LIZETTE JAMORA ANTIG


Address: 875 Wesley St Ste 130, Arlington, WA 98223
Phone: 3604356525

LIZETTE JAMORA ANTIG (NPI# 1972990042) 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) 1972990042
Entity Type Individual
Full Name LIZETTE JAMORA ANTIG
Credential M.D.
Practice Address 875 Wesley St Ste 130
Arlington
WA 98223
Mailing Address 1400 E Kincaid Street
Attn: Credentialing
Mount Vernon
WA 98274-4127
Practice Telephone 3604356525
Practice Fax Number 3604352634
Mailing Telephone 3604282500
Mailing Fax Number 3604286485
Enumeration Date 2015-04-16
Last Update Date 2019-03-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics MD60864132 WA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WA 2115351 05
WA LABOR & INDUSTRIES 400219 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
Third Avenue and 183rd Street, Bronx, NY 104572594 7189609000

Office Location

Street Address 875 WESLEY ST STE 130
City ARLINGTON
State WA
Zip Code 98223

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225667462 Clark Nursing LLC Registered Nurse 30818 412th Dr. N.e., Arlington, WA 98223 2020-04-08
1952952442 Tina Willett Technician 18404 19th Avenue Ne, Arlington, WA 98223 2019-09-25
1841841764 Carolyn Marie Lantz Technician 6002 Cemetery Road, Arlington, WA 98223 2019-09-23
1801457643 Maddison Post Massage Therapist 18725 Smokey Point Boulevard, Arlington, WA 98223 2019-06-24
1790341113 Brandon Tyler Stott Specialist/Technologist 17023 11th Ave Ne, Arlington, WA 98223 2019-05-10
1881177715 Hailey R Tanis Massage Therapist 3131 Smokey Point Drive #5b, Arlington, WA 98223 2018-09-06
1407381023 Rest Easy Hair Clinic Specialist 3710 168th Street N.e. B101, Arlington, WA 98223 2017-04-21
1851839617 Jamie Claire Chatters-elf Preventive Medicine 315 N French Avenue, Arlington, WA 98223 2017-02-01
1790153286 Glenda Louise Taylor Massage Therapist 16404 Smokey Point Blvd #307, 307, Arlington, WA 98223 2015-09-14
1316340565 Rediclinic of Wa, LLC Clinic/Center 17226 Smokey Point, Arlington, WA 98223 2014-10-02
Find all providers in zip 98223

Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255735791 Naum I. Becker Pediatrics 6201 Matlock Rd Ste 139, Arlington, TX 76002-2763 2014-10-13
1790199735 Nikita Patel Pediatrics 1915 E Mayfield Rd Ste 115, Arlington, TX 76014-2605 2014-06-18
1760750103 Robert Kennedy Portman Jr. Pediatrics 2209 Shadywood Ct., Arlington, TX 76012 2011-12-13
1174828289 Rainbow Children's Clinic, P.a. Pediatrics 1900 Ballpark Way, Ste 106, Arlington, TX 76006-6610 2011-01-20
1316259468 George Peter Contis Pediatrics 2356 N Lincoln St, Arlington, VA 22207-3862 2010-07-06
1649581067 Saurabh Dasgupta Pediatrics 611 S Carlin Springs Rd Ste 301, Arlington, VA 22204-1086 2010-06-30
1154653681 Sarah Bridges Sheldon Pediatrics 22 Mill St Ste 206, Arlington, MA 02476 2010-02-09
1689807315 Johanna Delacroix Pediatrics 920 N Barton St, Arlington, VA 22201-1910 2009-08-28
1629219407 Purnachander Rao Sirikonda Pediatrics 4907 S Collins St Ste 141, Arlington, TX 76018-1159 2009-03-09
1659518751 Edward D Martin Pediatrics 5309 1st Pl N, Arlington, VA 22203-1246 2009-01-11
Find all providers in ARLINGTON

Competitor

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City ARLINGTON
Zip Code 98223

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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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