DR. ERIC S FILLMORE (NPI# 1619167244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619167244 |
Entity Type | Individual |
Full Name | DR. ERIC S FILLMORE |
Credential | D.D.S. |
Practice Address |
1020 S 40th Ave Suite H Yakima WA 98908-3800 |
Practice Telephone | 5099653733 |
Practice Fax Number | 5099654420 |
Mailing Telephone | 5099653733 |
Mailing Fax Number | 5099654420 |
Enumeration Date | 2007-07-30 |
Last Update Date | 2007-07-30 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223E0200X |
Dentist Specialization: Endodontics |
DE00010872 | WA | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235510058 | Eric Fillmore | Nurse Practitioner | 3680 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2015-06-17 |
Street Address |
1020 S 40TH AVE SUITE H |
City | YAKIMA |
State | WA |
Zip Code | 98908-3800 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336232982 | Scott A.d. Williams | Dentist | 1020 S 40th Ave, Suite F, Yakima, WA 98908-3800 | 2006-10-02 |
1225350010 | Erin R Hepner | Nurse Practitioner | 1020 S 40th Ave, Suite C, Yakima, WA 98908-3800 | 2010-02-19 |
1730342486 | Yakima Womens Health Pllc | Obstetrics & Gynecology | 1020 S 40th Ave, Suite C, Yakima, WA 98908-3800 | 2008-07-02 |
1649442468 | Medical Associates of Yakima, LLC | Clinic/Center | 1020 S 40th Ave, Suite A, Yakima, WA 98908-3800 | 2008-04-01 |
1376763805 | Roman W Rossmeisl | Dentist | 1020 S 40th Ave, Yakima, WA 98908-3800 | 2007-04-26 |
1912095845 | Amy J Vawter | Physician Assistant | 1020 S 40th Ave, Suite C, Yakima, WA 98908-3800 | 2006-10-10 |
1942394275 | Jacintha L Raj | Obstetrics & Gynecology | 1020 S 40th Ave, Suite C, Yakima, WA 98908-3800 | 2006-10-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447857941 | Hillary Leigh Frank | Massage Therapist | 607 S 48th Ave Suite A, Yakima, WA 98908 | 2020-10-07 |
1255976056 | Olusegun Adesesan Bamgbelu | Pharmacist | Memorial Cornerstone Pharmacy, 4003 Creekside Loop, Yakima, WA 98908 | 2019-11-15 |
1699325811 | Sunrise Dental of Yakima | Dentist | 1020 South 40th Avenue, Suite G, Yakima, WA 98908 | 2019-09-19 |
1558896175 | Alyssa Noelle Wickenhagen | Specialist/Technologist | 106 N 91st Ave, Yakima, WA 98908 | 2017-04-21 |
1962861591 | Vanessa Roth | Massage Therapist | 10607 Wide Hollow Road, Yakima, WA 98908 | 2016-02-10 |
1407214000 | Kristine Mcclure | Counselor | 506 N 40th Ave Ste 201, Yakima, WA 98908 | 2016-02-10 |
1245635069 | Harry Williams | Pharmacist | 6600 West Nob Hill Blvd, Yakima, WA 98908 | 2014-10-23 |
1508107509 | Richard Paul Bustetter | Registered Nurse | 6513 West Chestnut Ave, Elite Nursing P.l.l.c., Yakima, WA 98908 | 2013-03-15 |
1528305331 | Beverly Irene Chandler | Licensed Practical Nurse | 6573 W. Chestnut Ave, Yakima, WA 98908 | 2013-01-14 |
1225373764 | Susan Schell | Licensed Practical Nurse | 6513 W.chestnut Ave, Elite Nursing, Yakima, WA 98908 | 2012-12-11 |
Find all providers in zip 98908 |
Taxonomy Code | 1223E0200X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Endodontics |
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336232982 | Scott A.d. Williams | Dentist | 1020 S 40th Ave, Suite F, Yakima, WA 98908-3800 | 2006-10-02 |
1376763805 | Roman W Rossmeisl | Dentist | 1020 S 40th Ave, Yakima, WA 98908-3800 | 2007-04-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801403936 | Olsson & Niazi Pllc | Dentist | 3212 Nw Byron St Ste 108, Silverdale, WA 98383-9154 | 2020-09-23 |
1003432709 | Ralph Donald Hawkins | Dentist | 14921 182nd Ave E, Bonney Lake, WA 98391-8240 | 2020-06-18 |
1326695438 | M Shoaib Haider Siddiqui | Dentist | Issaquah Modern Dentistry, 1416 Highlands Drie Ne, Suite 120, Issaquah, WA 98029 | 2019-08-22 |
1558854844 | Hintz, Olaru, & Penberthy, Dds, Pllc | Dentist | 823 W 7th Ave Ste 202, Spokane, WA 99204-2850 | 2018-06-11 |
1316447758 | 3d Endodontics | Dentist | 451 Duvall Ave Ne Ste 120, Renton, WA 98059-4675 | 2018-02-12 |
1780101113 | Elena Andronova | Dentist | 1200 116th Ave Ne Ste G1, Bellevue, WA 98004-3802 | 2017-08-25 |
1679099246 | Randy L Ball Pllc | Dentist | 336 228th Ave Ne Ste 201, Sammamish, WA 98074-7290 | 2017-08-16 |
1104348739 | Roshanak Baghai, Pllc | Dentist | 1340 8th St Ne Ste 102, Auburn, WA 98002-4700 | 2017-07-14 |
1699219709 | Tanaya Kumar | Dentist | 4901 Point Fosdick Dr. Nw Street 300, Gig Harbor, WA 98335 | 2016-12-08 |
1871042002 | Richard Simcock Dds, Ps | Dentist | 130 S 15th St Suite 101, Mount Vernon, WA 98274 | 2016-09-29 |
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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.