MR. LOVERNE GREG DE VENECIA JIMENEZ PA-C NPI 1548402209

NPI Information

NPI: 1548402209
Provider Name: MR. LOVERNE GREG DE VENECIA JIMENEZ, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Organization: SWEDISH HEALTH SERVICES

PECOS Registration: Yes

Address:
JAMES TOWER 550 17TH AVE SUITE 500
SWEDISH NEUROSCIENCE INSTITUTE
SEATTLE, WA
ZIP 98122
Phone: (206) 320-5930
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MR. Loverne Greg De Venecia Jimenez, PA-C is a surgical physician assistant in Seattle, WA with 16 years of experience. MR. Loverne Greg De Venecia Jimenez, PA-C NPI is 1548402209. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

JAMES TOWER 550 17TH AVE SUITE 500
SWEDISH NEUROSCIENCE INSTITUTE
SEATTLE, WA
ZIP 98122
Phone: (206) 320-5930
Fax: (206) 320-4194

The NPI 1548402209 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/27/2009 and was last updated on 5/20/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	PA60061961	WASHINGTON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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