MEDICAL ASSOCIATES OF YAKIMA, LLC (NPI# 1649442468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649442468 |
| Entity Type | Organization |
| Organization Name | MEDICAL ASSOCIATES OF YAKIMA, LLC |
| Other Organization Name | APPLE VALLEY FAMILY MEDICINE |
| Practice Address |
1020 S 40th Ave Suite A Yakima WA 98908-3800 |
| Mailing Address |
Po Box 2947 Yakima WA 98907-2947 |
| Practice Telephone | 5099651035 |
| Practice Fax Number | 5099651580 |
| Mailing Telephone | 5092487849 |
| Mailing Fax Number | 5092488291 |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2008-06-20 |
| Authorized Official Name | CAROLINE GEORGE (DIRECTOR OF FINANCE) |
| 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 |
602016916 | WA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 7056930 | 05 |
| Other Name | Type Code |
|---|---|
| Apple Valley Family Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902078736 | Medical Associates of Yakima, LLC | Clinic/Center | 118 S 2nd St, Selah, WA 98942-1308 | 2008-04-01 |
| 1730351560 | Medical Associates of Yakima, LLC | Clinic/Center | 1111 W Spruce St, Suite 30, Yakima, WA 98902-3257 | 2008-04-01 |
| 1811169642 | Medical Associates of Yakima, LLC | Clinic/Center | 202 W Naches Ave, Selah, WA 98942-1326 | 2008-04-01 |
| 1265604094 | Medical Associates of Yakima, LLC | Clinic/Center | 504 N 40th Ave, Yakima, WA 98908-4311 | 2008-04-01 |
| 1912179730 | Medical Associates of Yakima, LLC | Clinic/Center | 402 S 12th Ave, Yakima, WA 98902-3115 | 2008-04-01 |
| 1275705006 | Medical Associates of Yakima, LLC | Clinic/Center | 3003 Tieton Dr, Suite 320, Yakima, WA 98902-3679 | 2008-04-01 |
| 1215109368 | Medical Associates of Yakima, LLC | Clinic/Center | 311 S 72nd Ave, Yakima, WA 98908-1661 | 2008-03-28 |
| Street Address |
1020 S 40TH AVE SUITE A |
| 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 |
| 1619167244 | Eric S Fillmore | Dentist | 1020 S 40th Ave, Suite H, Yakima, WA 98908-3800 | 2007-07-30 |
| 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 | 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.