RODRIGO LANDEROS (NPI# 1902253172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902253172 |
| Entity Type | Individual |
| Full Name | RODRIGO LANDEROS |
| Credential | PA-C |
| Practice Address |
7315 212th St Sw Suite 201 Edmonds WA 98026-7610 |
| Mailing Address |
17 Old Post Rd Montgomery IL 60538-2609 |
| Practice Telephone | 4257788116 |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2016-05-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | PA60655595 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA60655595 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
7315 212TH ST SW SUITE 201 |
| City | EDMONDS |
| State | WA |
| Zip Code | 98026-7610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124014857 | Robert E Cox | Specialist | 7315 212th St Sw, Suite 208, Edmonds, WA 98026-7610 | 2005-09-27 |
| 1174042816 | Mandy Merrick | Physician Assistant | 7315 212th St Sw, Edmonds, WA 98026-7610 | 2017-09-13 |
| 1144760497 | Morgan M. Cooley | Physician Assistant | 7315 212th St Sw, Suite 201, Edmonds, WA 98026-7610 | 2017-03-06 |
| 1215485651 | Liliana Bogin | Nurse Practitioner | 7315 212th St Sw, Ste 101, Edmonds, WA 98026-7610 | 2016-09-14 |
| 1700232964 | Integrated Rehabilitation Group PC | Physical Therapist | 7315 212th St Sw, Suite 104, Edmonds, WA 98026-7610 | 2016-05-06 |
| 1598110363 | John Nguyen | Acupuncturist | 7315 212th St Sw, #202, Edmonds, WA 98026-7610 | 2016-04-29 |
| 1720450869 | Michael Lai | Nurse Practitioner | 7315 212th St Sw, Suite 101, Edmonds, WA 98026-7610 | 2015-10-28 |
| 1679971543 | Daryll G. Marshall-inman Dc Inc | Chiropractor | 7315 212th St Sw, #202, Edmonds, WA 98026-7610 | 2014-12-09 |
| 1255736104 | Edmonds Family Medicine Clinic Ps | Obstetrics & Gynecology | 7315 212th St Sw, Suite 101, Edmonds, WA 98026-7610 | 2014-11-04 |
| 1457694127 | Mai Pham, Md Ps | Clinic/Center | 7315 212th St Sw, Suite 103, Edmonds, WA 98026-7610 | 2013-04-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833526 | Enas Hamid Albar | Student in an Organized Health Care Education/Training Program | 7500 212th Street S.w., Suite 205, Edmonds, WA 98026 | 2020-08-26 |
| 1215579453 | Kailey Anne Matulich | Technician | 21630 84th Ave W, Edmonds, WA 98026 | 2019-10-09 |
| 1154962124 | Steven M Weible | Technician | 21630 84th Ave, Edmonds, WA 98026 | 2019-10-01 |
| 1053767293 | Hyo Kyung Kim | Pharmacist | 22618 Hwy 99 Ste 109, Edmonds, WA 98026 | 2016-05-06 |
| 1679947956 | Lucilyn Lumio | Occupational Therapist | 21008 76th Avenue W, Edmonds, WA 98026 | 2015-11-24 |
| 1669844205 | Kathleen Schmitt | Pharmacist | 21601 76th Ave West, Edmonds, WA 98026 | 2015-10-22 |
| 1689087967 | Ronald Paul Meagher | Anesthesiology | 7305 173rd St Sw, Edmonds, WA 98026 | 2014-06-04 |
| 1598194342 | Allison Alberton | Surgery | 7315 212th St Sw Ste 201, Edmonds, WA 98026 | 2013-11-02 |
| 1356681019 | Tekle Zewolday Eysadik | Registered Nurse | 8102 - 226 St Sw, Edmonds, WA 98026 | 2013-02-18 |
| 1447557087 | Diane Taylor | Counselor | 20903 70th Ave W., Edmonds, WA 98026 | 2011-02-17 |
| Find all providers in zip 98026 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013482892 | Zachary Crofford Weaver | Physician Assistant | 21616 76th Ave W Ste 201a, Edmonds, WA 98026-7512 | 2018-10-09 |
| 1710461652 | Matthew Jonathon Rothstrom | Physician Assistant | 7320 216th St Sw Ste 320, Edmonds, WA 98026-8006 | 2018-09-17 |
| 1366803967 | Christopher Sarmiento Yujuico | Physician Assistant | 7320 216th St Sw Ste 320, Edmonds, WA 98026-8006 | 2016-03-10 |
| 1174888283 | Erin Adass Whitehall | Physician Assistant | 7315 212th St Sw, Suite 201, Edmonds, WA 98026-7610 | 2012-07-05 |
| 1174557276 | Glenn O. Knight | Physician Assistant | 7315 212th St Sw, Suite 201, Edmonds, WA 98026-7610 | 2006-07-11 |
| 1265460505 | Kelli L Wright | Physician Assistant | 7315 212th St Sw, Suite 201, Edmonds, WA 98026-7610 | 2006-06-28 |
| 1932135274 | Dennis L Loudenback | Physician Assistant | 7315 212th St Sw, Suite 201, Edmonds, WA 98026-7610 | 2006-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780153536 | Patricia Dorian | Physician Assistant | 2950 Squalicum Pkwy Ste B, Bellingham, WA 98225-1857 | 2018-11-21 |
| 1851875561 | Sarah Gene Soloff | Physician Assistant | 9730 3rd Ave Ne Ste 201, Seattle, WA 98115-2023 | 2018-09-18 |
| 1104308394 | Johnny Thanh Nguyen | Physician Assistant | 1135 116th Ave Ne Ste 605, Bellevue, WA 98004-4697 | 2018-09-04 |
| 1558843201 | Stefanie Eller | Physician Assistant | 532 Cedar Wood Ln, Wenatchee, WA 98801-2476 | 2018-08-29 |
| 1861987992 | Lillian Baldwin Bourret | Physician Assistant | 6317 Linden Ave N, Seattle, WA 98103-5658 | 2018-07-01 |
| 1417446758 | Janelle Elizabeth Becker | Physician Assistant | 11511 Canterwood Blvd Nw Ste 205, Gig Harbor, WA 98332 | 2018-05-02 |
| 1982058418 | Ray Johnson | Physician Assistant | 4446 88th Ave Se, Mercer Island, WA 98040 | 2016-04-21 |
| 1073990651 | Laura Skanse | Physician Assistant | 12303 Ne 130th Ln #500, Kirkland, WA 98034 | 2015-05-02 |
| 1104231893 | Amber Elaine Deck | Physician Assistant | 20307 67th Ave E, Spanaway, WA 98387-5600 | 2014-06-22 |
| 1043535024 | Pamela Baird | Physician Assistant | 2016 16th Ave East, Seattle, WA 98112-5260 | 2010-04-01 |
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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.