DR. ANDREW KOOGLER (NPI# 1851719421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851719421 |
Entity Type | Individual |
Full Name | DR. ANDREW KOOGLER |
Credential | M.D. |
Practice Address |
11306 Bridgeport Way Sw Ste D Lakewood WA 98499-3037 |
Mailing Address |
410 W 10th Ave Columbus OH 43210-1240 |
Practice Telephone | 2539839390 |
Practice Fax Number | 3607338320 |
Mailing Telephone | 6142938484 |
Enumeration Date | 2014-04-01 |
Last Update Date | 2019-10-02 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
60886566 | WA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | WA LICENSE | MD60886566 | 01 |
Street Address |
11306 BRIDGEPORT WAY SW STE D |
City | LAKEWOOD |
State | WA |
Zip Code | 98499-3037 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356443923 | Robert Leo Testa | Physician Assistant | 11306 Bridgeport Way Sw Ste D, Lakewood, WA 98499-3037 | 2006-09-02 |
1871030825 | Tod Pierson Work | Nurse Practitioner | 11306 Bridgeport Way Sw Ste D, Lakewood, WA 98499-3037 | 2017-01-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275159592 | Sea Mar Community Health Centers | Clinic/Center | 5700 100th Street Se, Suite 510, Lakewood, WA 98499 | 2020-06-23 |
1568018828 | Heather Leigh Andrade | Behavioral Analyst | 6210 75th St W Ste 100, Lakewood, WA 98499 | 2019-08-13 |
1043870876 | Seoul Chinese Herbs Inc | Acupuncturist | 8705 S. Tacoma Way, Lakewood, WA 98499 | 2019-06-14 |
1013572064 | Puget Sound Kidney Centers | Clinic/Center | 11950 47th Ave Sw, Lakewood, WA 98499 | 2019-05-06 |
1447736657 | Marcela Cunan | Counselor | 9330 59th Avenue Southest, Lakewood, WA 98499 | 2018-07-11 |
1609382381 | Leroy Moore IIi | Counselor | 8811 S. Tacoma Way, 106, Lakewood, WA 98499 | 2017-12-18 |
1578077657 | Andrea Gaston | Behavior Technician | 8815 S. Tacoma Way, Suite 122, Lakewood, WA 98499 | 2017-11-27 |
1609389931 | Jennifer King | Social Worker | 5900 100th St Sw Ste 17b, Lakewood, WA 98499 | 2017-11-08 |
1750806337 | Wonyoung Lee | Counselor | 8811 South Tacoma Way, Suite 106, Lakewood, WA 98499 | 2017-08-04 |
1043749443 | Frederick Paltron Edwards | Counselor | 9500 Front Street, Suite 100, Lakewood, WA 98499 | 2017-06-08 |
Find all providers in zip 98499 |
Taxonomy Code | 207LP2900X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Anesthesiology |
Specialization | Pain Medicine |
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942819578 | Catholic Health Initiatives Colorado | Anesthesiology | 11700 W 2nd Pl Ste 225, Lakewood, CO 80228-1707 | 2020-07-29 |
1033300140 | Jack B Rentz | Anesthesiology | 300 Union Blvd, Suite 260, Lakewood, CO 80228-1535 | 2007-08-05 |
1881664944 | Bradley D Vilims | Anesthesiology | 325 Teller St, Suite 240, Lakewood, CO 80226-1606 | 2006-01-23 |
1487630059 | Robert E Brown | Anesthesiology | 12596 W Bayaud Ave Ste 205, Lakewood, CO 80228-2000 | 2005-12-15 |
1790785921 | Moises Kaweblum | Anesthesiology | 500 River Ave, Suite 255, Lakewood, NJ 08701-4738 | 2005-07-29 |
1427695881 | Regeneration, LLC | Anesthesiology | 12596 W Bayaud Ave Ste 205, Lakewood, CO 80228-2000 | 2019-12-04 |
1265674287 | Marchyarn Mahathanaruk | Anesthesiology | 300 Union Blvd, Suite 600, Lakewood, CO 80228-1535 | 2009-04-06 |
1720249691 | James Anthony Kim | Anesthesiology | 5750 Downey Ave, Suite 306, Lakewood, CA 90712-1405 | 2008-06-23 |
1255528857 | Mark R. Ezekiel, M.d., A Medical Corporation | Anesthesiology | 5750 Downey Ave, Suite 306, Lakewood, CA 90712-1405 | 2007-09-27 |
1346453081 | David Chang, Md, Inc | Anesthesiology | 3700 South St, Lakewood, CA 90712-1419 | 2007-05-08 |
Find all providers in LAKEWOOD |
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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.