DAN MORRIS HYDER (NPI# 1750463485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750463485 |
| Entity Type | Individual |
| Full Name | DAN MORRIS HYDER |
| Credential | MD |
| Practice Address |
210 Se 136th Ave Vancouver WA 98684-6930 |
| Practice Telephone | 3609449889 |
| Practice Fax Number | 3609449686 |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2011-12-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
MD00017633 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 034996 | 05 | |
| WA | 1018175 | 05 |
| Street Address |
210 SE 136TH AVE |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98684-6930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508869546 | Matthew Charles Brouns | Internal Medicine | 210 Se 136th Ave, Vancouver, WA 98684-6930 | 2005-05-23 |
| 1194103176 | Marisa Osorio Gholson | Physician Assistant | 210 Se 136th Ave, Vancouver, WA 98684-6930 | 2015-05-11 |
| 1083991103 | Stephanie Brie Hudson | Physician Assistant | 210 Se 136th Ave, Vancouver, WA 98684-6930 | 2011-11-03 |
| 1851694202 | Tracy Lynn Webb | Physician Assistant | 210 Se 136th Ave, Vancouver, WA 98684-6930 | 2010-12-07 |
| 1114229374 | Joyce Marie Koerber | Physician Assistant | 210 Se 136th Ave, Vancouver, WA 98684-6930 | 2010-11-21 |
| 1942416524 | Nora Jane Bucher | Internal Medicine | 210 Se 136th Ave, Vancouver, WA 98684 | 2007-05-14 |
| 1861567562 | David Peter Cosgrove | Internal Medicine | 210 Se 136th Ave, Vancouver, WA 98684-6930 | 2006-11-21 |
| 1104910850 | Toni Lucille Storm-dickerson | Surgery | 210 Se 136th Ave, Vancouver, WA 98684-6930 | 2006-10-03 |
| 1629062542 | Magdolna Solti | Internal Medicine | 210 Se 136th Ave, Vancouver, WA 98684-6930 | 2005-09-07 |
| 1528061181 | David Allen Smith | Internal Medicine | 210 Se 136th Ave, Vancouver, WA 98684-6930 | 2005-05-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285291849 | Pacifica Sylvan Park LLC | Alzheimer Center (Dementia Center) | 2400 Ne 112th Avenue, Vancouver, WA 98684 | 2019-05-20 |
| 1699242826 | Heidi Ericka Jackson | Registered Nurse | 15606 Ne 12th Way, Vancouver, WA 98684 | 2018-10-25 |
| 1477076727 | Brian Benasa Bardeloza | Dentist | 605 Se 164th Ave Ste 103, Vancouver, WA 98684 | 2017-07-19 |
| 1992226062 | Judith Moreno-castro | Massage Therapist | 2501 Ne 138th Ave., #60, Vancouver, WA 98684 | 2017-06-29 |
| 1346790706 | Samuel Joonsang Lee | Registered Nurse | 501 Se 172nd Ave Ste 210, Vancouver, WA 98684 | 2016-10-10 |
| 1912353178 | Cheryl A. Hamilton-jefferson | Counselor | 11818 Se Mill Plain Blvd Ste 311g, Vancouver, WA 98684 | 2016-05-06 |
| 1063866424 | Kim Forgione | Optometrist | 1900 Ne 162nd Ave Ste D103, Vancouver, WA 98684 | 2016-04-21 |
| 1700254257 | Desiree Haggart | Registered Nurse | 406 Se 131st St., Suite A101, Vancouver, WA 98684 | 2015-09-14 |
| 1215318068 | Paige M. King | Behavioral Analyst | 11818 Se Mill Plain Blvd Ste 203, Vancouver, WA 98684 | 2015-06-17 |
| 1417354366 | Amanda Hilkey, Lmp | Massage Therapist | 108 Se 24th Ave, Ste 9, Vancouver, WA 98684 | 2014-11-20 |
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| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184054090 | Jeffrey William Craig | Pathology | Bc Cancer - Department of Pathology, 600 W. 10th Ave, Room 3225, Vancouver, BRITISH COLUMBIA V5Z 4E6 | 2013-11-14 |
| 1225267800 | Rita M Addison | Pathology | 1111 Alberni Street, Suite #4201, Vancouver, BRITISH COLUMBIA V6E 4V2 | 2009-07-05 |
| 1588646228 | Mohiedean Ghofrani | Pathology | Sw Washington Medical Center, Vancouver, WA 98668 | 2005-11-17 |
| 1770763195 | Julia C Longo | Pathology | 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 | 2007-11-14 |
| 1699857342 | Steven K Thompson | Pathology | 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 | 2006-10-20 |
| 1801978549 | Di Lu | Pathology | 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 | 2006-10-20 |
| 1164504171 | Yaping Wu | Pathology | 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 | 2006-10-19 |
| 1013099050 | Bradden Jensen | Pathology | 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 | 2006-10-19 |
| 1619059672 | Julia W Wildes | Pathology | 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 | 2006-10-19 |
| 1902988975 | Kathleen S Sunshine | Pathology | 700 Ne 87th Ave, Vancouver, WA 98664-1913 | 2006-10-19 |
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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.