| Sunnyside Community Hospital Association | |
|
2501 Business Ln Yakima WA 98901-1167 | |
| (509) 575-4800 | |
| (509) 573-3400 |
| Full Name | Sunnyside Community Hospital Association |
|---|---|
| Speciality | Clinic/Center |
| Location | 2501 Business Ln, Yakima, Washington |
| Authorized Official Name and Position | Cary Rowan (CFO) |
| Authorized Official Contact | 5098371356 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunnyside Community Hospital Association Po Box 719 Sunnyside WA 98944-0719 Ph: (509) 865-2500 | Sunnyside Community Hospital Association 2501 Business Ln Yakima WA 98901-1167 Ph: (509) 575-4800 |
| NPI Number | 1609395060 |
|---|---|
| Provider Enumeration Date | 09/15/2017 |
| Last Update Date | 02/04/2019 |
| Medicare PECOS PAC ID | 1658280896 |
|---|---|
| Medicare Enrollment ID | O20040227000194 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609395060 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Anna Z Madej |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194834705 PECOS PAC ID: 1759274921 Enrollment ID: I20040203000741 |
| Provider Name | Michael M Gawlik |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790894400 PECOS PAC ID: 0244123313 Enrollment ID: I20040203000776 |
| Provider Name | Julia K Robertson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578572178 PECOS PAC ID: 9234022757 Enrollment ID: I20040206000506 |
| Provider Name | Gary L Treece |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1447269857 PECOS PAC ID: 6800789355 Enrollment ID: I20040206000699 |
| Provider Name | Vani Bremjit |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568471589 PECOS PAC ID: 3375438229 Enrollment ID: I20040218001089 |
| Provider Name | Marjorie L Henderson |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1750399911 PECOS PAC ID: 6901791821 Enrollment ID: I20040219000365 |
| Provider Name | Scott K Heflick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518975762 PECOS PAC ID: 4486549201 Enrollment ID: I20040219000409 |
| Provider Name | Craig D Whittlesey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588673883 PECOS PAC ID: 1557256377 Enrollment ID: I20040219000431 |
| Provider Name | Jan R Hemstad |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962412379 PECOS PAC ID: 9335036987 Enrollment ID: I20040301000187 |
| Provider Name | David W Shoemaker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912932658 PECOS PAC ID: 2365339736 Enrollment ID: I20040301000894 |
| Provider Name | Mitchell Md Cahn |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1164461331 PECOS PAC ID: 0648162966 Enrollment ID: I20040329001769 |
| Provider Name | Tracy Berg |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376637421 PECOS PAC ID: 6305831439 Enrollment ID: I20040419000376 |
| Provider Name | Mihai Alexianu |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1497863096 PECOS PAC ID: 8022007384 Enrollment ID: I20040511000802 |
| Provider Name | Michael Zammit |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1841251188 PECOS PAC ID: 5496658213 Enrollment ID: I20040524000004 |
| Provider Name | David A Becerril |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902806771 PECOS PAC ID: 3971490913 Enrollment ID: I20040708000250 |
| Provider Name | Hollie I Crawford |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093724569 PECOS PAC ID: 8729059555 Enrollment ID: I20040804000877 |
| Provider Name | Karen L Barr |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629085642 PECOS PAC ID: 0143291625 Enrollment ID: I20040805001574 |
| Provider Name | Jakdej J Nikomborirak |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1477542447 PECOS PAC ID: 8527051879 Enrollment ID: I20041227000267 |
| Provider Name | Nathan F E Ullrich |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1518067339 PECOS PAC ID: 0941233399 Enrollment ID: I20050915000626 |
| Provider Name | Roen Garcia |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568564219 PECOS PAC ID: 0648299768 Enrollment ID: I20051118000339 |
| Provider Name | Naseer Ahmad |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1295804250 PECOS PAC ID: 8123014958 Enrollment ID: I20060228000779 |
| Provider Name | Danko Martincic |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1124071592 PECOS PAC ID: 4880606631 Enrollment ID: I20060619000318 |
| Provider Name | Marli W Parobek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619955317 PECOS PAC ID: 3274550538 Enrollment ID: I20070320000576 |
| Provider Name | Joseph A Dimeo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205848942 PECOS PAC ID: 1951472315 Enrollment ID: I20080612000724 |
| Provider Name | Ernesto G Dizon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326070871 PECOS PAC ID: 1052201274 Enrollment ID: I20090306000144 |
| Provider Name | Dave S Atteberry |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1427252147 PECOS PAC ID: 4880763663 Enrollment ID: I20100121000798 |
| Provider Name | Timothy Bock Icenogle |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1285683029 PECOS PAC ID: 3072525930 Enrollment ID: I20100209000674 |
| Provider Name | Teodor D Butiu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366544116 PECOS PAC ID: 8527066711 Enrollment ID: I20100421000268 |
| Provider Name | Zephron G Newmark |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1811950744 PECOS PAC ID: 6305835133 Enrollment ID: I20100810001200 |
| Provider Name | Brian Clement Cook |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922244557 PECOS PAC ID: 4587849864 Enrollment ID: I20110502000262 |
| Provider Name | Patrick Moran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164561155 PECOS PAC ID: 7517023708 Enrollment ID: I20110510000238 |
| Provider Name | Bradley G Titus |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962494757 PECOS PAC ID: 6305884297 Enrollment ID: I20110817000056 |
| Provider Name | Asma Anwar |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1972773539 PECOS PAC ID: 0345432670 Enrollment ID: I20110921000258 |
| Provider Name | Gloria C Abacan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316040298 PECOS PAC ID: 0244492429 Enrollment ID: I20120504000234 |
| Provider Name | Richard Mynatt |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1568487627 PECOS PAC ID: 6305732199 Enrollment ID: I20120719000073 |
| Provider Name | Daniel Quiroz Portella |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699906719 PECOS PAC ID: 5496904328 Enrollment ID: I20121009000297 |
| Provider Name | Oscar V Bailon |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164649018 PECOS PAC ID: 6901086743 Enrollment ID: I20121210000415 |
| Provider Name | Nels E Sampatacos |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1265632988 PECOS PAC ID: 2062669906 Enrollment ID: I20130828000930 |
| Provider Name | Vamsi K Kanneganti |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1629388418 PECOS PAC ID: 6608065214 Enrollment ID: I20131002000605 |
| Provider Name | Jeffrey A Gilles |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1417004334 PECOS PAC ID: 4981633716 Enrollment ID: I20131202000318 |
| Provider Name | Miguel A Brizuela |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649238726 PECOS PAC ID: 3577700756 Enrollment ID: I20131205000931 |
| Provider Name | Patrick Edward Henderson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1598720492 PECOS PAC ID: 9537200357 Enrollment ID: I20140228001070 |
| Provider Name | Alessa L Lopez-castor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285661744 PECOS PAC ID: 3971513375 Enrollment ID: I20140703001586 |
| Provider Name | Virginia Smith-dunwoody |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629320874 PECOS PAC ID: 7719139476 Enrollment ID: I20140718001373 |
| Provider Name | Tatiana Antoci |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447435938 PECOS PAC ID: 1557407202 Enrollment ID: I20140909002796 |
| Provider Name | Andreas M Schneider |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609036136 PECOS PAC ID: 0143441683 Enrollment ID: I20141024001914 |
| Provider Name | Patricia Robertson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891199212 PECOS PAC ID: 0143543264 Enrollment ID: I20141222002066 |
| Provider Name | John L Cochran |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1881705523 PECOS PAC ID: 5294734851 Enrollment ID: I20150119000751 |
| Provider Name | Severiano L Manuel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235540881 PECOS PAC ID: 4486979960 Enrollment ID: I20150203002076 |
| Provider Name | Charles V Bulfinch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104181221 PECOS PAC ID: 5597988766 Enrollment ID: I20150205000761 |
| Provider Name | Yung L Huang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609085745 PECOS PAC ID: 1850547357 Enrollment ID: I20150218000287 |
| Provider Name | Andrea N Valicoff |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578961769 PECOS PAC ID: 7113243130 Enrollment ID: I20150309002692 |
| Provider Name | Rebecca M House-wood |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841588480 PECOS PAC ID: 8921244096 Enrollment ID: I20150728005419 |
| Provider Name | Manuel S Ybanez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700874351 PECOS PAC ID: 7113901026 Enrollment ID: I20150803000001 |
| Provider Name | Davis L Bronson |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1154367324 PECOS PAC ID: 9032207873 Enrollment ID: I20150805007293 |
| Provider Name | Jeffrey B Lecheminant |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1124330493 PECOS PAC ID: 8921248055 Enrollment ID: I20150909000886 |
| Provider Name | Marco M De Santis |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1104080977 PECOS PAC ID: 2961630447 Enrollment ID: I20151124001329 |
| Provider Name | Gerson Valdez Figueroa |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1861689960 PECOS PAC ID: 7517186786 Enrollment ID: I20151228001923 |
| Provider Name | Jamie R Litvack |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1487809703 PECOS PAC ID: 3173772720 Enrollment ID: I20160812000710 |
| Provider Name | Doniel G Drazin |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1790195790 PECOS PAC ID: 2062709678 Enrollment ID: I20160926002050 |
| Provider Name | Justin M Ellison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245688928 PECOS PAC ID: 3274820717 Enrollment ID: I20160927000579 |
| Provider Name | Christopher Eugene Burton |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1033320718 PECOS PAC ID: 7113089251 Enrollment ID: I20160929000869 |
| Provider Name | Suzanne S Cleland Zamudio |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1609883768 PECOS PAC ID: 5193615367 Enrollment ID: I20161209001411 |
| Provider Name | Muhammad Riaz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053610493 PECOS PAC ID: 8123330669 Enrollment ID: I20161228001049 |
| Provider Name | Kent Blakely |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1134222458 PECOS PAC ID: 8325069685 Enrollment ID: I20170126001340 |
| Provider Name | Jodie E Jones |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306957410 PECOS PAC ID: 8022100924 Enrollment ID: I20170126001661 |
| Provider Name | Luis R Vincenty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457467714 PECOS PAC ID: 2365692837 Enrollment ID: I20170206001237 |
| Provider Name | Kathy K Keebaugh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730285784 PECOS PAC ID: 0941300743 Enrollment ID: I20170410001775 |
| Provider Name | Roberto Amado-cattaneo |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1073700225 PECOS PAC ID: 8527955004 Enrollment ID: I20170630002142 |
| Provider Name | Miechia A Esco |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1164595310 PECOS PAC ID: 4385819549 Enrollment ID: I20170828002460 |
| Provider Name | Sara M Harvison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750669081 PECOS PAC ID: 8022273036 Enrollment ID: I20170906002225 |
| Provider Name | Charles W Scowcroft |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1750336863 PECOS PAC ID: 6709059488 Enrollment ID: I20171005001041 |
| Provider Name | Frantz N Muse |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558339168 PECOS PAC ID: 0547221194 Enrollment ID: I20171012001931 |
| Provider Name | Thomas Pulliam |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205898103 PECOS PAC ID: 0244260982 Enrollment ID: I20171026000777 |
| Provider Name | Ian D Stoddard |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417470311 PECOS PAC ID: 0648546036 Enrollment ID: I20171031000952 |
| Provider Name | Steven C Cohen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487685731 PECOS PAC ID: 1153324538 Enrollment ID: I20171109001262 |
| Provider Name | Michelle M Freiberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033143169 PECOS PAC ID: 2062475833 Enrollment ID: I20171121002540 |
| Provider Name | Kathryn Benson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720084213 PECOS PAC ID: 1850357104 Enrollment ID: I20171128001783 |
| Provider Name | Lori Arviso Alvord |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760597280 PECOS PAC ID: 6204908080 Enrollment ID: I20171214002874 |
| Provider Name | Avtar Singh Dhindsa |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1790844181 PECOS PAC ID: 7618079492 Enrollment ID: I20171222000217 |
| Provider Name | Peter H Grunert |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1285185454 PECOS PAC ID: 8426317702 Enrollment ID: I20180111002496 |
| Provider Name | Sumeet Sachdev |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871545954 PECOS PAC ID: 7810970373 Enrollment ID: I20180112002583 |
| Provider Name | Sasha Dunbar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457655284 PECOS PAC ID: 9739363656 Enrollment ID: I20180116002288 |
| Provider Name | Edward Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689905952 PECOS PAC ID: 8820214604 Enrollment ID: I20180118002606 |
| Provider Name | Karena Janiece Herron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578082392 PECOS PAC ID: 9436419256 Enrollment ID: I20180215001769 |
| Provider Name | Brad A. Ward |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1255337663 PECOS PAC ID: 7810071180 Enrollment ID: I20180321001738 |
| Provider Name | Barbara Ann Alford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659896785 PECOS PAC ID: 0749542157 Enrollment ID: I20180323000917 |
| Provider Name | Philip Maria Karuman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053592055 PECOS PAC ID: 3870676638 Enrollment ID: I20180508001750 |
| Provider Name | Kesav Chaitanya Parvataneni |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487942124 PECOS PAC ID: 7517181290 Enrollment ID: I20180522002422 |
| Provider Name | Mahakit Inklab |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1124229869 PECOS PAC ID: 3577613355 Enrollment ID: I20180525002006 |
| Provider Name | Robert Richard Wells |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578511408 PECOS PAC ID: 7416923685 Enrollment ID: I20180529002616 |
| Provider Name | Janette Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114438736 PECOS PAC ID: 7911262621 Enrollment ID: I20180530002280 |
| Provider Name | Jennifer Marie Ford |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609217579 PECOS PAC ID: 9931454998 Enrollment ID: I20180614001499 |
| Provider Name | Rafid Fadul |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619134780 PECOS PAC ID: 3072700418 Enrollment ID: I20180810002655 |
| Provider Name | M Whitney Parnell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962597948 PECOS PAC ID: 6305941188 Enrollment ID: I20180905000358 |
| Provider Name | Larry Edwards |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952402802 PECOS PAC ID: 4587845045 Enrollment ID: I20180911003880 |
| Provider Name | David C Livingston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194118208 PECOS PAC ID: 5890007223 Enrollment ID: I20180914000786 |
| Provider Name | Timmy A Ferrell |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1467563460 PECOS PAC ID: 2567632821 Enrollment ID: I20180926004232 |
| Provider Name | Al Majdi Bugazia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982869087 PECOS PAC ID: 6507028107 Enrollment ID: I20181010002095 |
| Provider Name | Arnold Willis |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1275525545 PECOS PAC ID: 1254388325 Enrollment ID: I20181108001982 |
| Provider Name | Mirna Tovalin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215398474 PECOS PAC ID: 2961768395 Enrollment ID: I20181207001287 |
| Provider Name | Steven A Bernstein |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1760491492 PECOS PAC ID: 3779615885 Enrollment ID: I20181207001481 |
| Provider Name | James Francis Leavey |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1861557449 PECOS PAC ID: 1153304191 Enrollment ID: I20181211001788 |
| Provider Name | Jean M Cervini-koby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831604354 PECOS PAC ID: 4183969694 Enrollment ID: I20190102001160 |
| Provider Name | Risa N Campos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265901185 PECOS PAC ID: 4385981448 Enrollment ID: I20190128001450 |
| Provider Name | Natalie Marie Mosley |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1639496987 PECOS PAC ID: 3072760958 Enrollment ID: I20190221002477 |
| Provider Name | Andrew Gustavson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538182118 PECOS PAC ID: 2668644584 Enrollment ID: I20190411000620 |
| Provider Name | Debra Peasley |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1033291356 PECOS PAC ID: 5092744813 Enrollment ID: I20190415000080 |
| Provider Name | Ana G. Garcia-collazo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851590392 PECOS PAC ID: 4981929445 Enrollment ID: I20190507001454 |
| Provider Name | Christina Marie Zoric |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861952665 PECOS PAC ID: 1658614094 Enrollment ID: I20190528001278 |
| Provider Name | Selena Diaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548725427 PECOS PAC ID: 5496088627 Enrollment ID: I20190603002792 |
| Provider Name | Sherry Lynn Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558823161 PECOS PAC ID: 2062745482 Enrollment ID: I20190617002484 |
| Provider Name | Monica M Aparicio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235529843 PECOS PAC ID: 2860726353 Enrollment ID: I20190703001631 |
| Provider Name | Titus Koipaton Sairo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528510898 PECOS PAC ID: 9739512898 Enrollment ID: I20191203001471 |
| Provider Name | Ariel Alexandroni |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1316262801 PECOS PAC ID: 0244550549 Enrollment ID: I20191206000449 |
| Provider Name | Esmeralda Chavez Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942844287 PECOS PAC ID: 0648604678 Enrollment ID: I20191230001535 |
| Provider Name | Nicholas Kalayeh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134335607 PECOS PAC ID: 2860583309 Enrollment ID: I20200211000217 |
| Provider Name | Frances Hull |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336531870 PECOS PAC ID: 0840629671 Enrollment ID: I20200331000286 |
| Provider Name | Adrian B Obuch |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1932152667 PECOS PAC ID: 9032126503 Enrollment ID: I20200408001989 |
| Provider Name | Shellie Marthini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790313419 PECOS PAC ID: 3678994910 Enrollment ID: I20200522000583 |
| Provider Name | Katie Bertheas |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1972906881 PECOS PAC ID: 7618399114 Enrollment ID: I20200629002087 |
| Provider Name | Sara Jerene Champoux Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639761133 PECOS PAC ID: 5294140554 Enrollment ID: I20210218001314 |
| Provider Name | Sean Kane |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1669852760 PECOS PAC ID: 6406270602 Enrollment ID: I20210806002190 |
| Provider Name | Kara Larsen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417216276 PECOS PAC ID: 8820214752 Enrollment ID: I20211011001894 |
| Provider Name | Gregory John Norell |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1861559866 PECOS PAC ID: 7012306590 Enrollment ID: I20211123001357 |
| Provider Name | Valentine Okochi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447917943 PECOS PAC ID: 3476946393 Enrollment ID: I20220216002572 |
| Provider Name | Amma Serwaa Ababio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952056541 PECOS PAC ID: 6103211057 Enrollment ID: I20220311001877 |
| Provider Name | Janetta Kelly |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669666814 PECOS PAC ID: 8921038746 Enrollment ID: I20220504002964 |
| Provider Name | Brent Maxwell Wilkinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891319448 PECOS PAC ID: 2163846940 Enrollment ID: I20220927003150 |
| Provider Name | Sikarin Upala |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1013334556 PECOS PAC ID: 8527283779 Enrollment ID: I20221202001344 |
| Provider Name | Mitul Kanzaria |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639499023 PECOS PAC ID: 5496997744 Enrollment ID: I20230712002772 |
| Provider Name | Zachary Tan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1013438779 PECOS PAC ID: 5799035655 Enrollment ID: I20230717003222 |
| Provider Name | Prisca T. Musongwe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043894215 PECOS PAC ID: 3577923879 Enrollment ID: I20230718003686 |
| Provider Name | Manisha Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215012000 PECOS PAC ID: 7517120124 Enrollment ID: I20230908003127 |
| Provider Name | James Hebard |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1275714883 PECOS PAC ID: 9234489808 Enrollment ID: I20230914004190 |
| Provider Name | Alan Berger |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1104861350 PECOS PAC ID: 6709887656 Enrollment ID: I20231004000325 |
| Provider Name | Ankit Upadhyay |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376934059 PECOS PAC ID: 3779977152 Enrollment ID: I20231009002981 |
| Provider Name | Salman Mandhai |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639445166 PECOS PAC ID: 4981914538 Enrollment ID: I20231013001610 |
| Provider Name | Manavjot Singh Sidhu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356515845 PECOS PAC ID: 3274658083 Enrollment ID: I20231117001815 |
| Provider Name | Jasdeep S Dalawari |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1215986807 PECOS PAC ID: 1759275167 Enrollment ID: I20240214004017 |
| Provider Name | Amier Ahmad |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1689061897 PECOS PAC ID: 8224359807 Enrollment ID: I20240315001025 |
| Provider Name | Nina N Kwi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730743493 PECOS PAC ID: 5395135396 Enrollment ID: I20240402003322 |
| Provider Name | Desaree Wancho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629544697 PECOS PAC ID: 3678918075 Enrollment ID: I20240410003954 |
| Provider Name | Kelly Dawn Mcfee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013273812 PECOS PAC ID: 8527210012 Enrollment ID: I20240416002767 |
| Provider Name | Christine Maureen Malino |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467606442 PECOS PAC ID: 3476882341 Enrollment ID: I20240428000084 |
| Provider Name | Katherine Dolores Soto |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346018082 PECOS PAC ID: 1658713854 Enrollment ID: I20240520001988 |
| Provider Name | Linda Hawley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871078584 PECOS PAC ID: 5193069805 Enrollment ID: I20240717000891 |
| Provider Name | Phylicia Danielle Yorgure |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649537853 PECOS PAC ID: 1557502192 Enrollment ID: I20240814001106 |
| Provider Name | Christina R Eglin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811563307 PECOS PAC ID: 8426453267 Enrollment ID: I20240924001581 |
| Provider Name | Lauryl Anne Garcia |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1306245337 PECOS PAC ID: 0345549432 Enrollment ID: I20241122003311 |
| Provider Name | Careeta-jenee Anique Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548089550 PECOS PAC ID: 3971039652 Enrollment ID: I20241204002862 |
| Provider Name | Gregory Alan Simmerman |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1669511853 PECOS PAC ID: 2860596459 Enrollment ID: I20250113002258 |
| Provider Name | Irma Villalvazo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205147378 PECOS PAC ID: 9739603077 Enrollment ID: I20250408003925 |
| Provider Name | Brianna R Chessik |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1467126748 PECOS PAC ID: 1355746611 Enrollment ID: I20250522002323 |
| Provider Name | Sondra M Bantis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780193177 PECOS PAC ID: 8224394036 Enrollment ID: I20250603000380 |
| Provider Name | Parker John Schumacher |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1356197735 PECOS PAC ID: 1153831508 Enrollment ID: I20250605003741 |
Memorial Physicians, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3003 Tieton Dr Ste 230, Yakima, WA 98902 Phone: 509-248-3440 Fax: 509-249-4460 | |
Community Health Of Central Washington Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 212 S 6th Ave, Yakima, WA 98902 Phone: 509-494-6700 Fax: 509-573-6275 | |
Yakima Valley Professional Services, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 504 N 40th Ave, Yakima, WA 98908 Phone: 509-966-9480 Fax: 509-966-3283 | |
Memorial Physicians, P.l.l.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1008 S. 38th Ave, Yakima, WA 98902 Phone: 509-965-1035 Fax: 509-225-2700 | |
Yakima Gastroenterology Associates, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3909 Creekside Loop, Suite 130, Yakima, WA 98902 Phone: 509-248-6616 Fax: 509-248-4983 | |
Yakima Valley Farm Workers Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 314 S 11th Ave, Yakima, WA 98902 Phone: 509-902-8585 Fax: 509-902-2030 | |
Memorial Physicians, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3003 Tieton Dr Ste 350, Yakima, WA 98902 Phone: 509-573-3939 |