| Thomas Jackson Pulliam, MD | |
|
6101 Summitview Ave Ste 200, Yakima, WA 98908-3028 | |
| (509) 902-8857 | |
| (509) 902-8855 |
| Full Name | Thomas Jackson Pulliam |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Gastroenterology |
| Location | 6101 Summitview Ave Ste 200, Yakima, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205898103 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD60730018 (Washington) | Secondary |
| 207RG0100X | Internal Medicine - Gastroenterology | MD60730018 (Washington) | Primary |
| Entity Name | Sunnyside Community Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609395060 PECOS PAC ID: 1658280896 Enrollment ID: O20040227000194 |
| Entity Name | Public Hospital Dist No 1 Skagit |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023332749 PECOS PAC ID: 6800793522 Enrollment ID: O20040309001059 |
| Entity Name | Shc Medical Center Toppenish |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1851817308 PECOS PAC ID: 4082980065 Enrollment ID: O20171018001921 |
| Entity Name | Direct Imaging Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689283285 PECOS PAC ID: 6103244934 Enrollment ID: O20200910002932 |
| Entity Name | Direct Imaging Pc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1689283285 PECOS PAC ID: 6103244934 Enrollment ID: O20210415000829 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Jackson Pulliam, MD 5200 W Nob Hill Blvd Apt 353, Yakima, WA 98908-3668 Ph: (910) 638-4239 | Thomas Jackson Pulliam, MD 6101 Summitview Ave Ste 200, Yakima, WA 98908-3028 Ph: (509) 902-8857 |
Daniel Doornink, Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 602 E Nob Hill Blvd, Yakima, WA 98901 Phone: 509-248-3334 Fax: 509-453-6144 | |
Robert M Williams, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 3909 Creekside Loop, Suite 130, Yakima, WA 98902 Phone: 509-248-6616 Fax: 509-248-4983 | |
Erik Albert Monick, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 406 S 30th Ave, Suite 101, Yakima, WA 98902 Phone: 509-248-7715 | |
George J Hotchko, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 3003 Tieton Dr, Suite 320, Yakima, WA 98902 Phone: 509-452-3765 Fax: 509-452-3435 | |
Sajal Kumar, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 315 Holton Ave, Suite 100, Yakima, WA 98902 Phone: 509-248-6292 Fax: 509-248-9134 | |
Dr. Rachana Mandru, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 406 S 30th Ave Ste 101, Yakima, WA 98902 Phone: 509-248-7715 | |
Edwin Llamas, Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 602 E Nob Hill Blvd, Yakima, WA 98901 Phone: 509-248-3334 |