CRAIG W. EDGAR (NPI# 1043393127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043393127 |
| Entity Type | Individual |
| Full Name | CRAIG W. EDGAR |
| Credential | MD00041988 |
| Practice Address |
2811 Tieton Dr Yakima WA 98902-3761 |
| Mailing Address |
Po Box 9787 Yakima WA 98909-0787 |
| Practice Telephone | 5095758000 |
| Practice Fax Number | 5095758745 |
| Mailing Telephone | 5095743350 |
| Mailing Fax Number | 5092253168 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2013-03-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | MD00041988 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8378747 | 05 |
| Street Address |
2811 TIETON DR |
| City | YAKIMA |
| State | WA |
| Zip Code | 98902-3761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699763318 | Susie Ball | Genetic Counselor, MS | 2811 Tieton Dr, Genetics - Memorial, Yakima, WA 98902-3761 | 2005-10-06 |
| 1336740901 | Tyler Reed | Pharmacist | 2811 Tieton Dr, Yakima, WA 98902-3761 | 2020-11-02 |
| 1629683610 | Moro Kim | Pharmacist | 2811 Tieton Dr, Yakima, WA 98902-3761 | 2020-09-15 |
| 1467067207 | Mandi Nicole Wilcox | Registered Nurse | 2811 Tieton Dr, Yakima, WA 98902-3761 | 2020-09-09 |
| 1588278576 | Chad Schmitt | Pharmacist | 2811 Tieton Dr, Yakima, WA 98902-3761 | 2020-09-07 |
| 1306463450 | Rigoberto Zepeda | Nurse Practitioner | 2811 Tieton Dr, Yakima, WA 98902-3761 | 2020-07-05 |
| 1750906269 | Timothy Joseph Bowman | Nurse Anesthetist, Certified Registered | 2811 Tieton Dr, Yakima, WA 98902-3761 | 2020-06-10 |
| 1700416062 | Terry J Tieman | Nurse Anesthetist, Certified Registered | 2811 Tieton Dr, Yakima, WA 98902-3761 | 2020-01-24 |
| 1891343414 | Ashley Walker | Pharmacist | 2811 Tieton Dr, Yakima, WA 98902-3761 | 2019-08-27 |
| 1639725377 | Shannon Rodriguez | Pharmacist | 2811 Tieton Dr, Yakima, WA 98902-3761 | 2019-08-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922653203 | Laboratory Corporation of America | Clinical Medical Laboratory | 314 S 11th Ave Suite A, Yakima, WA 98902 | 2019-08-05 |
| 1669967865 | Rebecca Schrader | Speech-Language Pathologist | Children's Village 3801 Kern Road, Yakima, WA 98902 | 2018-06-29 |
| 1720572928 | Hyperbaric Centers of Washington | Preventive Medicine | 302 S. 12th Ave., Yakima, WA 98902 | 2018-06-20 |
| 1487155503 | Courtney Lombardi | Nurse Practitioner | 1515 W Yakima Ave, Yakima, WA 98902 | 2018-02-23 |
| 1003329665 | Maria-elena Mendoza | Case Manager/Care Coordinator | 918 E Mead Avenue, Yakima, WA 98902 | 2017-11-06 |
| 1679017610 | Claudia Zepeda | Massage Therapist | 3908 Creekside Loop Ste # 110, Yakima, WA 98902 | 2016-12-09 |
| 1093194425 | Silas Klaver | Podiatrist | 1607 Creekside Loop Ste 140, Yakima, WA 98902 | 2015-05-18 |
| 1821490905 | Jen Lynn Silver | Massage Therapist | 3512 Tieton Dr, Yakima, WA 98902 | 2014-09-20 |
| 1194131383 | Brenna Claire Hayes | Genetic Counselor, MS | 2903 W Walnut, Yakima, WA 98902 | 2014-07-08 |
| 1720400435 | Agnes Nadine Jeske | Speech-Language Pathologist | 621 S. 13th Ave., Mckinley Elementary School, Yakima, WA 98902 | 2014-01-15 |
| Find all providers in zip 98902 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245286673 | John Raymond Zambito | Emergency Medicine | 110 South 9th Avenue, Yakima, WA 98902-3315 | 2006-05-26 |
| 1487613683 | Ashwin K. Shetty | Emergency Medicine | 4811 Snowmountain Rd, Yakima, WA 98908-2848 | 2006-03-17 |
| 1184605347 | Chatt Allan Johnson | Emergency Medicine | 1607 Creekside Loop Ste 100, Yakima, WA 98902-4882 | 2005-11-07 |
| 1902334246 | Ahtanum Ridge Emergency Physicians LLC | Emergency Medicine | 110 S 9th Ave, Yakima, WA 98902 | 2017-05-31 |
| 1891195889 | Bradley Blakley | Emergency Medicine | 2811 Tieton Dr, Yakima, WA 98902-3761 | 2014-08-27 |
| 1053750430 | Kristin Shnowske | Emergency Medicine | 2811 Tieton Dr, Yakima, WA 98902-3761 | 2013-06-19 |
| 1265879993 | Jeffrey Michael Papazian | Emergency Medicine | 2811 Tieton Dr, Yakima, WA 98902-3761 | 2013-06-04 |
| 1790121242 | Brett Anthony Hayzen | Emergency Medicine | 2811 Tieton Dr, Yakima, WA 98902-3761 | 2013-05-10 |
| 1518203520 | Washington Emergency Physician Partners Pllc | Emergency Medicine | 110 S 9th Ave, Yakima, WA 98902-3315 | 2012-12-19 |
| 1538420351 | Adam Richard Waggoner | Emergency Medicine | 200 University Pkwy, Yakima, WA 98901-9539 | 2012-06-07 |
| Find all providers in YAKIMA | ||||
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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.