MEMORIAL PHYSICIANS, PLLC (NPI# 1780126177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780126177 |
| Entity Type | Organization |
| Organization Name | MEMORIAL PHYSICIANS, PLLC |
| Other Organization Name | ZILLAH FAMILY MEDICINE |
| Practice Address |
616 Railroad Ave Suite 1 & 2 Zillah WA 98953 |
| Mailing Address |
3800 Summitview Ave Yakima WA 98902-2715 |
| Practice Telephone | 5099721190 |
| Practice Fax Number | 5092494458 |
| Mailing Telephone | 5092487849 |
| Mailing Fax Number | 5092488291 |
| Enumeration Date | 2016-11-16 |
| Last Update Date | 2016-12-13 |
| 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 | 207Q00000X | Family Medicine | 602902835 | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Zillah Family Medicine | 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 |
| 1760966022 | Memorial Physicians, Pllc | Clinic/Center | 1812 E Edison Ave, Sunnyside, WA 98944-1653 | 2018-09-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | MEMORIAL PHYSICIANS, PLLC | 3800 Summitview, Yakima, WA 98907 |
| Street Address |
616 RAILROAD AVE SUITE 1 & 2 |
| City | ZILLAH |
| State | WA |
| Zip Code | 98953 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063730570 | Jonathan Acob Davenport | Family Medicine | 616 Railroad Ave, Ste 1&2, Zillah, WA 98953 | 2010-05-07 |
| 1427429851 | Memorial Physicians, Pllc | Clinic/Center | 616 Railroad Ave, Suite 1 and 2, Zillah, WA 98953-9426 | 2015-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063986925 | Brian Scott Hatch | Optometrist | 811 Zillah West Rd, Zillah, WA 98953 | 2019-01-14 |
| 1194040998 | Medstar Cabulance Inc | Taxi | 614 Railroad Ave, Zillah, WA 98953 | 2010-04-05 |
| 1366674483 | Sherry Denise Castilleja | Massage Therapist | 513 First Ave., Suite 90, Zillah, WA 98953 | 2009-08-24 |
| 1275768988 | Dolores Francisca Martinez | Massage Therapist | 513 1st Ave., Ste. 101, Zillah, WA 98953 | 2009-05-26 |
| 1215113824 | Alma Stephas | Interpreter | 514 W 4th Ave, Toppenish, WA 98953 | 2008-01-14 |
| 1417008178 | Michael Patrick Woods | Optometrist | 915 Vintage Valley Parkway, Suite 100, Zillah, WA 98953 | 2007-01-16 |
| 1902289903 | Heather Allison Hutchinson | Massage Therapist | 607 1st Ave, Zillah, WA 98953 | 2015-07-08 |
| 1417148388 | Zillah Chiropractic Center Inc Ps | Chiropractor | 513 1st Ave, Zillah, WA 98953 | 2007-08-06 |
| 1457441842 | Benjamin Eric Weege | Dentist | 111 First Avenue, Zillah, WA 98953-0537 | 2006-10-13 |
| 1891853925 | Zillah Drug Store Inc | Pharmacy | 607 1st Ave, Zillah, WA 98953-0565 | 2006-12-04 |
| Find all providers in zip 98953 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659809457 | Shc Medical Center - Toppenish | Family Medicine | 915 Vintage Valley Pkwy Ste 200, Zillah, WA 98953-9800 | 2017-05-24 |
| 1063730570 | Jonathan Acob Davenport | Family Medicine | 616 Railroad Ave, Ste 1&2, Zillah, WA 98953 | 2010-05-07 |
| 1609994342 | Larry S Lefors | Family Medicine | 618 Railroad Avenue, Suite A, Zillah, WA 98953-0843 | 2007-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063010957 | Olympic Medical Pllc | Family Medicine | 6342 Littlerock Rd Sw Bldg 3, Tumwater, WA 98512-7332 | 2020-10-13 |
| 1124631296 | Direct Care Clinics Us PC | Family Medicine | 2307 Se 3rd Circle, Suite 203, Vancouver, WA 98661-9860 | 2020-08-28 |
| 1851902605 | Northwest Clinical Services | Family Medicine | 825 Se Bishop Blvd Ste 301c, Pullman, WA 99163-5517 | 2020-08-14 |
| 1003424128 | Kelly P Grenner | Family Medicine | 15424 Ne 160th St, Woodinville, WA 98072-8180 | 2020-07-14 |
| 1851919476 | Thuthi Enterprises, LLC | Family Medicine | 715 N Park Ctr # A, Selah, WA 98942-1174 | 2020-07-09 |
| 1851917074 | Kaiser Foundation Health Plan of Washington | Family Medicine | 5216 Point Fosdick Dr # 102, Gig Harbor, WA 98335-0037 | 2020-06-23 |
| 1245856830 | Jackie C Toh | Family Medicine | 13684 18th Ave Sw, Burien, WA 98166-1047 | 2020-06-19 |
| 1669097127 | Dawnmd LLC | Family Medicine | 540 E Main St Ste A, Pullman, WA 99163-2660 | 2020-06-10 |
| 1427672310 | Andrea Lauren Cistulli | Family Medicine | 3619 Talbot Rd S Ste 401, Renton, WA 98055-5708 | 2020-06-05 |
| 1114540457 | Country Doctor Community Clinic | Family Medicine | 2410 E Cherry St, Seattle, WA 98122-4832 | 2020-05-21 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MEMORIAL PHYSICIANS, PLLC.
| 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.