ABE CHARLES BAGNIEWSKI (NPI# 1790790376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790790376 |
| Entity Type | Individual |
| Full Name | ABE CHARLES BAGNIEWSKI |
| Credential | DPM |
| 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 | 2006-07-30 |
| Last Update Date | 2008-02-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
PO00000775 | WA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | CRIME VICTIMS | 8940526 | 01 |
| WA | STATE L&I | 0204603 | 01 |
| WA | 1001166 | 05 |
| 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 |
| Find all providers in the same location | ||||
| 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 | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770766271 | Puget Sound Specialty Physicians Pllc | Podiatrist | 2820 Griffin Ave, Suite 101, Enumclaw, WA 98022-2373 | 2007-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598392599 | Northern Cascades Foot and Ankle, LLC | Podiatrist | 532 E. Woodin Ave, Chelan, WA 98816-1852 | 2020-03-27 |
| 1801433784 | South Hill Foot & Ankle Clinic Ps | Podiatrist | 3707 S Grand Blvd Ste A, Spokane, WA 99203-2762 | 2019-12-10 |
| 1679025902 | Fasa Family Wellness, Pllc | Podiatrist | 2964 Limited Ln Nw, Suite B, Olympia, WA 98502-4577 | 2016-11-03 |
| 1356899363 | Emily Wagler | Podiatrist | 34509 9th Ave S Ste 303, Federal Way, WA 98003-8709 | 2016-09-19 |
| 1821546540 | Ata Podiatric and Integrative Medicine, Pllc | Podiatrist | 1950 Alaskan Way, Apt 526, Seattle, WA 98101-1075 | 2016-09-12 |
| 1376998179 | Hyowon Choi | Podiatrist | 2075 Barkley Blvd Ste 220, Bellingham, WA 98226 | 2016-04-28 |
| 1407210479 | Philip Matthew Woods | Podiatrist | 1812 N 13th Loop Rd # 1, Shelton, WA 98584-2169 | 2016-04-06 |
| 1063897916 | Yan Rong Cullen | Podiatrist | 13030 121st Way Ne Ste 204, Kirkland, WA 98034-3008 | 2015-07-21 |
| 1972982023 | Brittany Lynn Logan | Podiatrist | 10049 Kitsap Mall Blvd Nw Ste 109, Silverdale, WA 98383-8901 | 2015-05-21 |
| 1093194425 | Silas Klaver | Podiatrist | 1607 Creekside Loop Ste 140, Yakima, WA 98902 | 2015-05-18 |
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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.