PETER YU CHANG PENG (NPI# 1932546843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932546843 |
| Entity Type | Individual |
| Full Name | PETER YU CHANG PENG |
| Credential | PA-C |
| Practice Address |
21616 76th Ave W Ste 102 Edmonds WA 98026-7512 |
| Mailing Address |
Po Box 827 Bellevue WA 98009-0827 |
| Practice Telephone | 4257741538 |
| Practice Fax Number | 4257745171 |
| Mailing Telephone | 4257741538 |
| Mailing Fax Number | 4257745171 |
| Enumeration Date | 2013-05-31 |
| Last Update Date | 2013-05-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA60368956 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710915160 | Peter D. Peng | Surgery | 275 W Macarthur, Oakland, CA 94611-5641 | 2006-06-28 |
| Street Address |
21616 76TH AVE W STE 102 |
| City | EDMONDS |
| State | WA |
| Zip Code | 98026-7512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518014703 | Paula Beth Sigafus | Counselor | 21616 76th Ave W Ste 102, Edmonds, WA 98026-7512 | 2007-01-03 |
| 1932528395 | Benjamin Weinstein | Psychologist | 21616 76th Ave W Ste 102, Edmonds, WA 98026-7512 | 2014-04-15 |
| 1275818130 | Spartan Sleep Services, Pllc | Specialist | 21616 76th Ave W Ste 102, Edmonds, WA 98026-7512 | 2011-10-11 |
| 1265763999 | Washington Center for Pain Management LLC | Pain Medicine | 21616 76th Ave W Ste 102, Edmonds, WA 98026-7512 | 2010-01-20 |
| 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 | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740200385 | Robert Alan Morris | Physician Assistant | 1110 5th Ave S Apt 405, Edmonds, WA 98020-4607 | 2006-07-19 |
| 1497807663 | Mary Elizabeth Zeitner | Physician Assistant | 21601 76th Avenue West, Edmonds, WA 98026-9905 | 2007-01-17 |
| 1740341338 | Christine Y Terry | Physician Assistant | 21822 76th Ave W, Edmonds, WA 98026-7900 | 2006-12-13 |
| 1275569980 | Druska L Salisbury-milan | Physician Assistant | 21600 Hwy 99, Suite 280, Edmonds, WA 98026-8012 | 2006-06-24 |
| 1699726273 | Alaine Nijenhuis | Physician Assistant | 21911 76th Ave W, #110, Edmonds, WA 98026-7903 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033735618 | Gavin Guard | Physician Assistant | 818 Mullis St Ste 6, Friday Harbor, WA 98250-7986 | 2020-06-19 |
| 1578110862 | Kaitlin E. Brotman | Physician Assistant | 315 Holton Ave Ste 100, Yakima, WA 98902-3245 | 2019-08-21 |
| 1700345196 | Kara Lynn Kime | Physician Assistant | 1200 Cooper Point Rd Sw Ste 100, Olympia, WA 98502-1172 | 2019-03-15 |
| 1679056824 | Katharine Loco-marshall | Physician Assistant | 4816 She-nah-num Drive, Olympia, WA 98513 | 2018-09-13 |
| 1841791274 | Sjs, Pllc | Physician Assistant | 900 Ocean Beach Hwy Ste B, Longview, WA 98632-4013 | 2018-02-21 |
| 1063928448 | Heidi April | Physician Assistant | 1410 N Pittsburgh St, Building A, Kennewick, WA 99336-8211 | 2017-12-20 |
| 1194251983 | Christopher Joseph Stanley | Physician Assistant | 1010 Ne Lilac St Apt 301, Issaquah, WA 98029-7878 | 2017-05-11 |
| 1366993362 | Vanessa Julie Iglesias Mehta | Physician Assistant | 5128 Yelm Hwy Se, Suite E, Lacey, WA 98503 | 2016-10-14 |
| 1801344601 | Jessica Ann Pettitt | Physician Assistant | 21200 Ne 190th Ct, Battle Ground, WA 98604-9636 | 2016-09-21 |
| 1407300098 | Joshua David Evans | Physician Assistant | 9040 Jackson Ave Mchj Clq C, Tacoma, WA 98431-1100 | 2016-08-11 |
| Find all providers with the same taxonomy | ||||
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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.