MEMORIAL PHYSICIANS, PLLC (NPI# 1487976585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487976585 |
| Entity Type | Organization |
| Organization Name | MEMORIAL PHYSICIANS, PLLC |
| Other Organization Name | YVMH WOUND MANAGEMENT SERVICES |
| Practice Address |
2811 Tieton Dr Yakima WA 98902-3761 |
| Mailing Address |
3800 Summitview Ave Yakima WA 98902-2715 |
| Practice Telephone | 5092495242 |
| Practice Fax Number | 5092495244 |
| Mailing Telephone | 5092487849 |
| Mailing Fax Number | 5092488291 |
| Enumeration Date | 2010-02-17 |
| Last Update Date | 2016-08-31 |
| Authorized Official Name | TIMOTHY REED (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 5092487849 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| YVMH Wound Management Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053883504 | Memorial Physicians, Pllc | Clinic/Center | 3003 Tieton Dr Ste 350, Yakima, WA 98902-3690 | 2018-12-21 |
| 1851716278 | Memorial Physicians, Pllc | Clinic/Center | 3904 Terrace Heights Dr, Yakima, WA 98901-1427 | 2014-02-21 |
| 1689098436 | Memorial Physicians, Pllc | Clinic/Center | 120 S 72nd Ave, Suite 102, Yakima, WA 98908-4200 | 2014-02-14 |
| 1669732954 | Memorial Physicians, Pllc | Family Medicine | 101 N 65th Ave, Harman Center At Gailleon Park, Yakima, WA 98908-3014 | 2012-05-21 |
| 1508140021 | Memorial Physicians, Pllc | Family Medicine | 2506 W Nob Hill Blvd, Yakima, WA 98902-5104 | 2011-10-03 |
| 1154602084 | Memorial Physicians, Pllc | Surgery | 1812 E Edison Ave, Sunnyside, WA 98944-1653 | 2011-09-06 |
| 1558683334 | Memorial Physicians, Pllc | Clinic/Center | 3909 Creekside Loop Ste 130, Yakima, WA 98902-4880 | 2010-02-22 |
| 1114553674 | Memorial Physicians, Pllc | Clinic/Center | 1607 Creekside Loop Ste 100, Yakima, WA 98902-4882 | 2020-03-17 |
| 1558928143 | Memorial Physicians, Pllc | Clinic/Center | 1812 E Edison Ave, Sunnyside, WA 98944 | 2019-05-20 |
| 1760966022 | Memorial Physicians, Pllc | Clinic/Center | 1812 E Edison Ave, Sunnyside, WA 98944-1653 | 2018-09-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | MEMORIAL PHYSICIANS, PLLC | 3800 Summitview, Yakima, WA 98907 |
| 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 | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972745347 | Memorial Practice Management, LLC | Clinic/Center | 1008 S. 38th Ave, Yakima, WA 98902-0000 | 2009-04-01 |
| 1851533228 | Memorial Practice Management, LLC | Clinic/Center | 3003 Tieton Dr Ste 320, Yakima, WA 98902-3688 | 2009-04-01 |
| 1881836252 | Memorial Practice Management, LLC | Clinic/Center | 1111 W Spruce St Ste 30, Yakima, WA 98902-3264 | 2009-04-01 |
| 1356393383 | Yakima Valley Professional Services On 12th, PC | Clinic/Center | 402 S 12th Ave, Yakima, WA 98902-3115 | 2006-05-17 |
| 1154930543 | Yakima Valley Memorial Physicians | Clinic/Center | 1008 S 38th Ave, Yakima, WA 98902-3953 | 2020-07-30 |
| 1699257113 | Memorial Physicians, Pllc | Clinic/Center | 1515 W Yakima Ave, Yakima, WA 98902 | 2018-08-31 |
| 1942695580 | Yakima Medical Consultants Inc | Clinic/Center | 622 S 36th Ave, Yakima, WA 98902-3943 | 2015-03-31 |
| 1588986681 | Memorial Physicians, P.l.l.c. | Clinic/Center | 3909 Creekside Loop, Suite 120, Yakima, WA 98902-4880 | 2010-02-17 |
| 1013239110 | Memorial Physicians, P.l.l.c. | Clinic/Center | 1008 S. 38th Ave, Yakima, WA 98902-0000 | 2010-02-17 |
| 1316269418 | Memorial Physicians, P.l.l.c. | Clinic/Center | 4003 Creekside Loop, Yakima, WA 98908-3959 | 2010-02-17 |
| 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.