NICHOLAS TYLER CHURCH (NPI# 1801283262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801283262 |
| Entity Type | Individual |
| Full Name | NICHOLAS TYLER CHURCH |
| Practice Address |
15809 Bear Creek Pkwy Ste 100 Redmond WA 98052-1542 |
| Practice Telephone | 4258826100 |
| Mailing Telephone | 4258826100 |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2020-04-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | OP60850304 | WA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386188050 | Nicholas Church | Technician, Other | 1860 N Francis St, Midland, MI 48642-9451 | 2016-12-14 |
| 1033317011 | Nicholas Church | Family Medicine | 2801 N Decatur Rd, Suite 295, Decatur, GA 30033-5949 | 2007-07-11 |
| Street Address |
15809 BEAR CREEK PKWY STE 100 |
| City | REDMOND |
| State | WA |
| Zip Code | 98052-1542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427100841 | Marcia G. Kramer | Physician Assistant | 15809 Bear Creek Pkwy Ste 100, Redmond, WA 98052-1542 | 2007-01-17 |
| 1831629138 | Andrew Ryan Bergman | Physical Therapist | 15809 Bear Creek Pkwy Ste 100, Redmond, WA 98052-1542 | 2017-06-19 |
| 1538576558 | Sheila Storrer | Social Worker | 15809 Bear Creek Pkwy Ste 100, Redmond, WA 98052-1542 | 2014-07-22 |
| 1225471451 | Jack Hsin-kuan Hung | Family Medicine | 15809 Bear Creek Pkwy Ste 100, Redmond, WA 98052-1542 | 2013-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396301255 | Saraa Abdulateef | Dentist | 16150 Ne 85th St., #212, Redmond, WA 98052 | 2019-05-16 |
| 1174186837 | Zeinab Birjandian | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 98052 | 2019-04-18 |
| 1023584026 | Washington Dental Corporation, PC | Dentist | 17126 Redmond Way, Redmond, WA 98052 | 2018-10-17 |
| 1275047599 | Simeon P Roth | Pharmacist | 8547 Avondale Road Ne, Redmond, WA 98052 | 2017-11-22 |
| 1427560267 | Rania Abou Shadi | Pharmacy | 8862 161st Avenue Ne, Suite 102, Redmond, WA 98052 | 2017-11-02 |
| 1376068981 | Mark W Debourke | Clinic/Center | 7579 Old Redmond Rd, Apt 6, Redmond, WA 98052 | 2017-08-04 |
| 1740712280 | Hyomi Cho | Dentist | 15165 Ne24 Th St, Redmond, WA 98052 | 2017-04-03 |
| 1871033878 | Redmond Ambulatory Surgery Center, LLC | Clinic/Center | 18100 Ne Union Hill Rd Ste 340, Redmond, WA 98052 | 2017-02-24 |
| 1346797933 | Bridger Griffin | Speech-Language Pathologist | 8301 16st Ave Ne, Redmond, WA 98052 | 2016-09-01 |
| 1508313123 | Austin Schieler | Pharmacist | 14480 Ne 24th Street, Redmond, WA 98052 | 2016-09-01 |
| Find all providers in zip 98052 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356882369 | Jim Mccauley Md PC | Family Medicine | 427 Tanager Dr, Redmond, OR 97756-8389 | 2017-03-10 |
| 1376949248 | Dhirendra Md Pllc | Family Medicine | 4018 166th Ave Ne, Redmond, WA 98052-5400 | 2014-11-05 |
| 1629484464 | Jordan Mark Collier | Family Medicine | 8980 161st Ave Ne Ste 400, Redmond, WA 98052-7554 | 2014-07-01 |
| 1023440658 | Lisa A. Steffey, D.o., L.L.C. | Family Medicine | 2990 Sw 83rd St, Redmond, OR 97756-8237 | 2013-08-06 |
| 1861767881 | Richard Allyn Kuehn | Family Medicine | 2635 Nw Canyon Dr, Redmond, OR 97756-1115 | 2012-03-09 |
| 1356594881 | Vinutha Purohith | Family Medicine | 4850 156th Ave Ne, Apt 345, Redmond, WA 98052-9662 | 2008-10-28 |
| 1376706739 | Trieu Thuy Le | Family Medicine | 18100 Ne Union Hill Rd Ste 200, Redmond, WA 98052-3330 | 2008-07-07 |
| 1043337918 | Swapna J Bobba | Family Medicine | 17670 Ne 121st Ct, Redmond, WA 98052-2670 | 2007-03-23 |
| 1700942323 | Ruth T Emerson | Family Medicine | 2701 156th Ave Ne, Redmond, WA 98052-5513 | 2006-12-28 |
| 1104985951 | Roberto Carlos Barcelona Collantes | Family Medicine | 17209 Redmond Way, Redmond, WA 98052-4404 | 2006-12-07 |
| Find all providers in REDMOND | ||||
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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.