DR. DOMINIQUE JUSTIN PEPPER (NPI# 1750691713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750691713 |
| Entity Type | Individual |
| Full Name | DR. DOMINIQUE JUSTIN PEPPER |
| Credential | MD |
| Practice Address |
500 Lilly Rd Ne Ste 201 Olympia WA 98506 |
| Mailing Address |
Po Box 3360 Portland OR 97208-3360 |
| Practice Telephone | 3604138272 |
| Practice Fax Number | 3604138878 |
| Enumeration Date | 2010-10-08 |
| Last Update Date | 2018-07-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
MD60818088 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | MS. TEMPORARY MEDICAL LICENSE | 796-L | 01 |
| Street Address |
500 LILLY RD NE STE 201 |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396821310 | Suzanne E Goldman | Nurse Practitioner | 500 Lilly Rd Ne Ste 201, Olympia, WA 98506-5197 | 2006-10-31 |
| 1003213463 | Karen Yepez | Nurse Practitioner | 500 Lilly Rd Ne Ste 201, Olympia, WA 98506-5197 | 2014-12-01 |
| 1013174432 | Colleen M Overdorf | Internal Medicine | 500 Lilly Rd Ne Ste 201, Olympia, WA 98506-5197 | 2008-05-22 |
| 1689843492 | Raul Manuel Buenaflor Cruz | Internal Medicine | 500 Lilly Rd Ne Ste 201, Olympia, WA 98506-5197 | 2008-02-26 |
| 1932314374 | Warangkhana Wongba | Internal Medicine | 500 Lilly Rd Ne Ste 201, Olympia, WA 98506-5197 | 2007-05-11 |
| 1174683007 | Dustin T Engelken | Internal Medicine | 500 Lilly Rd Ne Ste 201, Olympia, WA 98506-5197 | 2006-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477185460 | Chloe Harper | Technician, Other | 3443 Lilly Rd Se, Ste B, Olympia, WA 98506 | 2020-02-07 |
| 1912543539 | Jessica Marie Radakovich | Licensed Practical Nurse | 3426 Mary Elder Rd, Olympia, WA 98506 | 2019-11-19 |
| 1669014973 | Arlene Josephine Adams | Registered Nurse | 413 Lily Rd Ne, Olympia, WA 98506 | 2019-10-09 |
| 1861999120 | Debra Delores Barker | Licensed Practical Nurse | 3710 South Bay Rd Ne, Olympia, WA 98506 | 2018-04-12 |
| 1801304431 | Michelle Warner | Nurse Practitioner | 205 Lilly Rd Ne Ste A1, Olympia, WA 98506 | 2018-01-17 |
| 1396258364 | Institute for Family Development | Community/Behavioral Health | 204 Quince St. Ne, Suite 200, Olympia, WA 98506 | 2017-11-13 |
| 1083137715 | Cameron Kunkel | Specialist/Technologist | 2512 20th Ave Ne, Olympia, WA 98506 | 2017-07-25 |
| 1184144768 | Trevor Shane Kwan | Family Medicine | 525 Lilly Road Ne, Olympia, WA 98506 | 2017-06-23 |
| 1073043212 | Michael H Harburg | Behavior Technician | 3857 Martin Way Ne, Olympia, WA 98506 | 2017-06-19 |
| 1780114371 | Priscilla Kangyang Jadu | Counselor | 3857 Martin Way E., Olympia, WA 98506 | 2017-06-15 |
| Find all providers in zip 98506 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114192937 | Richard Clark Redman | Internal Medicine | 500 Lilly Road Ne, Suite 201, Olympia, WA 98506 | 2008-04-23 |
| 1023071966 | Robert Love Huck | Internal Medicine | 500 Lilly Rd Ne Suite 201, Olympia, WA 98503-5197 | 2006-04-11 |
| 1922007848 | Austin C Lampert | Internal Medicine | 3920 Capitol Mall Dr Sw, Ste 308, Olympia, WA 98502-8701 | 2005-07-21 |
| 1013174432 | Colleen M Overdorf | Internal Medicine | 500 Lilly Rd Ne Ste 201, Olympia, WA 98506-5197 | 2008-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386004638 | Kent N Sullivan Md Pllc | Internal Medicine | 19219 51st Ave Ne, Lake Forest Park, WA 98155-2940 | 2016-02-29 |
| 1215363676 | Lawrence Edward Klock Jr. | Internal Medicine | 4115 S Bellgrove Ln, Spokane, WA 99223-6185 | 2013-09-17 |
| 1427495274 | Mohammed Nayeemuddin | Internal Medicine | 16259 Sylvester Rd Sw Ste 404, Burien, WA 98166 | 2013-06-03 |
| 1174864912 | Steven Chase Springmeyer | Internal Medicine | 219 Terry Ave N Ste 100, Seattle, WA 98109-5230 | 2013-03-04 |
| 1326364688 | Surafel Befekadu Gezahegne | Internal Medicine | 4011 Talbot Rd S Ste 460, Renton, WA 98055-5791 | 2010-04-12 |
| 1649439209 | Allison A Lambert | Internal Medicine | 105 W 8th Ave Ste 660e, Spokane, WA 99204-2302 | 2008-06-08 |
| 1467637058 | John E Sailer | Internal Medicine | 181 Saddle Drive, Port Townsend, WA 98368 | 2008-01-02 |
| 1891995882 | Bridget Collins | Internal Medicine | Uwmc 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2007-07-19 |
| 1538368360 | Vincent George Lerma Cunanan | Internal Medicine | 1100 Goethals Drive Third Floor, Kadlec Clinic Pulmonary, Richland, WA 99352 | 2007-07-12 |
| 1699982462 | Brian Keay | Internal Medicine | 313 W Yelm Ave, Yelm, WA 98597-7669 | 2007-05-17 |
| 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.