YAKIMA UROLOGY ASSOCIATES PLLC


Address: 2500 Racquet Ln, Ste 150, Yakima, WA 98902-6114
Phone: 5092493910

YAKIMA UROLOGY ASSOCIATES PLLC (NPI# 1720075864) 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) 1720075864
Entity Type Organization
Organization Name YAKIMA UROLOGY ASSOCIATES PLLC
Other Organization Name YAKIMA UROLOGY SURGERY CENTER
Practice Address 2500 Racquet Ln
Ste 150
Yakima
WA 98902-6114
Practice Telephone 5092493910
Practice Fax Number 5095739527
Mailing Telephone 5092493910
Mailing Fax Number 5095739527
Enumeration Date 2005-10-04
Last Update Date 2009-11-23
Authorized Official Name MR. ERIC M RUUD (ADMINISTRATOR)
Authorized Official Telephone 5092493910
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM2500X Clinic/Center
Specialization: Medical Specialty
601650432 WA Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
WA RAILROAD MEDICARE PIN 49003689 01
WA 7091200 05

Other Provider/Organization Names

Other Name Type Code
Yakima Urology Surgery Center Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1770570152 Yakima Urology Associates Pllc Urology 2500 Racquet Ln, Ste 100, Yakima, WA 98902-6114 2005-09-30

Office Location

Street Address 2500 RACQUET LN
STE 150
City YAKIMA
State WA
Zip Code 98902-6114

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861489379 Raymond Weldon Merrell Urology 2500 Racquet Ln, Ste 100, Yakima, WA 98902-6114 2005-09-29
1942685003 Yakima Urology At Memorial Tr Clinic/Center 2500 Racquet Ln, Ste 100, Yakima, WA 98902-6114 2015-07-29
1144546433 Matthew Allen Uhlman Urology 2500 Racquet Ln, Ste 100, Yakima, WA 98902-6114 2010-04-13
1275795445 Daniel Alexander Thorner Urology 2500 Racquet Ln, Ste 100, Yakima, WA 98902-6114 2008-06-30
1609962893 Dyann M Kanzler Physician Assistant 2500 Racquet Ln, Ste 100, Yakima, WA 98902-6114 2006-10-05
1457304354 Dana Lynne Betsch Physical Therapist 2500 Racquet Ln, Suite 100, Yakima, WA 98902-6114 2006-05-19
1770570152 Yakima Urology Associates Pllc Urology 2500 Racquet Ln, Ste 100, Yakima, WA 98902-6114 2005-09-30
1942297452 Norman Paul Shively Urology 2500 Racquet Ln, Ste 100, Yakima, WA 98902-6114 2005-09-29
1306833827 Walter Jack Lovern Urology 2500 Racquet Ln, Ste 100, Yakima, WA 98902-6114 2005-09-29
1942297460 Mark Scott Uhlman Urology 2500 Racquet Ln, Ste 100, Yakima, WA 98902-6114 2005-09-29
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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
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Taxonomy Information

Taxonomy Code 261QM2500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Medical Specialty

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114240918 Stephen R Shaul Md Inc Ps Clinic/Center 4601 Avalanche Ave, Yakima, WA 98908-2830 2010-03-08
1235578691 James S Hoyt Md Pllc Clinic/Center 3907 Creekside Loop, Suite 130, Yakima, WA 98902-4879 2013-06-19
1194049510 Jason Berreman, Arnp, Ps Clinic/Center 3810 Kern Way, Suite D, Yakima, WA 98902-7805 2010-03-15

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1275052458 Peninsula Spine Institute, Ps Clinic/Center 804 Callahan Dr Ste A, Bremerton, WA 98310-3307 2017-09-19
1477097251 Cynthia D Gray Md PC Clinic/Center 2101 Ne 139th St Ste 285, Vancouver, WA 98686-2326 2016-12-13
1811377484 Knead To Heal, LLC Clinic/Center 2312 Rucker Ave, Everett, WA 98201-2723 2015-06-09
1699185348 Duane Fredrick Hopp Clinic/Center 22612 126th Ave E, Graham, WA 98338-6725 2014-05-03
1689919292 Poma Fertility, LLC Clinic/Center 12039 Ne 128th St Ste 110, Kirkland, WA 98034-3030 2012-12-07
1275888232 Massage Mundo Clinic/Center 423 Eastlake Ave E, Seattle, WA 98109-5408 2012-07-16
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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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