DR. MICHAEL KOLCZYNSKI (NPI# 1801236971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801236971 |
Entity Type | Individual |
Full Name | DR. MICHAEL KOLCZYNSKI |
Credential | M.D. |
Practice Address |
3730 Plaza Way Kennewick WA 99338-2718 |
Practice Telephone | 5992217000 |
Mailing Telephone | 5092217000 |
Enumeration Date | 2013-07-03 |
Last Update Date | 2020-09-04 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
61095314 | WA | Allopathic & Osteopathic Physicians |
Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
68437-20 | WI | Allopathic & Osteopathic Physicians |
Street Address |
3730 PLAZA WAY |
City | KENNEWICK |
State | WA |
Zip Code | 99338-2718 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346247293 | Matthew Evan Fewel | Neurological Surgery | 3730 Plaza Way, Kennewick, WA 99338-2718 | 2005-07-07 |
1508479130 | Kristine Vaz | Physical Therapist | 3730 Plaza Way, Kennewick, WA 99338-2718 | 2020-08-24 |
1396357562 | Emily Elizabeth Dulas | Speech-Language Pathologist | 3730 Plaza Way, Kennewick, WA 99338-2718 | 2020-08-19 |
1376171298 | Nathan Vicknair | Student in an Organized Health Care Education/Training Program | 3730 Plaza Way, Kennewick, WA 99338-2718 | 2020-03-27 |
1447800438 | Jessica Lynn Noble | Registered Nurse | 3730 Plaza Way, Kennewick, WA 99338-2718 | 2019-09-12 |
1831682806 | Rcch Trios Health LLC | Family Medicine | 3730 Plaza Way, Kennewick, WA 99338 | 2018-06-13 |
1700312444 | David Wang | Student in an Organized Health Care Education/Training Program | 3730 Plaza Way, Kennewick, WA 99338 | 2017-05-01 |
1720349509 | Kristine Rueda | Family Medicine | 3730 Plaza Way, 5th Floor, Trios Care Center Southridge, Kennewick, WA 99338 | 2012-06-07 |
1386875011 | Ahmad Fora | Internal Medicine | 3730 Plaza Way, Kennewick, WA 99338-2718 | 2009-07-29 |
1578729349 | Stacy Kay Tong | Internal Medicine | 3730 Plaza Way, Kennewick, WA 99338-2718 | 2008-07-31 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467974170 | Madiha Haque | Internal Medicine | Trios Care Center, 3730 Plaza, 4th Floor, Kennewick, WA 99338 | 2017-07-13 |
1053719864 | Christine Boynton Tano | Speech-Language Pathologist | 10411 E Vaca Rd, Kennewick, WA 99338 | 2014-12-10 |
1992058895 | Jennifer Kathleen Webb | Massage Therapist | 4206 W. 24th Ave. Suite A 101, Kennewick, WA 99338 | 2012-10-17 |
1881999639 | Tyler Rex Thornock | Nurse Anesthetist, Certified Registered | 15205 S. Mountain Ridge Ct, Kennewick, WA 99338 | 2011-01-25 |
1528205812 | Christina Ann Hofstetter | Massage Therapist | 4206 W. 24th Ave, Suite B103, Kennewick, WA 99338 | 2009-01-08 |
1619184025 | Jennifer Candice Charron | Family Medicine | 3900 S. Zintel Way, Kennewick, WA 99338 | 2007-05-16 |
1821211640 | Brandon P Campbell | Chiropractor | 4303 W. 27th Avenue, Suite E, Kennewick, WA 99338 | 2007-04-10 |
1902936206 | Stuart Lee Smithson | Chiropractor | 2411 S. Union St., Suite C, Kennewick, WA 99338 | 2007-03-06 |
1467580845 | Theodore J Weber Sr. | Specialist/Technologist | 3520 Southridge Blvd, Kennewick, WA 99338 | 2007-02-28 |
1093868572 | Canyonview Family Eye Care LLC | Optometrist | 4309 W 27th Place, Suite 102, Kennewick, WA 99338 | 2007-01-19 |
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Taxonomy Code | 208VP0014X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pain Medicine |
Specialization | Interventional Pain Medicine |
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740434356 | Pinnacle Pain Center, Ps | Pain Medicine | 7401 W Hood Place, Suite 200, Kennewick, WA 99336-3400 | 2008-11-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114528056 | Washington Center for Pain Management | Pain Medicine | 607 Se Everett Mall Way Ste 2, Everett, WA 98208-3210 | 2020-11-06 |
1972080703 | Pain Management Partner LLC | Pain Medicine | 421 W Riverside Ave Ste 900, Spokane, WA 99201-0418 | 2018-07-24 |
1134638281 | Vtc Vitality Healthcare | Pain Medicine | 12409 E Mission Ave Ste 102, Spokane Valley, WA 99216 | 2017-09-20 |
1306218284 | Sound Pain Alliance | Pain Medicine | 17615 Se 272nd St Ste 109, Covington, WA 98042-4957 | 2015-10-30 |
1740666411 | Sound Pain Alliance | Pain Medicine | 9927 Mickelberry Rd Nw Ste 101, Silverdale, WA 98383-7861 | 2015-08-05 |
1457732315 | Summit Healthcare Alliance Pllc | Pain Medicine | 12100 Northup Way, Bellevue, WA 98005-1920 | 2015-06-16 |
1518354752 | Sound Pain Alliance | Pain Medicine | 7200 S 180th St Ste 102, Tukwila, WA 98188-5548 | 2015-04-24 |
1861739294 | Puget Sound Pain Clinic Ps | Pain Medicine | 7200 S 180th St, Suite 102, Tukwila, WA 98188-5548 | 2013-01-04 |
1467545210 | David A Velling | Pain Medicine | 350 S 333rd St, Federal Way, WA 98003-6321 | 2006-10-02 |
1912917618 | Gary D Haas | Pain Medicine | 1119 Highland Ave Ste 11, Clarkston, WA 99403-2836 | 2006-08-08 |
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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.