ADRIANA SLOBODOVA


Address: 111 S 11th Ave, Suite 203, Yakima, WA 98902-3242
Phone: 5095744433

ADRIANA SLOBODOVA (NPI# 1629116397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629116397
Entity Type Individual
Full Name ADRIANA SLOBODOVA
Credential MD
Practice Address 111 S 11th Ave
Suite 203
Yakima
WA 98902-3242
Mailing Address 732 Summitview Ave # 621
Yakima
WA 98902-3032
Practice Telephone 5095744433
Practice Fax Number 5095744432
Mailing Telephone 5095733448
Mailing Fax Number 5095744481
Enumeration Date 2007-02-02
Last Update Date 2012-01-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
MD60250442 WA Allopathic & Osteopathic Physicians
Y 207RC0001X Internal Medicine
Specialization: Clinical Cardiac Electrophysiology
MD60250442 WA Allopathic & Osteopathic Physicians
N 207RC0001X Internal Medicine
Specialization: Clinical Cardiac Electrophysiology
11339 MT Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MT BCBS PIN 000097836 01

Office Location

Street Address 111 S 11TH AVE
SUITE 203
City YAKIMA
State WA
Zip Code 98902-3242

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801888920 Yakima Hma Home Health LLC Home Health 111 S 11th Ave, Ste 223, Yakima, WA 98902-3242 2005-08-16
1184054967 Yakima Hma Physician Management, LLC Dietitian, Registered 111 S 11th Ave, Ste 321, Yakima, WA 98902-3242 2013-11-15
1548514292 Kimberly Rae Abella-cree Physician Assistant 111 S 11th Ave, Suite 120, Yakima, WA 98902-3242 2012-11-02
1033417514 Michelle K Smeback Registered Nurse 111 S 11th Ave, Suite 201, Yakima, WA 98902-3242 2011-03-07
1972839975 Homira Feely Registered Nurse 111 S 11th Ave, Suite 321, Yakima, WA 98902-3242 2009-10-26
1285814129 Joel M Deming Physician Assistant 111 S 11th Ave, Suite 321, Yakima, WA 98902-3242 2007-11-08
1235214610 Seshurao V Kruthiventi Psychiatry & Neurology 111 S 11th Ave, Suite 321, Yakima, WA 98902-3242 2006-10-26
1710992185 Leslie R Bornfleth Neurological Surgery 111 S 11th Ave, Suite 321, Yakima, WA 98902-3242 2006-07-31
1144234543 Yakima Ambulatory Surgical Center Clinic/Center 111 S 11th Ave, Ste 220, Yakima, WA 98902-3270 2006-07-28
1578585543 John K Boucher Surgery 111 S 11th Ave, Suite 223, Yakima, WA 98902-3242 2006-07-25
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207RC0001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Clinical Cardiac Electrophysiology

Taxonomy Definition

A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1578835088 Jay Chen M.d., P.s. Internal Medicine 1029 Belmont Ave E Apt 203, Seattle, WA 98102-4430 2012-01-30
1588910855 Charles Cheng Huei Lin Internal Medicine University of Washington, 1959 Ne Pacific St, Seattle, WA 98195-0001 2012-07-24
1336405539 Michael Adel Eskander Internal Medicine 12728 19th Ave Se Ste 200, Everett, WA 98208-6526 2012-04-02
1669792032 Neal A Chatterjee Internal Medicine 1959 Ne Pacific St, Seattle, WA 98195-0001 2010-06-08
1407171853 Basil Saour Internal Medicine 1536 N 115th St Ste 200, Seattle, WA 98133 2010-03-29
1225263809 Arun Raghav Mahankali Sridhar Internal Medicine 1959 Ne Pacific St, Seattle, WA 98195-0001 2009-05-26
1861641581 James R Kneller Internal Medicine 1100 Goethals Drive, Kadlec Inland Cardiology, 3rd Floor, Richland, WA 99352-3304 2008-09-17
1700048451 Michele Ann Murphy Cook Internal Medicine 122 W 7th Ave, Ste 310, Spokane, WA 99204-2349 2008-06-25
1922285345 Dardo Enrique Ferrara Internal Medicine 2979 Squalicum Pkwy, Suite 101, Bellingham, WA 98225-1811 2008-01-28
1417149576 Amrit Guptan Internal Medicine 1802 Yakima Ave Ste 302, Tacoma, WA 98405-5305 2007-08-13
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Competitor

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City YAKIMA
Zip Code 98902

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Dataset Information

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.

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