MEMORIAL PHYSICIANS, P.L.L.C. (NPI# 1528390861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528390861 |
| Entity Type | Organization |
| Organization Name | MEMORIAL PHYSICIANS, P.L.L.C. |
| Other Organization Name | YAKIMA VASCULAR ASSOCIATES |
| Practice Address |
1607 Creekside Loop Suite 100 Yakima WA 98902-4882 |
| Mailing Address |
3800 Summitview Ave Yakima WA 98902-2715 |
| Practice Telephone | 5094534614 |
| Practice Fax Number | 5092252712 |
| Mailing Telephone | 5092487849 |
| Enumeration Date | 2010-02-11 |
| Last Update Date | 2016-01-11 |
| 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 | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Yakima Vascular Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871815977 | Memorial Physicians, P.l.l.c. | Surgery | 3003 Tieton Dr, Ste 300, Yakima, WA 98902-3679 | 2010-02-17 |
| 1679895775 | Memorial Physicians, P.l.l.c. | Clinic/Center | 620 N. Park Drive, Selah, WA 98942-1326 | 2010-02-17 |
| 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 |
| 1164744264 | Memorial Physicians, P.l.l.c. | Neurological Surgery | 1470 N 16th Ave, Yakima, WA 98902-1381 | 2010-02-17 |
| 1316269418 | Memorial Physicians, P.l.l.c. | Clinic/Center | 4003 Creekside Loop, Yakima, WA 98908-3959 | 2010-02-17 |
| 1134441231 | Memorial Physicians, P.l.l.c. | Clinic/Center | 504 N 40th Ave, Yakima, WA 98908-4311 | 2010-02-17 |
| 1124340229 | Memorial Physicians, P.l.l.c. | Clinic/Center | 311 S 72nd Ave, Yakima, WA 98908-1661 | 2010-02-17 |
| 1215259312 | Memorial Physicians, P.l.l.c. | Hospitalist | 2811 Tieton Dr, Yakima, WA 98902-3761 | 2010-02-17 |
| 1932421039 | Memorial Physicians, P.l.l.c. | Surgery | 3003 Tieton Dr, Ste. 330, Yakima, WA 98902-3679 | 2010-02-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | MEMORIAL PHYSICIANS, PLLC | 3800 Summitview, Yakima, WA 98907 |
| Street Address |
1607 CREEKSIDE LOOP SUITE 100 |
| City | YAKIMA |
| State | WA |
| Zip Code | 98902-4882 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164492666 | Susan Gayle Rogers | Registered Nurse | 1607 Creekside Loop, Ste. 100, Yakima, WA 98902-4882 | 2006-01-25 |
| 1093240301 | Memorial Physicians, Pllc | Podiatrist | 1607 Creekside Loop, Suite 140, Yakima, WA 98902-4882 | 2017-04-24 |
| 1265744577 | Lorena P De Marco Garcia | Surgery | 1607 Creekside Loop, Suite 100, Yakima, WA 98902-4882 | 2010-07-02 |
| 1003137506 | Katherine Irene Warner | Surgery | 1607 Creekside Loop, Yakima, WA 98902-4882 | 2010-06-18 |
| 1659693877 | Cascade Neurosurgical Associates, Pllc | Neurological Surgery | 1607 Creekside Loop, Suite 140, Yakima, WA 98902-4882 | 2010-02-16 |
| 1891717864 | Tekchand Tanwani | Surgery | 1607 Creekside Loop, Suite 100, Yakima, WA 98902-4882 | 2006-07-25 |
| 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 | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710496922 | Sunnyside Community Hospital Association | Surgery | 1005 W Walnut St Ste 201, Yakima, WA 98902-3384 | 2017-09-20 |
| 1265744577 | Lorena P De Marco Garcia | Surgery | 1607 Creekside Loop, Suite 100, Yakima, WA 98902-4882 | 2010-07-02 |
| 1841251188 | Michael Zammit | Surgery | 111 S 11th Ave, Suite 201, Yakima, WA 98902-3242 | 2006-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750762415 | Anna Ohlsson | Surgery | 325 9th Ave # 359908, Seattle, WA 98104-2420 | 2015-06-17 |
| 1356722938 | Usa Vascular Centers of Kent Pllc | Surgery | 26124a Pacific Hwy S Ste A, Kent, WA 98032-6910 | 2015-06-09 |
| 1154602084 | Memorial Physicians, Pllc | Surgery | 1812 E Edison Ave, Sunnyside, WA 98944-1653 | 2011-09-06 |
| 1528387941 | Sara Jane Wasilenko | Surgery | 128 Lilly Rd Ne Ste 205, Olympia, WA 98506-7400 | 2010-05-25 |
| 1801051404 | Franciscan Medical Group | Surgery | 710 S 348th St, Ste A, Federal Way, WA 98003-7042 | 2008-07-23 |
| 1013104165 | John S Arthur | Surgery | 2528 Wheaton Way Ste 101, Bremerton, WA 98310-3305 | 2007-10-02 |
| 1891986097 | Vascular Associates, Ps | Surgery | 801 Broadway Ste 522, Seattle, WA 98122-4325 | 2007-08-05 |
| 1447464730 | Mai Thanh Pham | Surgery | 1229 Madison St Suite # 1190, Seattle, WA 98104 | 2007-05-09 |
| 1649491481 | Dae Young Lee | Surgery | 1100 Goethals Drive 3rd Floor, Kadlec Clinic Vascular Surgery, Richland, WA 99352-3304 | 2007-05-01 |
| 1497975361 | Rolando I Celis Valdiviezo | Surgery | 1330 Rockefeller Ave Ste 520, Everett, WA 98201 | 2007-04-26 |
| Find all providers with the same taxonomy | ||||
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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.