JOHN N DIACONOU (NPI# 1821105164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821105164 |
| Entity Type | Individual |
| Full Name | JOHN N DIACONOU |
| Credential | MD PS |
| Practice Address |
202 N Division St Ste 402 Auburn WA 98001-4939 |
| Practice Telephone | 2538338032 |
| Practice Fax Number | 2538338081 |
| Mailing Telephone | 2538338032 |
| Mailing Fax Number | 2538338081 |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2011-03-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
MD00018742 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | RAILROAD MEDICARE PIN | 230000055 | 01 |
| WA | STATE L&I | 0265721 | 01 |
| WA | 1779008 | 05 | |
| WA | RR MEDICARE GROUP # | CH9408 | 01 |
| WA | LABOR AND INDUSTRIES | 0152713 | 01 |
| WA | STATE L&I | 0244706 | 01 |
| Street Address |
202 N DIVISION ST STE 402 |
| City | AUBURN |
| State | WA |
| Zip Code | 98001-4939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255335840 | Mark Flanery | Anesthesiology | 202 N Division St, Auburn, WA 98001-4939 | 2005-06-10 |
| 1053925834 | Marcellis Dodson-smith | Registered Nurse | 202 N Division St, Auburn, WA 98001-4939 | 2020-08-31 |
| 1548885916 | Christopher Charles Linderman | Registered Nurse | 202 N Division St, Auburn, WA 98001-4939 | 2020-06-11 |
| 1891315909 | Gage S Crowe | Nurse's Aide | 202 N Division St, Auburn, WA 98001-4939 | 2020-04-18 |
| 1154882736 | Sherry Wilson | Nurse Practitioner | 202 N Division St, Auburn, WA 98001-4939 | 2019-03-27 |
| 1447721857 | Todd Evan Im | Pharmacist | 202 N Division St, Auburn, WA 98001-4939 | 2018-12-10 |
| 1851899058 | Linh Huynh Libuit | Physician Assistant | 202 N Division St, Auburn, WA 98001-4939 | 2018-01-23 |
| 1194199703 | Stephanie Collins | Student in an Organized Health Care Education/Training Program | 202 N Division St, Auburn, WA 98001-4939 | 2015-11-19 |
| 1467824094 | Multicare Health Systems | Pharmacy | 202 N Division St, Auburn, WA 98001-4939 | 2015-10-22 |
| 1235500224 | Benjamin K Chan | Pharmacist | 202 N Division St, Auburn, WA 98001-4939 | 2015-10-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336770403 | Qinghua Zhao | Massage Therapist | 1101 Outlet Collection Way #1324, Auburn, WA 98001 | 2020-01-28 |
| 1841821154 | Sufang Liang | Massage Therapist | 1101 Outlet Collection Way, #1324, Auburn, WA 98001 | 2020-01-27 |
| 1477024537 | Kayla R Kranz | Dietitian, Registered | 202 N. Division Street, Mailstop: 202-c1-ns, Auburn, WA 98001 | 2018-12-16 |
| 1477028033 | Xioaping Liu | Acupuncturist | 201 S Division St Suite F, Auburn, WA 98001 | 2018-10-10 |
| 1831670041 | Debbie Kay Scott | Dental Hygienist | 4005 W Valley Hwy N, Auburn, WA 98001 | 2018-08-25 |
| 1447739537 | Cynthia Ann Kenaston | Registered Nurse | Soundpath Health, 32129 Weyerhaeuser Way S. Suite 201, Federal Way, WA 98001 | 2018-08-09 |
| 1104316447 | Stella Ngozi Igwala | Registered Nurse | 213 Junction Blvd, Algona, WA 98001 | 2018-05-11 |
| 1194222737 | Multicare Health System | Durable Medical Equipment & Medical Supplies | Plaza Two, 202 N Division St, #103, Auburn, WA 98001 | 2018-04-10 |
| 1134638679 | Jane Mburu | Registered Nurse | 29568 54th Court S, Auburn, WA 98001 | 2017-09-27 |
| 1467961219 | Messay A Belachew | Registered Nurse | 29717 48th Ave S, Auburn, WA 98001 | 2017-09-25 |
| Find all providers in zip 98001 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518570068 | Leg Health Vascular Centers, Inc | Surgery | 2375 Champions Blvd Ste 100, Auburn, AL 36830-6471 | 2020-08-25 |
| 1659536449 | Franciscan Medical Group | Surgery | 202 N Division St, # 201, Auburn, WA 98001-4939 | 2008-07-22 |
| 1811154537 | Omar K Dorzi | Surgery | 202 N Division St, #402, Auburn, WA 98001-4939 | 2008-05-20 |
| 1215128228 | Franciscan Health System | Surgery | 202 N Division St, Ste 402, Auburn, WA 98001-4939 | 2007-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710496922 | Sunnyside Community Hospital Association | Surgery | 1005 W Walnut St Ste 201, Yakima, WA 98902-3384 | 2017-09-20 |
| 1750762415 | Anna Ohlsson | Surgery | 325 9th Ave # 359908, Seattle, WA 98104-2420 | 2015-06-17 |
| 1356722938 | Usa Vascular Centers of Kent Pllc | Surgery | 26124a Pacific Hwy S Ste A, Kent, WA 98032-6910 | 2015-06-09 |
| 1154602084 | Memorial Physicians, Pllc | Surgery | 1812 E Edison Ave, Sunnyside, WA 98944-1653 | 2011-09-06 |
| 1528387941 | Sara Jane Wasilenko | Surgery | 128 Lilly Rd Ne Ste 205, Olympia, WA 98506-7400 | 2010-05-25 |
| 1801051404 | Franciscan Medical Group | Surgery | 710 S 348th St, Ste A, Federal Way, WA 98003-7042 | 2008-07-23 |
| 1013104165 | John S Arthur | Surgery | 2528 Wheaton Way Ste 101, Bremerton, WA 98310-3305 | 2007-10-02 |
| 1891986097 | Vascular Associates, Ps | Surgery | 801 Broadway Ste 522, Seattle, WA 98122-4325 | 2007-08-05 |
| 1447464730 | Mai Thanh Pham | Surgery | 1229 Madison St Suite # 1190, Seattle, WA 98104 | 2007-05-09 |
| 1649491481 | Dae Young Lee | Surgery | 1100 Goethals Drive 3rd Floor, Kadlec Clinic Vascular Surgery, Richland, WA 99352-3304 | 2007-05-01 |
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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.