Charles Ibeziako is a Physician Assistant practicing in Othello, Washington. The National Provider Identifier (NPI) is #1093695249, which was assigned on September 6, 2025, and the registration record was last updated on September 6, 2025. The practitioner's main practice location is at 1515 E Columbia St, Othello, WA 99344-1846; the contact telephone number is 5094885256, and the fax number is 5094889939. The primary taxonomy of Charles Ibeziako is Physician Assistant (363A00000X). Charles Ibeziako is licensed to practice in the state of Washington (#PENDING).
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
| NPI | 1093695249 |
| Entity Type | Individual |
| Provider Name | CHARLES IBEZIAKO |
| Gender | Male |
| Credential | PA-C |
| Practice Address |
1515 E Columbia St Othello WA 99344-1846 |
| Practice Telephone | 5094885256 |
| Practice Fax Number | 5094889939 |
| Mailing Address |
1515 E Columbia St Othello WA 99344-1846 |
| Mailing Telephone | 5094885256 |
| Mailing Fax Number | 5094889939 |
| Certification Date | 2025-09-06 |
| Enumeration Date | 2025-09-06 |
| Last Update Date | 2025-09-06 |
| Is Sole Proprietor | N |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PENDING | WA |
| Address | Telephone | Fax |
|---|---|---|
| 601 Government Rd, Mattawa, WA 993495120 | 5094885256 | 5094889939 |
| Code | 363A00000X |
| Taxonomy | Physician Assistant |
| Classification | Physician Assistant |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Abdualrahman Musa | 100 Amador St, Staten Island, NY 10303-1797 | Physician Assistant | 2025-09-06 |
| Olivia Rose Norris | 3362 Chatsworth Way, Powder Springs, GA 30127-1359 | Physician Assistant | 2025-09-06 |
| Haley Sims | 9430 Park West Blvd Ste 310, Knoxville, TN 37923-4203 | Physician Assistant | 2025-09-05 |
| Lauren Renae Bartlett | 900 N 92nd Street, Milwaukee, WI 53226 | Physician Assistant | 2025-09-05 |
| Ashley Nichole Rhoads | 992 Elmer Prince Dr, Morgantown, WV 26505-3997 | Physician Assistant | 2025-09-06 |
| Cory Brett Cramer | 9093 E State Road 54, Bloomfield, IN 47424-6054 | Physician Assistant | 2025-09-05 |
| Grace Amelia Bauer | 345 Saint Paul St, Baltimore, MD 21202-2123 | Physician Assistant | 2025-09-05 |
| Tamnhu Bui | 101 Elm Ave Se, Roanoke, VA 24013-2222 | Physician Assistant | 2025-09-06 |
| Lauren Pinelli | 1215 Lee St, Charlottesville, VA 22908-0816 | Physician Assistant | 2025-09-06 |
| Christa Flowers-Rouse | Dumc Box 102352, 10 Duke Medicine Circle, Durham, NC 27710 | Physician Assistant | 2025-09-06 |
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| Street Address |
1515 E COLUMBIA ST |
| City | OTHELLO |
| State | WA |
| Zip Code | 99344-1846 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Meghan Endsley | 1515 E Columbia St, Othello, WA 99344 | Physician Assistant | 2012-01-04 |
| Samantha Jo Eslinger | 1515 E Columbia St, Othello, WA 99344-1846 | Dental Hygienist | 2025-02-03 |
| Sara Shateri | 1515 E Columbia St, Othello, WA 99344-1846 | Student in an Organized Health Care Education/Training Program | 2025-04-28 |
| Eileen April Kelley | 1515 E Columbia St, Othello, WA 99344-1846 | Dental Hygienist | 2025-02-01 |
| Laurie Gadbois | 1515 E Columbia St, Othello, WA 99344-1846 | Dental Hygienist | 2025-06-25 |
| Fatima Zahraa Bahar | 1515 E Columbia St, Othello, WA 99344-1846 | Physician Assistant | 2025-03-17 |
| Andrew Robert Jacobson | 1515 E Columbia St, Othello, WA 99344-1846 | Pharmacist | 2025-03-03 |
| Mikele Christine Rumbaugh | 1515 E Columbia St, Othello, WA 99344-1846 | Student in an Organized Health Care Education/Training Program | 2024-05-07 |
| Andres Lima Elias | 1515 E Columbia Street, Othello, WA 99344-1846 | Counselor | 2024-01-02 |
| Jasmin Sanchez | 1515 E Columbia St, Othello, WA 99344-1846 | Pharmacist | 2021-02-19 |
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| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Sonia Segura | 965 Cobblestone Ave, Othello, WA 99344-1911 | Interpreter | 2025-03-25 |
| Silvia Rodriguez | 425 E Main St Ste 600, Othello, WA 99344-1146 | Counselor | 2025-04-30 |
| Doheny Beach, LLC | 495 N 13th Ave, Othello, WA 99344-1215 | Skilled Nursing Facility | 2025-03-24 |
| Annette Marie Fricke | 425 E Main St Ste 600, Othello, WA 99344 | Mental Health Counselor | 2007-03-19 |
| Alexis Francene Simmons | 361 E Main St, Othello, WA 99344-1055 | Chiropractor | 2025-07-10 |
| Yanitta Ann Coleman | 506 N 7th Ave, Othello, WA 99344-1105 | Speech-Language Pathologist | 2025-01-21 |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Laura Keating | 14803 15th Ave Ne, Shoreline, WA 98155-7110 | Mental Health Counselor | 2025-09-06 |
| Reyvillyne Reyes Yturiaga · Belle Yturiaga | 4526 Federal Ave, Everett, WA 98203-2132 | Registered Nurse | 2025-09-05 |
| Andrea Kathleen Mcgowan | 119 N Commercial St, Bellingham, WA 98225-4446 | Mental Health Counselor | 2025-09-05 |
| Amy Chan | 2501 Ne 134th St Ste 300, Vancouver, WA 98686-3030 | Massage Therapist | 2025-09-06 |
| Hannah Fritts | 9015 Holman Rd Nw Ste 3, Seattle, WA 98117-3481 | Massage Therapist | 2025-09-06 |
| Trevor J Schultz | 1201 S Miller St, Wenatchee, WA 98801-3201 | Pharmacist | 2025-09-06 |
| Jacqueline Elise Miller | 1821 Water St Sw Unit A, Olympia, WA 98501-2851 | Doula | 2025-09-06 |
| Mindful Mental Health, PLLC | 6102 84th Avenue Ct W, University Place, WA 98467-4042 | Psychiatric/Mental Health Nurse Practitioner | 2025-09-06 |
| Bailey Albrecht | 119 E 3rd Ave, Selah, WA 98942-1430 | Pharmacist | 2025-09-05 |
| Meghan Mclamore Hetfield | 4739 University Way Ne # 2032, Seattle, WA 98105-4412 | Peer Specialist | 2025-09-05 |
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| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Charles T Rivers · Charles Reynolds | 800 N Main St, Anna, IL 62906-1665 | Case Manager/Care Coordinator | 2025-02-12 |
| Charles J Lee | 14711 Princeton Ave Ste 12, Moorpark, CA 93021-1469 | Dentist | 2012-10-22 |
| Charles Royce Pennington · Charles R Pennington | 92 Bettys Creek Rd, Dillard, GA 30537-2257 | Family Medicine Physician | 2006-08-24 |
| Charles Thomas Inman · Charles T Inman | 404 S Main St, Raeford, NC 28376-3223 | Optometrist | 2006-11-07 |
| Charles Yue | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | Pharmacist | 2024-12-04 |
| Charles Ellis · Charles Gabriel Ellis | 1675 Woodbrooke Dr, Salisbury, MD 21804-8502 | Physician Assistant | 2014-10-27 |
| Charles K Hu | 485 S Dobson Rd Ste 201, Chandler, AZ 85224-5604 | Surgical Critical Care Physician | 2006-06-28 |
| Charles Ray | 4245 S Grand Canyon Dr, Las Vegas, NV 89147-7161 | Personal Care Attendant | 2025-08-07 |
| Peter Charles Romanick Sr. · P Charles Romanick | 813 S Milam St, Fredericksburg, TX 78624-4789 | Orthopaedic Surgery Physician | 2006-08-09 |
| Eworth Charles Charles Meighan | 101 The City Dr S, Orange, CA 92868-3201 | Acute Care Nurse Practitioner | 2024-12-06 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |