MEMORIAL PHYSICIANS, PLLC (NPI# 1760966022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760966022 |
| Entity Type | Organization |
| Organization Name | MEMORIAL PHYSICIANS, PLLC |
| Other Organization Name | VMM LOWER VALLEY SPECIALTY CENTER WOUND MANAGEMENT |
| Practice Address |
1812 E Edison Ave Sunnyside WA 98944-1653 |
| Mailing Address |
3800 Summitview Ave Yakima WA 98902-2715 |
| Practice Telephone | 5092495242 |
| Practice Fax Number | 5092495244 |
| Mailing Telephone | 5092487849 |
| Mailing Fax Number | 5092488291 |
| Enumeration Date | 2018-09-21 |
| Last Update Date | 2019-01-23 |
| Authorized Official Name | TIMOTHY REED (CFO/VP) |
| 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 |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| VMM Lower Valley Specialty Center Wound Management | Doing Business As Name - Organization |
| YVMH Wound Management Services Sunnyside | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053883504 | Memorial Physicians, Pllc | Clinic/Center | 3003 Tieton Dr Ste 350, Yakima, WA 98902-3690 | 2018-12-21 |
| 1851716278 | Memorial Physicians, Pllc | Clinic/Center | 3904 Terrace Heights Dr, Yakima, WA 98901-1427 | 2014-02-21 |
| 1689098436 | Memorial Physicians, Pllc | Clinic/Center | 120 S 72nd Ave, Suite 102, Yakima, WA 98908-4200 | 2014-02-14 |
| 1669732954 | Memorial Physicians, Pllc | Family Medicine | 101 N 65th Ave, Harman Center At Gailleon Park, Yakima, WA 98908-3014 | 2012-05-21 |
| 1508140021 | Memorial Physicians, Pllc | Family Medicine | 2506 W Nob Hill Blvd, Yakima, WA 98902-5104 | 2011-10-03 |
| 1154602084 | Memorial Physicians, Pllc | Surgery | 1812 E Edison Ave, Sunnyside, WA 98944-1653 | 2011-09-06 |
| 1558683334 | Memorial Physicians, Pllc | Clinic/Center | 3909 Creekside Loop Ste 130, Yakima, WA 98902-4880 | 2010-02-22 |
| 1114553674 | Memorial Physicians, Pllc | Clinic/Center | 1607 Creekside Loop Ste 100, Yakima, WA 98902-4882 | 2020-03-17 |
| 1558928143 | Memorial Physicians, Pllc | Clinic/Center | 1812 E Edison Ave, Sunnyside, WA 98944 | 2019-05-20 |
| 1699257113 | Memorial Physicians, Pllc | Clinic/Center | 1515 W Yakima Ave, Yakima, WA 98902 | 2018-08-31 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | MEMORIAL PHYSICIANS, PLLC | 3800 Summitview, Yakima, WA 98907 |
| Street Address |
1812 E EDISON AVE |
| City | SUNNYSIDE |
| State | WA |
| Zip Code | 98944-1653 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154602084 | Memorial Physicians, Pllc | Surgery | 1812 E Edison Ave, Sunnyside, WA 98944-1653 | 2011-09-06 |
| 1558928143 | Memorial Physicians, Pllc | Clinic/Center | 1812 E Edison Ave, Sunnyside, WA 98944 | 2019-05-20 |
| 1760974497 | Memorial Physicians, Pllc | Podiatrist | 1812 E Edison Ave, Sunnyside, WA 98944-1653 | 2018-05-30 |
| 1407375918 | Memorial Physicians, Pllc | Internal Medicine | 1812 E Edison Ave, Sunnyside, WA 98944-1653 | 2017-09-15 |
| 1538688031 | Memorial Physicians, Pllc | Otolaryngology | 1812 E Edison Ave, Sunnyside, WA 98944-1653 | 2017-09-15 |
| 1336668839 | Memorial Physicians, Pllc | Internal Medicine | 1812 E Edison Ave, Sunnyside, WA 98944-1653 | 2017-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376000463 | Paul Lobaugh | Specialist/Technologist, Other | Astia Sunnyside Hospital, 1016 Tacoma Avenue, Sunnyside, WA 98944 | 2019-02-25 |
| 1346723798 | Robert N Lewis | Counselor | 702 Franklin, Sunnyside, WA 98944 | 2018-09-12 |
| 1235678533 | Barbara Smail | Counselor | 702 Franklin Ave., Sunnyside, WA 98944 | 2017-02-20 |
| 1861890006 | Anne Concienne | Registered Nurse | 1801 E Lincoln Ave, Sunnyside, WA 98944 | 2014-12-19 |
| 1801202809 | B Martin and G Martin Pllc | Dentist | 1719 E. Lincoln Ave., Sunnyside, WA 98944 | 2014-07-10 |
| 1861825853 | Anthony Edward Esparza Sr. | Counselor | 702 Franklin Avenue, Sunnyside, WA 98944 | 2013-08-14 |
| 1730435587 | Nathan R Watkins | Dentist | 1721 E. Lincoln Ave, Sunnyside, WA 98944 | 2012-07-31 |
| 1700188984 | David Alan Hicks | Pharmacist | 613 Sixth, Sunnyside, WA 98944 | 2010-11-22 |
| 1700194396 | Health & Wellness Alliance | Case Manager/Care Coordinator | 922 E. Edison Avenue, 922 E. Edison Ave., Sunnyside, WA 98944 | 2010-09-17 |
| 1174756803 | Navjot S. Khurana | Dentist | 110 W. Yakima Valley Hwy., Sunnyside, WA 98944 | 2009-08-28 |
| Find all providers in zip 98944 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558928143 | Memorial Physicians, Pllc | Clinic/Center | 1812 E Edison Ave, Sunnyside, WA 98944 | 2019-05-20 |
| 1497717821 | Carbon Medical Service Association, Incorporated | Clinic/Center | 331 Highway 123, Sunnyside, UT 84539 | 2006-04-03 |
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| 1942735667 | The Evergreen At Northpoint | Clinic/Center | 2111 N Northgate Way Ste 101, Seattle, WA 98133-9018 | 2017-05-01 |
| 1174061543 | Antares Wellness Pllc | Clinic/Center | 9319 7th Ave S, Seattle, WA 98108-4604 | 2017-02-06 |
| 1962852038 | Northwest Pain Relief Centers, LLC | Clinic/Center | 503 W Fir St, Suite D, Sequim, WA 98382-3210 | 2016-06-20 |
| 1851741698 | Marconi Chiropractic and Wellness | Clinic/Center | 11207 Mccutcheon Rd, Bonney Lake, WA 98391-8103 | 2016-06-13 |
| 1356738694 | Northwest Pain Relief Centers LLC | Clinic/Center | 7424 Bridgeport Way W Ste 305, Lakewood, WA 98499-8135 | 2015-04-24 |
| 1306231170 | Objective Medical Assessments Corp | Clinic/Center | 401 2nd Ave S, #110, Seattle, WA 98104-3858 | 2015-03-30 |
| 1477946754 | Rose Urgent Care and Family Practice | Clinic/Center | 650 N Devine Rd Ste B, Vancouver, WA 98661-6979 | 2015-03-11 |
| 1336549609 | Ranger Group Pllc | Clinic/Center | 16150 Ne 85th St Ste 110, Redmond, WA 98052-3541 | 2014-08-24 |
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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.