GEORGE PETZINGER (NPI# 1003905522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003905522 |
| Entity Type | Individual |
| Full Name | GEORGE PETZINGER |
| Credential | M.D. |
| Practice Address |
918 E Mead Ave Yakima WA 98903-3720 |
| Mailing Address |
402 N 4th Street Suite 202 Yakima WA 98901 |
| Practice Telephone | 5094531344 |
| Practice Fax Number | 5094532209 |
| Mailing Telephone | 5092483782 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2011-11-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
MD00038547 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | L & I | 139616 | 01 |
| COMMERCIAL | 911019392 | 01 | |
| WA | CHPW | 8254252 | 01 |
| WA | 8254252 | 05 |
| Street Address |
918 E MEAD AVE |
| City | YAKIMA |
| State | WA |
| Zip Code | 98903-3720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043275431 | Catherine Louise Parrish | Counselor | 918 E Mead Ave, Yakima, WA 98903-3720 | 2006-04-19 |
| 1316574924 | Bianca Chavez | Case Manager/Care Coordinator | 918 E Mead Ave, Yakima, WA 98903-3720 | 2020-03-24 |
| 1669007571 | Yaquelin Balderas | Case Manager/Care Coordinator | 918 E Mead Ave, Yakima, WA 98903-3720 | 2020-03-11 |
| 1477193340 | Pamela D Kovach | Registered Nurse | 918 E Mead Ave, Yakima, WA 98903-3720 | 2020-01-08 |
| 1730726423 | Karen Marie Trujillo | Counselor | 918 E Mead Ave, Yakima, WA 98903-3720 | 2019-12-02 |
| 1942846993 | Ana Maria Mejia Camacho | Nurse's Aide | 918 E Mead Ave, Yakima, WA 98903-3720 | 2019-11-25 |
| 1861038812 | Stephanie Gutierrez-guerrero | Nurse's Aide | 918 E Mead Ave, Yakima, WA 98903-3720 | 2019-11-25 |
| 1568008746 | Niklaus Michael Schneider | Counselor | 918 E Mead Ave, Yakima, WA 98903-3720 | 2019-11-21 |
| 1437716800 | Miguel Angel Pedroza | Behavior Technician | 918 E Mead Ave, Yakima, WA 98903-3720 | 2019-05-21 |
| 1639734775 | Gricelda Larios | Registered Nurse | 918 E Mead Ave, Yakima, WA 98903-3720 | 2019-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811504277 | Inland Northwest Renal Care Group, LLC | Clinic/Center | 2405 West Washinton Ave, Yakima, WA 98903 | 2020-09-29 |
| 1538704325 | Maria D. Valenzuela | Technician | 3908 1st St, Union Gap, WA 98903 | 2019-11-15 |
| 1730667668 | Patty Nygaard | Counselor | 4109 Holiday Ave, Union Gap, WA 98903 | 2018-08-02 |
| 1760994842 | Sonia Perez | Registered Nurse | 2000 S. 18th St., Union Gap, WA 98903 | 2017-10-30 |
| 1437502820 | Ismerai Benitez | Counselor | 918 E. Mead Ave., Yakima, WA 98903 | 2016-07-20 |
| 1568857845 | Rebecca Marie Berghoff | Registered Nurse | 55 West Washington Avenue, Unit #54, Yakima, WA 98903 | 2015-04-02 |
| 1811249519 | Steven G Schiewe | Pharmacist | 2310 Longfibre Rd, Union Gap, WA 98903 | 2012-10-05 |
| 1891070850 | Rick Kenneth Melcher | Pharmacist | 2310 Longfibre Road, Union Gap, WA 98903 | 2011-10-20 |
| 1386882678 | Emily Mcphee | Counselor | 910 E Mead Ave, Yakima, WA 98903 | 2009-01-26 |
| 1427185826 | Ronald Spencer Senn | Dentist | 2100 14th St, Union Gap, WA 98903 | 2007-02-27 |
| Find all providers in zip 98903 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811996200 | John Edward Omalley | Psychiatry & Neurology | 402 S 4th Ave, Yakima, WA 98902-3546 | 2005-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225674963 | Multicare Health System | Psychiatry & Neurology | 4700 Point Fosdick Dr Ste 319, Gig Harbor, WA 98335-1731 | 2019-11-18 |
| 1235792326 | Wellpsyche Seattle PC | Psychiatry & Neurology | 801 2nd Ave Ste 800, Seattle, WA 98104-1573 | 2019-04-15 |
| 1043624240 | Lucas Mcintyre | Psychiatry & Neurology | 316 S I St Fl 1, Tacoma, WA 98405-4212 | 2014-06-16 |
| 1184043010 | Shad Syed Ali | Psychiatry & Neurology | 2511 M Ave Ste G, Anacortes, WA 98221-3897 | 2014-04-08 |
| 1710223896 | Jack Raskin | Psychiatry & Neurology | 2624 161st Ave Se, Bellevue, WA 98008-5424 | 2012-12-18 |
| 1801140876 | Deborah L. Hickey, D.o.ps | Psychiatry & Neurology | 6512-20th St Ct W #c, Firerest, WA 98466-6212 | 2012-10-30 |
| 1073884102 | Larry W. Einspahr, M.d., P.s. | Psychiatry & Neurology | 5400 Carillon Pt Bldg 5000, 4th Floor, Kirkland, WA 98033-7357 | 2012-01-20 |
| 1982922233 | Brian N Gipstein | Psychiatry & Neurology | 4407 S Madelia St, Spokane, WA 99223-6429 | 2010-05-12 |
| 1063667087 | Robert S Fleming II | Psychiatry & Neurology | 16921 14th Ave Nw, Shoreline, WA 98177-3840 | 2008-11-18 |
| 1306000898 | Amy Lazar | Psychiatry & Neurology | 11820 Northup Way Ste E200, Bellevue, WA 98005-1966 | 2008-07-14 |
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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.