CHARLES J KUCERA (NPI# 1811004351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811004351 |
| Entity Type | Individual |
| Full Name | CHARLES J KUCERA |
| Credential | MD |
| Practice Address |
5814 Graham Ave Ste 100 Sumner WA 98390-2728 |
| Practice Telephone | 2538917450 |
| Mailing Telephone | 2538917450 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2014-03-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD60057955 | WA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 36085832 | IL | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 41843 | WI | Allopathic & Osteopathic Physicians |
| Street Address |
5814 GRAHAM AVE STE 100 |
| City | SUMNER |
| State | WA |
| Zip Code | 98390-2728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013538446 | Cherylanne S Zeumault | Registered Nurse | 5814 Graham Ave Ste 100, Sumner, WA 98390-2728 | 2020-04-27 |
| 1790161511 | Ashley Nichole Kelly | Nurse Practitioner | 5814 Graham Ave Ste 100, Sumner, WA 98390-2728 | 2015-08-04 |
| 1528375284 | Sally Mae Ericksen | Nurse Practitioner | 5814 Graham Ave Ste 100, Sumner, WA 98390-2728 | 2010-09-01 |
| 1669622056 | Kristey Lee Kendall | Nurse Practitioner | 5814 Graham Ave Ste 100, Sumner, WA 98390-2728 | 2008-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669996211 | Michael Johnson-money | Pharmacist | 20904 Highway-410, Bonney Lake, WA 98390 | 2017-07-26 |
| 1295150498 | Sound Associates Western Washington LLC | Hearing Instrument Specialist | 15324 Main St. E, Ste. B, Sumner, WA 98390 | 2014-02-25 |
| 1811330129 | Callie Leah Macleod | Student in an Organized Health Care Education/Training Program | 5805 Parker Rd, Sumner, WA 98390 | 2013-04-17 |
| 1699020388 | Alex George Wardle | Pharmacist | 20901 Highway 410, Bonney Lake, WA 98390 | 2012-07-18 |
| 1417102112 | Laura Christine Vandyk | Dentist | 1006 C Fryar Ave, Sumner, WA 98390 | 2008-11-21 |
| 1164631248 | Jeff Lee Sisco | Massage Therapist | 21157 State Route 410, Bonney Lake, WA 98390 | 2007-05-22 |
| 1215053764 | Assisted Living Concepts Inc | Assisted Living Facility | 5713 Parker Road, Sumner, WA 98390 | 2007-03-22 |
| 1518007350 | Julie Bush Webster | Marriage & Family Therapist | 920 Alder Avenue, Suite 203, Sumner, WA 98390 | 2007-02-08 |
| 1154478014 | Bonney Lake Optical, Inc | Durable Medical Equipment & Medical Supplies | 21221 Hwy 410, Bonney Lake, WA 98390 | 2007-01-04 |
| 1437248986 | Christopher John Nielsen | Dentist | 3106-e Sumner-tapps Hwy E, Sumner, WA 98390 | 2006-10-12 |
| Find all providers in zip 98390 | ||||
| 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 |
|---|---|---|---|---|
| 1376181990 | Cassidy Bayou Medical Clinic | Family Medicine | 2372 Us 49-e, Sumner, MS 38957 | 2019-12-13 |
| 1316389430 | Wei Kong Chang Estate | Family Medicine | 1004 E 1st St, Sumner, IA 50674-1618 | 2013-07-18 |
| 1902820020 | Kent R Walker | Family Medicine | 16202 64th St E Ste 104, Sumner, WA 98390-3028 | 2006-07-26 |
| 1538120506 | Sumner Medical Clinic PC | Family Medicine | 909 W 1 St, Sumner, IA 50674 | 2006-03-30 |
| 1336602762 | Maua Wingi Swai | Family Medicine | 15324 Main St E Ste B, Sumner, WA 98390-2698 | 2019-04-11 |
| 1740682434 | Chang Cornerstone Clinic | Family Medicine | 1004 E 1st St, Sumner, IA 50674-1618 | 2014-09-24 |
| 1396056073 | Jeffrey Ronald Roske | Family Medicine | 909 W 1st St, Sumner, IA 50674-1203 | 2010-06-28 |
| 1528295680 | Ted Le Schwarm | Family Medicine | 909 W 1st St, Sumner, IA 50674-1203 | 2009-06-16 |
| 1184844946 | Michelle Rae Show | Family Medicine | 1518 Main St, Sumner, WA 98390-1812 | 2007-04-26 |
| 1013029222 | William E. Biljan | Family Medicine | 5814 Graham Ave, Suite 100, Sumner, WA 98390-2728 | 2006-09-01 |
| Find all providers in SUMNER | ||||
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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.