Unknown Individual – Surgical Physician Assistant, NPI 1003175621
Surgical Physician Assistant
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
625 S NEW BALLAS RD
SAINT LOUIS, MO 631418253
Phone: (314) 251-1648
Type: Mailing
1100 Goethals Dr Ste E
Richland, WA 993523301
Phone: (509) 942-3095
Fax: (509) 942-3097
Type: Location
565 Eureka Way
Sequim, WA 983825074
Phone: (360) 582-0808
Fax: (360) 683-2712
Type: Location
1950 NW MYHRE RD FL 3
SILVERDALE, WA 983837662
Phone: (564) 240-4200
Fax: (564) 240-4299
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $143.
Total Amount is formed as General ($143) + Research ($0) + Ownership ($0) = $143.
Last reported payment date: 2024-01-31 • Largest payer in this snapshot: Abbott Laboratories ($106).
Total Amount
$143
General + Research + Ownership
Payments
3
Total payment records
General Amount
$143
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $106 |
| Merck Sharp & Dohme LLC | $37 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 63141)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Medical Oncology, Hematology, Hematology/Oncology, Internal Medicine | WA | |
| Hospitalist, Internal Medicine | WA | |
| - | WA | |
| P O D I A T R Y | WA | |
| Hematology/Oncology, Internal Medicine | WA | |
| Physician Assistant | KY | |
| Nurse Practitioner | KS | |
| Internal Medicine, Geriatric Medicine | WA | |
| Nurse Practitioner | NC | |
| Physician Assistant | WA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.