KIM D. JEWELL (NPI# 1982727608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982727608 |
| Entity Type | Individual |
| Full Name | KIM D. JEWELL |
| Credential | MD |
| Practice Address |
700 Ne 87th Ave # 350 Vancouver WA 98664-1913 |
| Mailing Address |
700 Ne 87th Ave Vancouver WA 98664-1913 |
| Practice Telephone | 3608822778 |
| Practice Fax Number | 3606041724 |
| Mailing Telephone | 3608822778 |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2014-11-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
A94841 | CA | Allopathic & Osteopathic Physicians |
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
MD00045019 | WA | Allopathic & Osteopathic Physicians |
| Street Address |
700 NE 87TH AVE # 350 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98664-1913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285249938 | Angelica Maria Parle-fresquez | Speech-Language Pathologist | Early Childhood Assessment Center - Lieser School, 301 S. Lieser Rd, Vancouver, WA 98664 | 2020-09-10 |
| 1467923441 | Elizabeth Steen | Counselor | 230 E. State St., Mossyrock, WA 98664 | 2018-12-17 |
| 1497241657 | Chelsey Nicole Parker | Peer Specialist | 9815 Ne 3rd St, Vancouver, WA 98664 | 2018-07-10 |
| 1881145431 | Brent Homan | Occupational Therapist | 807 Se Morgan Rd., Vancouver, WA 98664 | 2016-10-19 |
| 1114474277 | Rebecca Marie Stefan | Nurse's Aide | 10025 Ne 19th St, Vancouver, WA 98664 | 2016-09-07 |
| 1528454105 | Alicia Ford | Dietitian, Registered | 700 Ne 87th Ave Ste 280, Vancouver, WA 98664 | 2015-04-10 |
| 1033504261 | Reid Roberts Bennett | Anesthesiology | 505 Ne 87th Ave Ste 210, Vancouver, WA 98664 | 2015-04-03 |
| 1235550856 | Nikolay Nikolaevich Chernukhin Jr. | Chiropractor | 221-a Ne 104th Ave, Suite 205, Vancouver, WA 98664 | 2013-12-27 |
| 1013278712 | Serena Harker | Physical Therapy Assistant | 221a Ne 104th Ave, Suite #205, Vancouver, WA 98664 | 2012-05-30 |
| 1295091080 | Rebeca C Johnson | Massage Therapist | 11015 Ne 4th Plain Suite B, Vancouver, WA 98664 | 2012-04-05 |
| Find all providers in zip 98664 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184054090 | Jeffrey William Craig | Pathology | Bc Cancer - Department of Pathology, 600 W. 10th Ave, Room 3225, Vancouver, BRITISH COLUMBIA V5Z 4E6 | 2013-11-14 |
| 1225267800 | Rita M Addison | Pathology | 1111 Alberni Street, Suite #4201, Vancouver, BRITISH COLUMBIA V6E 4V2 | 2009-07-05 |
| 1588646228 | Mohiedean Ghofrani | Pathology | Sw Washington Medical Center, Vancouver, WA 98668 | 2005-11-17 |
| 1770763195 | Julia C Longo | Pathology | 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 | 2007-11-14 |
| 1699857342 | Steven K Thompson | Pathology | 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 | 2006-10-20 |
| 1801978549 | Di Lu | Pathology | 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 | 2006-10-20 |
| 1750463485 | Dan Morris Hyder | Pathology | 210 Se 136th Ave, Vancouver, WA 98684-6930 | 2006-10-20 |
| 1164504171 | Yaping Wu | Pathology | 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 | 2006-10-19 |
| 1013099050 | Bradden Jensen | Pathology | 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 | 2006-10-19 |
| 1619059672 | Julia W Wildes | Pathology | 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 | 2006-10-19 |
| Find all providers in VANCOUVER | ||||
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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.