JUDE GERARD D VERZOSA (NPI# 1770598112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770598112 |
| Entity Type | Individual |
| Full Name | JUDE GERARD D VERZOSA |
| Credential | MD |
| Practice Address |
3021 Griffin Ave Enumclaw WA 98022-2369 |
| Practice Telephone | 3608256511 |
| Practice Fax Number | 3608256536 |
| Mailing Telephone | 3608256511 |
| Mailing Fax Number | 3608256536 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2010-11-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | MD00042893 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | STATE CRIME VICTIMS | 8939176 | 01 |
| WA | STATE L&I | 0184016 | 01 |
| WA | 8389777 | 05 | |
| WA | STATE L&I | 0194113 | 01 |
| WA | STATE CRIME VICTIMS | 8904491 | 01 |
| WA | MEDICARE RAILROAD | P00143183 | 01 |
| Street Address |
3021 GRIFFIN AVE |
| City | ENUMCLAW |
| State | WA |
| Zip Code | 98022-2369 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164419685 | Michael Glen Miller | Orthopaedic Surgery | 3021 Griffin Ave, Enumclaw, WA 98022-2369 | 2005-09-30 |
| 1861033102 | Rebecca Ann Voorhees | Specialist/Technologist | 3021 Griffin Ave, Enumclaw, WA 98022-2369 | 2019-10-07 |
| 1194243915 | Joy Yea Chang | Registered Nurse | 3021 Griffin Ave, Enumclaw, WA 98022-2369 | 2017-08-31 |
| 1134672298 | Kashish Goyal | Family Medicine | 3021 Griffin Ave, Enumclaw, WA 98022-2369 | 2016-07-25 |
| 1699126755 | Kristopher S. Dunbrack | Family Medicine | 3021 Griffin Ave, Enumclaw, WA 98022 | 2016-06-29 |
| 1972902864 | Magdalena Johnson | Social Worker | 3021 Griffin Ave, Enumclaw, WA 98022-2369 | 2014-08-18 |
| 1265866313 | Shannon Pendleton | Nurse Practitioner | 3021 Griffin Ave, Enumclaw, WA 98022-2369 | 2013-08-26 |
| 1548605926 | Jennifer Sweet | Family Medicine | 3021 Griffin Ave, Enumclaw, WA 98022-2369 | 2013-04-30 |
| 1952696015 | Franciscan Medical Group | Internal Medicine | 3021 Griffin Ave, Enumclaw, WA 98022-2369 | 2011-06-16 |
| 1194045682 | Jennifer Marie Erickson | Physician Assistant | 3021 Griffin Ave, Enumclaw, WA 98022-2369 | 2010-06-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558993725 | Megan's Massage and Esthetics LLC | Massage Therapist | 709 Griffin Ave, Enumclaw, WA 98022 | 2020-02-06 |
| 1154883494 | Nicola Given | Registered Nurse | 1818 Cole Street, Enumclaw, WA 98022 | 2019-04-04 |
| 1770099988 | Christopher P Koontz, Dds, Ps | Dentist | 2617 Griffin Ave, Enumclaw, WA 98022 | 2017-12-26 |
| 1487050977 | Hunter Chlebowski | Massage Therapist | 1453 Chinook Ave., Enumclaw, WA 98022 | 2014-11-10 |
| 1194156257 | James Kraft Symonds | Family Medicine | 1605 Washington Ave, Enumclaw, WA 98022 | 2013-11-27 |
| 1508209420 | Terri Lynn Kilbourne | Specialist | 1710 Railroad Street, Enumclaw Day Spa, Enumclaw, WA 98022 | 2013-04-10 |
| 1679824783 | Cortney Lauren Adams | Massage Therapist | 1156 Griffin Ave, Suite 209, Enumclaw, WA 98022 | 2012-09-28 |
| 1477828226 | Chella Bear Plastiras | Speech-Language Pathologist | 275 Peterson Drive East, Enumclaw, WA 98022 | 2012-03-13 |
| 1003186693 | Travis David Burt | Specialist | 1838 Porter St, Enumclaw, WA 98022 | 2012-01-12 |
| 1740590884 | Justin Andrew Bergstrom | Chiropractor | 2627 Griffin Ave., Enumclaw, WA 98022 | 2010-10-07 |
| Find all providers in zip 98022 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1699077263 | Bhupesh Rathod | Internal Medicine | 1455 Battersby Ave, Enumclaw, WA 98022 | 2010-12-02 |
| 1023281623 | Enumclaw Internal Medicine and Diagnostics, Ps | Internal Medicine | 1427 Jefferson Ave, Suite # 102, Enumclaw, WA 98022-3649 | 2008-04-04 |
| 1942386388 | Michael Tepper | Internal Medicine | 1427 Jefferson Ave, 102, Enumclaw, WA 98022-3649 | 2006-10-27 |
| 1649285198 | Jane M Houtz | Internal Medicine | 2820 Griffin Ave, Suite 204, Enumclaw, WA 98022-2373 | 2006-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790382224 | Heart Central of Washington | Internal Medicine | 1006 S 64th Ave Ste 110, Yakima, WA 98908-2090 | 2020-10-07 |
| 1265049829 | Robert I Hustrulid Md Pllc | Internal Medicine | 3807 S Sommer Rd, Veradale, WA 99037-9136 | 2020-09-28 |
| 1659987485 | David James Sanders | Internal Medicine | 1100 Ninth Avenue: Attention David Sanders, G2-pmr, Seattle, WA 98101 | 2020-09-17 |
| 1710590179 | Direct Urgent Care Inc | Internal Medicine | 220 6th Avenue North, Seattle, WA 98109 | 2020-08-26 |
| 1740898766 | Abx Medical Pllc | Internal Medicine | 2523 Simon Ln Ne, Olympia, WA 98506-3553 | 2020-07-15 |
| 1225656614 | Sentinel Healthcare Corporation | Internal Medicine | 2220 76th Ave Se, Mercer Island, WA 98040-2114 | 2020-07-11 |
| 1730718628 | Brendan Eugene Raney | Internal Medicine | 202 N Borough Rd, Tacoma, WA 98403-2804 | 2020-04-03 |
| 1609404136 | Abigail Anne Cano Deleon | Internal Medicine | 4252 E Roosevelt Ave, Tacoma, WA 98404-4658 | 2020-03-30 |
| 1528691706 | Blue Med Inc. | Internal Medicine | 1222 N Sunset Dr, Tacoma, WA 98406-1027 | 2020-02-17 |
| 1194372896 | Dunia Health Clinic LLC | Internal Medicine | 11625 Rainier Ave S Ste 102, Seattle, WA 98178-3983 | 2019-08-19 |
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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.