Tatyana Sidor (NPI# 1114378429, PAC ID# 2567758105) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1114378429 |
| PAC ID by PECOS | 2567758105 |
| Professional Enrollment ID | I20160908001683 |
| Full Name | Tatyana Sidor |
| Organization Legal Name | VALLEY MEDICAL GROUP-RENTON |
| Address |
16850 Se 272nd St Covington WA 98042-4931 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4183753965 |
| Number of Group Practice Members | 372 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500088 | VALLEY MEDICAL CENTER |
| 500129 | TACOMA GENERAL ALLENMORE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 16850 Se 272nd St, Covington, WA 98042-4931 | VALLEY MEDICAL GROUP-RENTON | |
| 4033 Talbot Rd S, Renton, WA 98055-5700 | VALLEY MEDICAL GROUP-RENTON |
| Organization Legal Name | VALLEY MEDICAL GROUP-RENTON |
| Physicians | 382 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Padhma M Venkitapathy | Podiatry | Valley Medical Group-renton | 10555 Se Carr Rd, Bldg M, Renton, WA 98055-5820 |
| Zainab A Gaal-weber | Nurse Practitioner | Valley Medical Group-renton | 4033 Talbot Rd S, Suite 530, Renton, WA 98055-5700 |
| Olga Valieva Bishop | Obstetrics/gynecology | Valley Medical Group-renton | 1 E Main St, Suite 100, Auburn, WA 98002-4905 |
| Liane M Fernyhough | Nurse Practitioner | Valley Medical Group-renton | 24920 104th Ave Se, Kent, WA 98030-6443 |
| Kristen Drury | Physician Assistant | Valley Medical Group-renton | 26458 Maple Valley Black Diamond Rd Se, Maple Valley, WA 98038-8350 |
| Frederick D Park | Gastroenterology | Valley Medical Group-renton | 4011 Talbot Rd S, Suite 500, Renton, WA 98055-5782 |
| Aaron T Fang | Internal Medicine | Valley Medical Group-renton | 16850 Se 272nd St, Covington, WA 98042-4931 |
| Joshua H Kachner | Internal Medicine | Valley Medical Group-renton | 27203 216th Ave Se, Suite D, Maple Valley, WA 98038-3274 |
| Hsiang-hwa Chen | Family Medicine | Valley Medical Group-renton | 14410 Se Petrovitsky Rd, Suite 104, Renton, WA 98058-8900 |
| Emily K A Turnbull | Nurse Practitioner | Valley Medical Group-renton | 521 2nd Pl N, 11 103, Kent, WA 98032-4537 |
| Street Address |
16850 SE 272ND ST |
| City | COVINGTON |
| State | WA |
| Zip | 98042-4931 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aaron T Fang | Internal Medicine | Valley Medical Group-renton | 16850 Se 272nd St, Covington, WA 98042-4931 |
| Anna L Samson Stein | Internal Medicine | Valley Medical Group-renton | 16850 Se 272nd St, Covington, WA 98042-4931 |
| Allison J Warmington | Physician Assistant | Valley Medical Group-renton | 16850 Se 272nd St, Covington, WA 98042-4931 |
| Don Q Thai | Neurology | Valley Medical Group-renton | 16850 Se 272nd St, Covington, WA 98042-4931 |
| Daniel L Brelsford | Family Medicine | Valley Medical Group-renton | 16850 Se 272nd St, Covington, WA 98042-4931 |
| Brian S Levy | Internal Medicine | Valley Medical Group-renton | 16850 Se 272nd St, Covington, WA 98042-4931 |
| Christian T Eaton | Internal Medicine | Valley Medical Group-renton | 16850 Se 272nd St, Covington, WA 98042-4931 |
| Mara Corina Barrios | Physician Assistant | Valley Medical Group-renton | 16850 Se 272nd St, Covington, WA 98042-4931 |
| Peter A Balousek | Neurosurgery | Valley Medical Group-renton | 16850 Se 272nd St, Covington, WA 98042-4931 |
| Antonio Pedroza | Family Medicine | Valley Medical Group-renton | 16850 Se 272nd St, Covington, WA 98042-4931 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jack W Mcinerny | Chiropractic | 15220 Se 272nd D, Kent Kangley Chiro, Kent, WA 98042 | |
| Kevin E Andersen | Chiropractic | 15220 Se 272nd St, Suite D, Kent, WA 98042-4241 | |
| Stacey L Hiles | Family Medicine | 15101 Se 272nd St, Weatherly Inn, Kent, WA 98042-4305 | |
| Irfan A Ansari | Physical Medicine and Rehabilitation | Electrodiagnosis and Rehabilitation Associates of Tacoma Ps | 27005 168th Pl Se, 301a, Covington, WA 98042-4902 |
| Tabassum Saeed | Physical Medicine and Rehabilitation | Electrodiagnosis and Rehabilitation Associates of Tacoma Ps | 27005 168th Pl Se, 301a, Covington, WA 98042-4902 |
| Verlene J Gauthier | Rheumatology | Valley Medical Group-renton | 27005 168th Pl Se, 301 Vmc Rheumatology, Covington, WA 98042-4902 |
| Erica M Brandling Bennett | Psychologist, Clinical | Valley Medical Group-renton | 16850 Se 272nd St, Covington, WA 98042-4931 |
| Victor D Estacio | Internal Medicine | Valley Medical Group-renton | 16850 Se 272nd St, Covington, WA 98042-4931 |
| Amanda Mccallum | Physical Therapy | Valley Medical Group-renton | 16850 Se 272nd St, Covington, WA 98042-4931 |
| Lauren J Webb | Physical Therapy | Valley Medical Group-renton | 16850 Se 272nd St, Covington, WA 98042-4931 |
| Find all physicians in zip 98042 | |||
| City | COVINGTON |
| Zip Code | 98042 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | COVINGTON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Tatyana Sidor.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.