PHYSICIANS IMMEDIATE CARE AND MEDICAL CENTERS, INC PS (NPI# 1821002510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821002510 |
| Entity Type | Organization |
| Organization Name | PHYSICIANS IMMEDIATE CARE AND MEDICAL CENTERS, INC PS |
| Practice Address |
310 Torbett St Richland WA 99354-2604 |
| Practice Telephone | 5099461695 |
| Practice Fax Number | 5099467666 |
| Mailing Telephone | 5099461695 |
| Mailing Fax Number | 5099467666 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2015-02-23 |
| Authorized Official Name | LORI GUTIERREZ (CLINIC DIRECTOR) |
| Authorized Official Telephone | 5099467646 |
| Authorized Official Credential | CMPE |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | LABOR & INDUSTRIES | 0040370 | 01 |
| WA | 7049950 | 05 |
| Street Address |
310 TORBETT ST |
| City | RICHLAND |
| State | WA |
| Zip Code | 99354-2604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285692285 | Barbara K Mallory | Physician Assistant | 310 Torbett St, Richland, WA 99354-2604 | 2006-05-02 |
| 1285076810 | Elise Sinnwell | Physician Assistant | 310 Torbett St, Richland, WA 99354-2604 | 2013-07-24 |
| 1700222437 | Travis R Henderson | Physician Assistant | 310 Torbett St, Richland, WA 99354-2604 | 2013-05-21 |
| 1184833063 | Diane M De Ste Croix | Massage Therapist | 310 Torbett St, Richland, WA 99354-2604 | 2007-05-21 |
| 1134283153 | Charles L Nelson | Family Medicine | 310 Torbett St, Richland, WA 99354-2604 | 2006-12-21 |
| 1225113186 | Chaunce Ruff | Physician Assistant | 310 Torbett St, Richland, WA 99354-2604 | 2006-10-26 |
| 1588748701 | Paul Francis Maiocco | Physician Assistant | 310 Torbett St, Richland, WA 99354-2604 | 2006-10-24 |
| 1093802373 | Patricia Hernandez | Physician Assistant | 310 Torbett St, Richland, WA 99354-2604 | 2006-10-06 |
| 1851485189 | Sherilyn J Cook | Family Medicine | 310 Torbett St, Richland, WA 99354-2604 | 2006-10-03 |
| 1922037415 | Teressa Lang | Physician Assistant | 310 Torbett St, Richland, WA 99354-2604 | 2006-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801415591 | Shawn Ryan Miller | Counselor | Lourdes Counseling Center, 1175 Carondelet Dr, Richland, WA 99354 | 2020-04-13 |
| 1891277448 | Tyler Andrew Burgett | Physician Assistant | 1015 Marshall Ave, Richland, WA 99354 | 2018-08-30 |
| 1275072704 | Glenn Manigque | Speech-Language Pathologist | 1525 Hunt Avenue, Richland, WA 99354 | 2017-02-16 |
| 1548688963 | Lorena Swift | Counselor | 2139 Van Giesen Street, Richland, WA 99354 | 2014-04-02 |
| 1346569431 | Mitchell Scott Ferris | Preventive Medicine | 2435 Stevens Center Place, Wtp Medcor Medical Facility, Richland, WA 99354 | 2010-05-28 |
| 1104155928 | Jamie Loretta Brault | Counselor | 1124 Stevens Drive, Richland, WA 99354 | 2009-12-08 |
| 1881835056 | Tracey Ann Glenn | Registered Nurse | 1305 Hains Avenue, Richland, WA 99354 | 2009-03-17 |
| 1124153374 | Robert John Betzler | Chiropractor | 294 Torbett, Richland, WA 99354 | 2007-02-21 |
| 1316090954 | Surender K Wadhwa | Internal Medicine | 217 Torbett Street, Suite 101, Richland, WA 99354 | 2007-01-18 |
| 1831136894 | James A. Strong Jr. | Anesthesiology | 2433 G. Washington Way, #7202, Richland, WA 99354 | 2006-05-31 |
| Find all providers in zip 99354 | ||||
| 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 |
|---|---|---|---|---|
| 1215577994 | Alexis Danielle Rapp | Family Medicine | 945 Goethals Dr # 300310, Richland, WA 99352-3552 | 2020-01-10 |
| 1730736513 | Garrett Healthcare LLC | Family Medicine | 214 Spell Dr, Richland, MS 39218-9619 | 2019-08-26 |
| 1073961439 | William H West | Family Medicine | 1351 Fowler St Ste 200, Richland, WA 99352-4714 | 2016-05-26 |
| 1932571247 | Richard Gutierrez | Family Medicine | 5170 Stone Oak Ln, Richland, MI 49083-9415 | 2015-10-26 |
| 1174918080 | Janas Family Medicine PC | Family Medicine | 10529 Country Club Dr, Richland, MI 49083-9588 | 2015-03-30 |
| 1427311968 | Janet S Arnold | Family Medicine | 431 Wellsian Way, Richland, WA 99352 | 2012-06-20 |
| 1871853804 | Marie-elise Midthun Cadwell Meyer | Family Medicine | 940 Northgate Dr., Richland, WA 99352 | 2012-05-24 |
| 1336432103 | Kimberly Jane Miller | Family Medicine | 294 Piper St, Richland, WA 99352-8703 | 2011-05-26 |
| 1912229717 | Advanced Primary Care Pllc | Family Medicine | 1445 Spaulding Park, Richland, WA 99352-4715 | 2010-02-19 |
| 1598900672 | Richland Caring Hands, Inc. | Family Medicine | 1040 Highway 49 S Ste F320, Richland, MS 39218-4451 | 2008-12-03 |
| Find all providers in RICHLAND | ||||
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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.