Dr, Mason, OH 45040 | 2014-06-30 |
| 1598051716 | Jonathan Lam | Surgery | 74 W Broad St Ste 170, Bethlehem, PA 18018-5738 | 2011-06-27 |
| 1134250103 | Jonathan Lam | Orthopaedic Surgery | 1400 Veterans Blvd, Redwood City, CA 94063-2612 | 2007-03-08 |
| 1952362923 | Jonathan Q Lam | Family Medicine | 1926 Sw Green Oaks Blvd, Arlington, TX 76017-2735 | 2006-03-30 |
| Street Address |
2508 7TH ST SE |
| City | PUYALLUP |
| State | WA |
| Zip Code | 98374-1105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396150215 | Valley Terrace Operations, LLC | Skilled Nursing Facility | 2508 7th St Se, Puyallup, WA 98374-1105 | 2014-06-30 |
| 1225414212 | South Hill Operations, LLC | Skilled Nursing Facility | 2508 7th St Se, Puyallup, WA 98374-1105 | 2015-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073173977 | Courtney Yant | Registered Nurse | 300 3rd St Se, Puyallup, WA 98374 | 2019-06-13 |
| 1013480508 | Tracy Pina | Massage Therapist | 16909 123rd Ave E, Puyallup, WA 98374 | 2019-01-07 |
| 1922524917 | Edith M Wood | Registered Nurse | 13517 152nd St Ct E, Puyallup, WA 98374 | 2017-08-21 |
| 1669875993 | Jillian C S Longway | Registered Nurse | 11102 Sunrise Blvd E Ste 103, Puyallup, WA 98374 | 2014-10-01 |
| 1427302025 | Nadeem Jaffer | Internal Medicine | 3800 3rd St. Se, Puyallup, WA 98374 | 2012-11-04 |
| 1851605356 | Madigan Army Medical Ctr | Clinic/Center | 15600 Meridan Ave, Sunrise Village Center, East Puyallup, WA 98374 | 2010-07-27 |
| 1326368135 | Matt Karl Jahns | Massage Therapist | 2402 20th St Se, Puyallup, WA 98374 | 2010-06-03 |
| 1982833208 | Roxy Sturgeon | Speech-Language Pathologist | 2309 43rd Ave Se, Puyallup, WA 98374 | 2009-07-08 |
| 1497921191 | Morgan Counseling Services Inc. | Substance Abuse Rehabilitation Facility | 10312 120th Street East, Suite #3, Puyallup, WA 98374 | 2008-05-02 |
| 1700055795 | Walter Royal Patterson Jr. | Registered Nurse | 11102 Sunrise Blvd. E., Ste. 103, Woodcreek Healthcare, Puyallup, WA 98374 | 2008-02-25 |
| Find all providers in zip 98374 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417068263 | Suzanne M Richardson | Physician Assistant | 11216 Sunrise Blvd E Ste 3-102, Puyallup, WA 98374-8848 | 2006-08-31 |
| 1073525424 | Jessica Sawyer | Physician Assistant | 3850 S Meridian, Puyallup, WA 98373-3701 | 2006-08-13 |
| 1134140262 | Karl Herbert Hilsenberg | Physician Assistant | 3801 5th Street Se, Suite 110, Puyallup, WA 98374 | 2006-07-22 |
| 1609834027 | Kevin Bernard Finnigan | Physician Assistant | 17926 69th Ave E, Puyallup, WA 98375-2474 | 2006-05-03 |
| 1457741688 | Kyle Lewis | Physician Assistant | 11216 Sunrise Blvd E, Ste 3-207, Puyallup, WA 98374-8848 | 2015-01-26 |
| 1003218611 | Scott Nelson | Physician Assistant | 11102 Sunrise Blvd E, Ste 103, Puyallup, WA 98374-8846 | 2014-09-25 |
| 1548685902 | Robert Rex Williams | Physician Assistant | 11102 Sunrise Blvd E, Ste 103, Puyallup, WA 98374-8846 | 2014-02-21 |
| 1477982700 | Melissa Bronoske | Physician Assistant | 11102 Sunrise Blvd E, Ste 103, Puyallup, WA 98374-8846 | 2013-11-07 |
| 1346522752 | Ngim C Carmichael | Physician Assistant | 3908 10th St Se, Puyallup, WA 98374-2188 | 2011-09-12 |
| 1669708277 | Elizabeth Rose Abecassis | Physician Assistant | 1519 3rd St Se Ste 230, Puyallup, WA 98372-3742 | 2009-11-02 |
| Find all providers in PUYALLUP | ||||
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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.