JOHN MORGAN SPROUL
Physician Assistant

Address: 939 Caroline St, Port Angeles, WA 98362

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).

Provider Overview

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

Taxonomy

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

Physician Overview

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

Office Location

Street Address 939 CAROLINE ST
City PORT ANGELES
State WA
Zip Code 98362

Providers in the same location

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

Providers in the same zip code prefix

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 Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City PORT ANGELES
Zip Code 98362

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Dataset Information

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.