| John R Stoddard, MD | |
|
380 Chase Ave, Providence Medical Group, Walla Walla, WA 99362 | |
| (509) 897-3700 | |
| (509) 897-5575 |
| Full Name | John R Stoddard |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 17 Years |
| Location | 380 Chase Ave, Walla Walla, Washington |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558599654 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD60292842 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence St Mary Medical Center Home Health | Walla walla, WA | Home health agency |
| Columbia River Home Health | Kennewick, WA | Home health agency |
| Providence St Mary Medical Center | Walla walla, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Health And Services - Washington | 2860552973 | 223 |
| Entity Name | Providence Health & Services - Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922259738 PECOS PAC ID: 2860552973 Enrollment ID: O20081223000478 |
| Mailing Address | Practice Location Address |
|---|---|
| John R Stoddard, MD 1111 S 2nd Ave, Walla Walla, WA 99362-4118 Ph: (509) 897-3700 | John R Stoddard, MD 380 Chase Ave, Providence Medical Group, Walla Walla, WA 99362 Ph: (509) 897-3700 |
Kevin Jon Molander, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 55 W Tietan St, Walla Walla, WA 99362 Phone: 509-525-3720 Fax: 509-522-1593 | |
Dr. John Eric Moore, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 55 W Tietan St, Walla Walla, WA 99362 Phone: 509-525-3720 Fax: 509-522-1593 | |
Samuel Kirtley, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 55 W Tietan St, Walla Walla, WA 99362 Phone: 509-525-3720 Fax: 509-522-1592 | |
Nicole Siobhan Patching, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1111 S 2nd Ave, Walla Walla, WA 99362 Phone: 509-897-3700 Fax: 509-897-5575 | |
Barry Kellogg, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1120 W Rose St, Walla Walla, WA 99362 Phone: 509-525-6650 Fax: 509-522-2349 | |
Lehlia P Stanton, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 77 Wainwright Dr, Va Medical Center, Walla Walla, WA 99362 Phone: 509-527-3453 | |
Michael J Tacheny, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1120 W Rose St, Walla Walla, WA 99362 Phone: 509-525-6650 Fax: 509-522-2349 |