DR. NATASHA MUCKOVA (NPI# 1790874048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790874048 |
| Entity Type | Individual |
| Full Name | DR. NATASHA MUCKOVA |
| Credential | M.D. |
| Practice Address |
4545 Cordata Parkway, Suite 1b Gastroenterology Bellingham WA 98226-7123 |
| Mailing Address |
1115 Se 164th Ave Dept 358 Vancouver WA 98683-9324 |
| Practice Telephone | 3607382200 |
| Practice Fax Number | 3607525669 |
| Mailing Telephone | 3607382200 |
| Mailing Fax Number | 3607525669 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2015-11-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 110389 | MO | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | A 91710 | CA | Allopathic & Osteopathic Physicians |
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
MD60280545 | WA | Allopathic & Osteopathic Physicians |
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
63885 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
4545 CORDATA PARKWAY, SUITE 1B GASTROENTEROLOGY |
| City | BELLINGHAM |
| State | WA |
| Zip Code | 98226-7123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558901090 | Advancement Northwest, LLC | Community/Behavioral Health | 410 W Bakerview Rd Suite 110, Space 107, Bellingham, WA 98226 | 2020-01-13 |
| 1295374882 | Unity Care Northwest | Community/Behavioral Health | Roosevelt Elementary School Bh Services, 2900 Yew St., Bellingham, WA 98226 | 2019-12-30 |
| 1710454913 | Shane Humason | Pharmacist | 1225 East Sunset Drive, Ste 110, Bellingham, WA 98226 | 2018-10-26 |
| 1508342759 | Lydia Place A Nonprofit Corporation | Counselor | 1430 North Garden Street, Bellingham, WA 98226 | 2018-07-11 |
| 1609384486 | Lindsay Grace Davis | Massage Therapist | 1572 Huntley Rd, Bellingham, WA 98226 | 2018-01-16 |
| 1760900765 | Melissa Peters | Massage Therapist | 823 W Larson Rd, Bellingham, WA 98226 | 2017-08-30 |
| 1245754001 | Amber Michelle Wilson | Physical Therapy Assistant | 4860 Cordata Pkwy, North Cascades Health and Rehab, Bellingham, WA 98226 | 2017-08-02 |
| 1063935310 | Sophie Elizabeth Kangas | Speech-Language Pathologist | 4152 Meridian Street, Suite 105, Pmb 159, Bellingham, WA 98226 | 2017-07-19 |
| 1639607849 | Sharon Lynn Katz-kunde | Physical Therapist | 317 E Mcleod Rd #101, Bellingham, WA 98226 | 2017-06-01 |
| 1376998179 | Hyowon Choi | Podiatrist | 2075 Barkley Blvd Ste 220, Bellingham, WA 98226 | 2016-04-28 |
| Find all providers in zip 98226 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal 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 |
|---|---|---|---|---|
| 1316351430 | Mohammed M. Aboelsoud | Internal Medicine | 4545 Cordata Pkwy Ste 1b, Bellingham, WA 98226-7264 | 2014-06-17 |
| 1821591157 | June E Parker | Internal Medicine | 4545 Cordata Pkwy Ste 1b, Bellingham, WA 98226 | 2018-03-13 |
| 1548469281 | Wenhuan Steve Ho | Internal Medicine | 4545 Cordata Pkwy, Suite 1a, Bellingham, WA 98226-7123 | 2007-07-12 |
| 1093847949 | Todd N Witte | Internal Medicine | 2979 Squalicum Pkwy, Suite 301, Bellingham, WA 98225-1811 | 2007-03-09 |
| 1548301120 | Benjamin Siemanowski | Internal Medicine | 2979 Squalicum Pkwy, Suite 301, Bellingham, WA 98225-1811 | 2007-02-08 |
| 1033278411 | Northwest Gastroenterology Professional LLC | Internal Medicine | 2979 Squalicum Pkwy, Suite #301, Bellingham, WA 98225-1811 | 2006-12-08 |
| 1982610937 | Gregory William Munson | Internal Medicine | 2979 Squalicum Pkwy, Suite 301, Bellingham, WA 98225-1811 | 2006-07-31 |
| 1255398285 | Alan G.y. Chang | Internal Medicine | 2979 Squalicum Pkwy, Suite 301, Bellingham, WA 98225-1811 | 2006-04-26 |
| 1598722423 | Stephen P Woods | Internal Medicine | 2979 Squalicum Pkwy, Suite 301, Bellingham, WA 98225-1811 | 2006-04-26 |
| 1841256260 | Kelly D Mccullough | Internal Medicine | 2979 Squalicum Pkwy, Suite 301, Bellingham, WA 98225-1811 | 2006-04-25 |
| Find all providers in BELLINGHAM | ||||
| City | BELLINGHAM |
| Zip Code | 98226 |
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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.