MR. JORDAN JAMES PATRICK VIEIRA


Address: 4011 Talbot Rd S, Suite 300, Renton, WA 98055-5773
Phone: 4256565060

MR. JORDAN JAMES PATRICK VIEIRA (NPI# 1922197565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922197565
Entity Type Individual
Full Name MR. JORDAN JAMES PATRICK VIEIRA
Credential PAC
Practice Address 4011 Talbot Rd S
Suite 300
Renton
WA 98055-5773
Mailing Address 720 Olive Way
Suite 1505
Seattle
WA 98101-1878
Practice Telephone 4256565060
Practice Fax Number 4256565047
Mailing Telephone 2068382590
Mailing Fax Number 2062648689
Enumeration Date 2006-10-12
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PA10004961 WA Physician Assistants & Advanced Practice Nursing Providers

Other Providers JORDAN VIEIRA

NPI Name Taxonomy Address Enumeration
1457443590 Jordan Ralph Vieira Jr. Counselor 6017 Hicks Rd, Naples, NY 14512-9735 2006-09-28

Office Location

Street Address 4011 TALBOT RD S
SUITE 300
City RENTON
State WA
Zip Code 98055-5773

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528061694 Guy V Buell Specialist 4011 Talbot Rd S, Ste 440, Renton, WA 98055-5791 2005-05-23
1649756883 Amy Elizabeth Hardiman Physical Therapy Assistant 4011 Talbot Rd S, Renton, WA 98055-5773 2018-07-11
1336665959 Mary Elizabeth Walton Dietitian, Registered 4011 Talbot Rd S, Renton, WA 98055-5773 2017-08-15
1548791924 Southlake Select, PC Point of Service 4011 Talbot Rd S, 440, Renton, WA 98055-5773 2017-03-27
1871031864 Abrey Lee Dietitian, Registered 4011 Talbot Rd S, Suite 100, Renton, WA 98055-5773 2017-02-09
1962940957 Kimberly Diana Konczak Dietitian, Registered 4011 Talbot Rd S, Suite 100, Renton, WA 98055-5773 2017-02-09
1578931325 Andrew S Huntley Physician Assistant 4011 Talbot Rd S, Suite 300, Renton, WA 98055-5773 2015-09-10
1285011080 Anne Macleod Registered Nurse 4011 Talbot Rd S, Renton, WA 98055-5773 2015-04-30
1508263716 Mie Hagiwara Physician Assistant 4011 Talbot Rd S, Suite 300, Renton, WA 98055-5773 2014-12-03
1073921813 Zachary A. Bowman Physician Assistant 4011 Talbot Rd S, Suite 300, Renton, WA 98055-5773 2014-07-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356965750 Proliance Surgery Center At Valley, LLC Clinic/Center 4009 Talbot Road S, Suite 200, Renton, WA 98055 2020-06-01
1851804959 Talbot Rehabilitation Center, LLC Skilled Nursing Facility 4430 Talbot Road South, Renton, WA 98055 2017-11-10
1154878668 Nelson Family Dentistry Dentist 19221 108th Ave Se Suite #2, Renton, WA 98055 2016-09-01
1598182990 Annie Kyunga Ahn Otolaryngology 4033 Talbot Rd S Ste 540, Renton, WA 98055 2014-03-24
1376960138 Madhuri Gordhan Patel Registered Nurse 3501 Mill Place South, Renton, WA 98055 2014-03-18
1912331042 Karen Dohr Pharmacist 400 S. 43 Street, Renton, WA 98055 2013-08-26
1659637668 Benjamin Reiss Ophthalmology 4300 Talbot Rd S Ste 300, Renton, WA 98055 2012-04-03
1205137940 Duy Ai Quang Hoang Pharmacist 9431 S 196th Pl, Renton, WA 98055 2010-11-11
1972823664 Erica L Ellzey Physical Therapist 18623 112th Ave Se, Renton, WA 98055 2010-06-04
1588984587 Melissa A. Jordan Nurse Anesthetist, Certified Registered 4011 Talbot Rd., 5th Floor, Renton, WA 98055 2010-06-02
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619410891 Carlin Doyle Physician Assistant 4011 Talbot Rd S Ste 300, Renton, WA 98055 2016-11-21
1831412485 Omar J Gonzalez Physician Assistant 4011 Talbot Rd S, Suite 300, Renton, WA 98055-5773 2010-03-10
1376794792 David Russell Gifford Physician Assistant 4011 Talbot Rd S, Suite 300, Renton, WA 98055-5773 2008-10-03
1023149630 Chad Carson Moloney Physician Assistant 4011 Talbot Rd S, Suite 300, Renton, WA 98055-5773 2007-03-07
1811040504 Mark L Bowers Physician Assistant 4011 Talbot Rd S, Suite 300, Renton, WA 98055-5773 2007-01-18
1013940170 Allison J Warmington Physician Assistant 4033 Talbot Rd S, Suite 530, Renton, WA 98055-5772 2006-07-09
1831125178 Wendy R Nyland Physician Assistant 4011 Talbot Rd S, Suite 300, Renton, WA 98055-5773 2006-06-25
1376588673 Jana L Flener Physician Assistant 4011 Talbot Rd S, Suite 300, Renton, WA 98055-5773 2006-06-19
1821039488 Public Hospital District #1 of King County Physician Assistant 3915 Talbot Rd S, Suite 216, Renton, WA 98055-5738 2006-06-08
1285633255 Gregory K Parker Physician Assistant 4011 Talbot Rd S, Suite 300, Renton, WA 98055-5773 2005-07-20
Find all providers in RENTON

Competitor

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City RENTON
Zip Code 98055

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Dataset Information

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.

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