JOHN MORGAN SPROUL (NPI# 1821393786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821393786 |
| Entity Type | Individual |
| Full Name | JOHN MORGAN SPROUL |
| Gender | Male |
| Credential | P.A.-C |
| Practice Address | 939 Caroline St Port Angeles WA 98362 |
| Practice Telephone | 3604177400 |
| Mailing Address | Po Box 850 Port Angeles WA 98362-0146 |
| Enumeration Date | 2011-01-24 |
| Last Update Date | 2018-06-27 |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | Taxonomy Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | |||
| Y | 363AM0700X | Physician Assistant Specialization: Medical | Physician Assistants & Advanced Practice Nursing Providers | |||
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| PECOS Associate Control (PAC) ID | 4082868898 by Medicare Provider Enrollment and Chain/Ownership System (PECOS) |
| Professional Enrollment ID | I20130201000506 |
| Last Name | SPROUL |
| First Name | JOHN |
| Middle Name | M |
| Organization Legal Name | OLYMPIC MEDICAL PHYSICIANS |
| Location | 939 Caroline St, Port Angeles, WA 98362-3909 |
| Graduation Year | 2012 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 9537172358 |
| Number of Group Practice Members | 113 |
| Street Address | 939 CAROLINE ST |
| City | PORT ANGELES |
| State | WA |
| Zip Code | 98362 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295739829 | Pamela J Bundy | Anesthesiology | 939 Caroline St, Port Angeles, WA 98362-3909 | 2005-06-10 |
| 1508463902 | Amy Kalisek | Nurse Practitioner | 939 Caroline St, Port Angeles, WA 98362-3997 | 2020-10-08 |
| 1376155721 | Tierra Renee Thompson | Social Worker | 939 Caroline St, Port Angeles, WA 98362-3909 | 2020-08-18 |
| 1194344333 | Kassandra Simmons Yager | Nurse Practitioner | 939 Caroline St, Port Angeles, WA 98362-3909 | 2020-04-08 |
| 1285286534 | Trevor Jackman | Physician Assistant | 939 Caroline St, Port Angeles, WA 98362-3997 | 2019-07-16 |
| 1295391357 | Kelly Michelle Mann | Nurse Practitioner | 939 Caroline St, Port Angeles, WA 98362-3997 | 2019-05-14 |
| 1023580461 | Fallon Ann Clancy | Physician Assistant | 939 Caroline St, Port Angeles, WA 98362-3997 | 2018-12-26 |
| 1548740210 | King County Public Hospital District No. 2 · Evergreenhealth Medical Group | Neurological Surgery | 939 Caroline St, Port Angeles, WA 98362 | 2018-08-21 |
| 1619460185 | Emily Allison Allen | Speech-Language Pathologist | 939 Caroline St, Port Angeles, WA 98362-3997 | 2018-06-10 |
| 1093215121 | Elizabeth Schuerman | Dietitian, Registered | 939 Caroline St, Port Angeles, WA 98362-3909 | 2018-02-15 |
| Find all providers in the same address | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831735778 | Jayme Marie Williams | Technician · Attendant Care Provider | 518 S. Liberty St., Port Angeles, WA 98362 | 2019-11-26 |
| 1780229559 | Barbara Amsler Nutrition, Pllc | Dietitian, Registered | 320 E. 5th St., Port Angeles, WA 98362 | 2019-11-15 |
| 1902315005 | Barbara Amsler | Nutritionist | 116 S. Ennis St, Port Angeles, WA 98362 | 2017-09-21 |
| 1134659667 | Janet Li Hanson · Janet Y Li | Registered Nurse | 532 South Alder Lane, Port Angeles, WA 98362 | 2017-06-18 |
| 1790220192 | Monica Kay Henry | Massage Therapist | 102 1/2 East 1st Street Suite #7, Port Angeles, WA 98362 | 2016-12-21 |
| 1124491725 | Gabrielle Carter | Naturopath | 1126 Columbia St, Port Angeles, WA 98362 | 2015-11-04 |
| 1912301185 | Danya Lyn Davis | Massage Therapist | 106 W. Lauridsen Blvd., Port Angeles, WA 98362 | 2014-10-17 |
| 1528470861 | Richard Dean Thorson | Orthopaedic Surgery | 719 S. Laurel St, Olympic Chiropractic, Port Angels, WA 98362 | 2014-05-21 |
| 1780001743 | Dr Adam Cramer Pllc · Laurel Dental Clinic | Clinic/Center · Dental | 104 W. 3rd St, Port Angeles, WA 98362 | 2014-03-27 |
| 1588089189 | Melanie Mccaughan | Counselor · Addiction (Substance Use Disorder) | 933 E First St, Port Angeles, WA 98362 | 2014-02-19 |
| Find all providers in zip 98362 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023326386 | Matthew Thomas James | 234511 Hwy 101 West, Port Angeles, WA 98363-2412 | 2010-09-21 | |
| 1376529644 | Lance John Mayfield | 1 Ediz Hook, U.S. Coast Guard Clinic, Port Angeles, WA 98362-2201 | 2005-12-19 | |
| 1538415302 | Maia R Gala · Maia R. Schramm | 433 E 8th St, Port Angeles, WA 98362-6219 | 2012-07-31 | |
| 1467591883 | Bradley Mark Krall | 433 E 8th St, Port Angeles, WA 98362 | 2007-02-05 | |
| 1386651420 | Marilyn V. Stucker · Marilyn Vinluan Ramirez | 240 W Front St Ste A, Port Angeles, WA 98362-2609 | 2006-08-02 | |
| 1407871718 | Connie M Walker | 433 E 8th St, Port Angeles, WA 98362-6219 | 2006-07-13 | |
| 1245209311 | Deborah J Turner | 939 Caroline St, Port Angeles, WA 98362-3909 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033735618 | Gavin Guard | 818 Mullis St Ste 6, Friday Harbor, WA 98250-7986 | 2020-06-19 | |
| 1952950412 | Joshua Ikaika Keanu | 1300 Sw 27th St, Renton, WA 98057-2435 | 2019-09-08 | |
| 1578110862 | Kaitlin E. Brotman | 315 Holton Ave Ste 100, Yakima, WA 98902-3245 | 2019-08-21 | |
| 1700345196 | Kara Lynn Kime | 1200 Cooper Point Rd Sw Ste 100, Olympia, WA 98502-1172 | 2019-03-15 | |
| 1467919753 | Asya Damatian | 3240 Fort Rd, Toppenish, WA 98948-9562 | 2019-02-22 | |
| 1679056824 | Katharine Loco-Marshall · Katharine Loco | 4816 She-Nah-Num Drive, Olympia, WA 98513 | 2018-09-13 | |
| 1841791274 | Sjs, Pllc · Pacific Urgent Care | 900 Ocean Beach Hwy Ste B, Longview, WA 98632-4013 | 2018-02-21 | |
| 1063928448 | Heidi April · Heidi Torres April | 1410 N Pittsburgh St, Building A, Kennewick, WA 99336-8211 | 2017-12-20 | |
| 1194251983 | Christopher Joseph Stanley | 1010 Ne Lilac St Apt 301, Issaquah, WA 98029-7878 | 2017-05-11 | |
| 1366993362 | Vanessa Julie Iglesias Mehta · Vanessa Julie Iglesias | 5128 Yelm Hwy Se, Suite E, Lacey, WA 98503 | 2016-10-14 | |
| Find all providers in the same taxonomy | ||||
| City | PORT ANGELES |
| Zip Code | 98362 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144478223 | John Alexander Morgan · Alex John Morgan | Social Worker | 1634 Downing St, Denver, CO 80218-1529 | 2008-09-03 |
| 1396793980 | John Irvin Morgan Iv · John Irvin Morgan Iv | Emergency Medicine | 44045 Riverside Parkway, Loudoun Hospital Center, Leesburg, VA 20176 | 2006-05-05 |
| 1295954618 | Joseph John Havrilla | Dentist · Periodontics | 2004 Sproul Rd Ste 204, Broomall, PA 19008-3511 | 2007-04-24 |
| 1407825854 | John F Reilly Jr. | Emergency Medicine | 1991 Sproul Rd, Suite 600, Broomall, PA 19008-3512 | 2006-03-17 |
| 1700119187 | John Whytosek D.m.d. P.c | Dentist · Periodontics | 2004 Sproul Road, Suite 304, Broomall, PA 19008 | 2009-09-16 |
| 1609181072 | John Ridgeway Morgan Iv · John Ridgeway Morgan Iv | Hospitalist | 3663 S. Miami Ave, Suite 6603, Mercy Hospital, Miami, FL 33133 | 2010-08-10 |
| 1114335163 | John Morgan · Zen Morgan | Specialist/Technologist · Athletic Trainer | 1021 Mill St, Gainesville, TX 76240-3021 | 2014-07-22 |
| 1851526180 | Indiana University Health Morgan Hospital · Morgan Physician Anesthesia | Anesthesiology | 2209 John R Wooden Dr, Martinsville, IN 46151-1840 | 2009-05-15 |
| 1144495516 | Indiana University Health Morgan Hospital · Morgan Hospital Anesthesia | Nurse Anesthetist, Certified Registered | 2209 John R Wooden Dr, Martinsville, IN 46151-1840 | 2008-04-28 |
| 1477197176 | Morgan Rachael Fulton · Morgan Rachael Schweich | Registered Nurse | 1200 John Q Hammons Dr Ste 400, Madison, WI 53717-1967 | 2019-11-05 |
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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.