ORCHARD MEDICAL CLINIC (NPI# 1770751083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770751083 |
| Entity Type | Organization |
| Organization Name | ORCHARD MEDICAL CLINIC |
| Practice Address |
5320 Orchard St W University Place WA 98467 |
| Practice Telephone | 2534747100 |
| Practice Fax Number | 2534742677 |
| Mailing Telephone | 9253474710 |
| Mailing Fax Number | 2534742677 |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2008-02-20 |
| Authorized Official Name | DR. GLENN A PACIO (OWNER) |
| Authorized Official Telephone | 2534747100 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | MD00038095 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1115922 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255603874 | Orchard Medical Clinic | Clinic/Center | 5320 Orchard St W, University Place, WA 98467-3633 | 2012-01-27 |
| Street Address |
5320 ORCHARD ST W |
| City | UNIVERSITY PLACE |
| State | WA |
| Zip Code | 98467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255603874 | Orchard Medical Clinic | Clinic/Center | 5320 Orchard St W, University Place, WA 98467-3633 | 2012-01-27 |
| 1821229667 | Rashada Imran | Massage Therapist | 5320 Orchard St W, University Place, WA 98467-3633 | 2009-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689218927 | Juliette Gallardo-zamora | Behavioral Analyst | 5915 Orchard St. W, Tacoma, WA 98467 | 2019-10-30 |
| 1306310925 | Nancy Rubi Rosas Rodriguez | Counselor | 5915 Orchard St W., Tacoma, WA 98467 | 2019-01-16 |
| 1801309091 | Penny L Crawford | Registered Nurse | 5424 57th Ave Ct. W., G8, University Place, WA 98467 | 2017-11-09 |
| 1316465578 | C.f. Bridgeport, LLC | Assisted Living Facility | 5250 Bridgeport Way W., University Place, WA 98467 | 2017-09-07 |
| 1265950422 | University Place Rehabilitation Center, LLC | Skilled Nursing Facility | 5520 Bridgeport Way W., University Place, WA 98467 | 2017-09-07 |
| 1689127037 | Rachel Ann Cruz | Counselor | 5915 Orcahrd St W, Tacoma, WA 98467 | 2016-08-02 |
| 1396099313 | Ryan Jack Holbrook | Massage Therapist | 6915 Lakewood Dr W Unit A2, Tacoma, WA 98467 | 2012-10-29 |
| 1740519701 | Laura Jean Hubert | Physical Therapist | 5520 Bridgeport Way, University Place, WA 98467 | 2009-12-21 |
| 1437395548 | Karen Marie Noyes | Occupational Therapy Assistant | 5520 Bridgeport Way West, University Place, WA 98467 | 2008-12-18 |
| 1316137185 | Mary Ida Freitas | Massage Therapist | 5322 Orchard Street West, University Place, WA 98467 | 2007-07-27 |
| Find all providers in zip 98467 | ||||
| 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 |
|---|---|---|---|---|
| 1922585306 | Care Excellence Pllc | Internal Medicine | 7012 50th St W, University Place, WA 98467-3223 | 2018-07-27 |
| 1730587981 | Valerie Sutherland, Md, Pllc | Internal Medicine | 3555 Market Pl W, Suite 3, University Place, WA 98466-4478 | 2014-12-19 |
| 1366648222 | Ajainder Shergill | Internal Medicine | 2603 Bridgeport Way W Ste F, University Place, WA 98466-4724 | 2007-06-26 |
| 1457873002 | Northwestern Healthcare Management Services LLC | Internal Medicine | 4401 Bridgeport Way W, University Place, WA 98466-4201 | 2017-07-14 |
| 1205256336 | Bethany Christine Fowler | Internal Medicine | 2901 Bridgeport Way W, University Place, WA 98466-4614 | 2014-04-16 |
| 1881897601 | Mitra Rajabi Hanjani | Internal Medicine | 4401 Bridgeport Way W, University Place, WA 98466-4201 | 2007-06-08 |
| 1891851820 | Ronald D Nielsen | Internal Medicine | 2901 Bridgeport Way W, University Place, WA 98466-4614 | 2006-12-27 |
| 1063442200 | Bruce D Brazina | Internal Medicine | 2901 Bridgeport Way W, University Place, WA 98466-4614 | 2006-07-04 |
| 1366472508 | Franciscan Health System | Internal Medicine | 2901 Bridgeport Way W, University Place, WA 98466-4614 | 2006-07-04 |
| 1376572065 | Franciscan Medical Group | Internal Medicine | 7210 40th St W, Ste 100, University Place, WA 98466-4318 | 2006-07-03 |
| Find all providers in UNIVERSITY PLACE | ||||
| City | UNIVERSITY PLACE |
| Zip Code | 98467 |
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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.