MICHAEL BENITZ (NPI# 1669033601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669033601 |
| Entity Type | Individual |
| Full Name | MICHAEL BENITZ |
| Practice Address |
2807 W Washington Ave Ste 117 Yakima WA 98903-1367 |
| Mailing Address |
Po Box 8051 Yakima WA 98908-0051 |
| Practice Telephone | 5099728617 |
| Enumeration Date | 2019-06-20 |
| Last Update Date | 2020-01-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247100000X | Radiologic Technologist | RT30125187 | WA | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
2807 W WASHINGTON AVE STE 117 |
| City | YAKIMA |
| State | WA |
| Zip Code | 98903-1367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801869383 | Fastex Advanced Mobile Imaging | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2807 W Washington Ave Ste 117, Yakima, WA 98903-1367 | 2006-02-07 |
| 1588225528 | Joshua Jacobs | Radiologic Technologist | 2807 W Washington Ave Ste 117, Yakima, WA 98903-1367 | 2019-06-20 |
| 1255805628 | Fred Thysell Md | Family Medicine | 2807 W Washington Ave Ste 117, Yakima, WA 98903-1367 | 2019-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811504277 | Inland Northwest Renal Care Group, LLC | Clinic/Center | 2405 West Washinton Ave, Yakima, WA 98903 | 2020-09-29 |
| 1538704325 | Maria D. Valenzuela | Technician | 3908 1st St, Union Gap, WA 98903 | 2019-11-15 |
| 1730667668 | Patty Nygaard | Counselor | 4109 Holiday Ave, Union Gap, WA 98903 | 2018-08-02 |
| 1760994842 | Sonia Perez | Registered Nurse | 2000 S. 18th St., Union Gap, WA 98903 | 2017-10-30 |
| 1437502820 | Ismerai Benitez | Counselor | 918 E. Mead Ave., Yakima, WA 98903 | 2016-07-20 |
| 1568857845 | Rebecca Marie Berghoff | Registered Nurse | 55 West Washington Avenue, Unit #54, Yakima, WA 98903 | 2015-04-02 |
| 1811249519 | Steven G Schiewe | Pharmacist | 2310 Longfibre Rd, Union Gap, WA 98903 | 2012-10-05 |
| 1891070850 | Rick Kenneth Melcher | Pharmacist | 2310 Longfibre Road, Union Gap, WA 98903 | 2011-10-20 |
| 1386882678 | Emily Mcphee | Counselor | 910 E Mead Ave, Yakima, WA 98903 | 2009-01-26 |
| 1427185826 | Ronald Spencer Senn | Dentist | 2100 14th St, Union Gap, WA 98903 | 2007-02-27 |
| Find all providers in zip 98903 | ||||
| Taxonomy Code | 247100000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588225528 | Joshua Jacobs | Radiologic Technologist | 2807 W Washington Ave Ste 117, Yakima, WA 98903-1367 | 2019-06-20 |
| 1255403820 | Thomas Coffin | Radiologic Technologist | 3907 Summitview Ave, Yakima, WA 98902-2716 | 2006-11-15 |
| 1770554818 | Robert Strader | Radiologic Technologist | 3907 Summitview Ave, Yakima, WA 98902-2716 | 2006-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568076677 | Alexander Toro Rivas | Radiologic Technologist | 5914 158th Way Ne, Redmond, WA 98052-4812 | 2020-09-04 |
| 1043600836 | Bruce Roderick Nielson | Radiologic Technologist | 415 Ne 194th St, Unit 1, Ridgefield, WA 98642-9496 | 2015-01-30 |
| 1598160285 | Young Nam Yoo | Radiologic Technologist | 28705 34th Ave S, Apt K106, Auburn, WA 98001 | 2014-10-24 |
| 1902213861 | J Daniel Kelleher | Radiologic Technologist | 24 Roy St # 457, Seattle, WA 98109-4018 | 2014-07-11 |
| 1194137786 | Julia Ann Katzenmaier | Radiologic Technologist | 23415 27th Ave S, Des Moines, WA 98198-8743 | 2014-05-30 |
| 1093126567 | Gary Dale Kirschner | Radiologic Technologist | 24230 85th Ave Se, Woodinville, WA 98072-9525 | 2014-05-18 |
| 1417373549 | Jayme Ebner | Radiologic Technologist | 1517 N Lacey St, Spokane, WA 99207-5272 | 2014-03-13 |
| 1184949117 | Thomas Olof Malmevik | Radiologic Technologist | 3106 123rd St Se, Everett, WA 98208-6146 | 2010-04-01 |
| 1801118468 | Lynne Marie Bennett | Radiologic Technologist | 2325 Pleasanton Ct Se, Lacey, WA 98503-3410 | 2010-02-24 |
| 1790013233 | Arthur Alan Stevens | Radiologic Technologist | 12105 38th Ave Ne, Marysville, WA 98271-8412 | 2009-11-20 |
| 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.