DR. GONZALO PANDOLFI (NPI# 1821010760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821010760 |
| Entity Type | Individual |
| Full Name | DR. GONZALO PANDOLFI |
| Credential | MD |
| Practice Address |
3909 Creekside Loop Suite 130 Yakima WA 98902-4880 |
| Mailing Address |
1243 Rickert Dr Naperville IL 60540-0954 |
| Practice Telephone | 5092486616 |
| Practice Fax Number | 5092484983 |
| Mailing Telephone | 5092487849 |
| Mailing Fax Number | 5092495042 |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2016-09-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
036105332 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
3909 CREEKSIDE LOOP SUITE 130 |
| City | YAKIMA |
| State | WA |
| Zip Code | 98902-4880 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710942750 | Joseph Schmer | Internal Medicine | 3909 Creekside Loop, Yakima, WA 98902-4880 | 2006-04-20 |
| 1588110464 | Ashley S. Tercero, D.d.s., P.l.l.c. | Dentist | 3909 Creekside Loop, Suite #140, Yakima, WA 98902-4880 | 2016-08-30 |
| 1417337049 | Soft Tissue Rehab-michael J Covington Dc-ps | Chiropractor | 3909 Creekside Loop, Suite 150, Yakima, WA 98902-4880 | 2015-06-09 |
| 1750635934 | Memorial Physicians, Pllc | Clinical Medical Laboratory | 3909 Creekside Loop, Suite120, Yakima, WA 98902-4880 | 2012-11-09 |
| 1588986681 | Memorial Physicians, P.l.l.c. | Clinic/Center | 3909 Creekside Loop, Suite 120, Yakima, WA 98902-4880 | 2010-02-17 |
| 1639406309 | Washington Vision Therapy Center | Optometrist | 3909 Creekside Loop, Suite 150, Yakima, WA 98902-4880 | 2009-11-17 |
| 1952569592 | Yakima Gastroenterology Associates, PC | Clinic/Center | 3909 Creekside Loop, Suite 130, Yakima, WA 98902-4880 | 2008-05-30 |
| 1336316900 | Robert W Murdock | Pharmacist | 3909 Creekside Loop, Suite 110, Yakima, WA 98902-4880 | 2008-05-13 |
| 1336330406 | Apothecary Compounding Solutions Inc | Pharmacy | 3909 Creekside Loop, Ste 110, Yakima, WA 98902-4880 | 2007-08-05 |
| 1740310283 | Gilbert K Ong | Internal Medicine | 3909 Creekside Loop, Suite 130, Yakima, WA 98902-4880 | 2007-03-06 |
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| 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 |
| 1194131383 | Brenna Claire Hayes | Genetic Counselor, MS | 2903 W Walnut, Yakima, WA 98902 | 2014-07-08 |
| 1720400435 | Agnes Nadine Jeske | Speech-Language Pathologist | 621 S. 13th Ave., Mckinley Elementary School, Yakima, WA 98902 | 2014-01-15 |
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| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275765810 | Christopher Bryan Danaque Tan | Internal Medicine | 3909 Creekside Loop Ste 120, Yakima, WA 98902-4880 | 2009-08-16 |
| 1386682185 | Kevin W. Olden | Internal Medicine | 1005 W Walnut St, Suite 205, Yakima, WA 98902-3360 | 2006-06-03 |
| 1104118553 | Tejas Kirtane | Internal Medicine | 3909 Creekside Loop Ste 120, Yakima, WA 98902 | 2011-05-04 |
| 1740310283 | Gilbert K Ong | Internal Medicine | 3909 Creekside Loop, Suite 130, Yakima, WA 98902-4880 | 2007-03-06 |
| 1922012442 | Thomas J Attaway | Internal Medicine | 3909 Creekside Loop, Suite 130, Yakima, WA 98902-4880 | 2006-07-28 |
| 1780608679 | Timothy E Brown | Internal Medicine | 3909 Creekside Loop, Suite 130, Yakima, WA 98902-4880 | 2006-07-26 |
| 1013931914 | Robert M Williams | Internal Medicine | 3909 Creekside Loop, Suite 130, Yakima, WA 98902-4880 | 2006-07-26 |
| 1013939099 | Yakima Gastroenterology Associates, PC | Internal Medicine | 3909 Creekside Loop, Suite 130, Yakima, WA 98902-4880 | 2006-07-25 |
| 1215959143 | Amarnath V Ramakrishnan | Internal Medicine | 3909 Creekside Loop, Suite 130, Yakima, WA 98902-4880 | 2006-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639618630 | Digestive Gi Care | Internal Medicine | 305 Sw Chkalov Dr, 111-140, Vancouver, WA 98683 | 2017-02-23 |
| 1407238173 | South Perry Endoscopy Pllc | Internal Medicine | 907 South Perry Street Suite 203, Spokane, WA 99202 | 2015-06-18 |
| 1316351430 | Mohammed M. Aboelsoud | Internal Medicine | 4545 Cordata Pkwy Ste 1b, Bellingham, WA 98226-7264 | 2014-06-17 |
| 1952721771 | Ling Guo | Internal Medicine | Kaiser Permanente Central Hospital Building, 126 16th Ave E, Seattle, WA 98112 | 2014-04-19 |
| 1881032423 | Richard Atwood Willson | Internal Medicine | 815 West Galer Street, Seattle, WA 98119 | 2013-06-05 |
| 1770833857 | Jonathan Alan Levant | Internal Medicine | 3201 Pacific Ave, Unit 1108, Tacoma, WA 98418-6907 | 2012-09-15 |
| 1841572724 | Kenneth Bruce Klein | Internal Medicine | 7470 Ne Manual Rd, Bainbridge Island, WA 98110-3032 | 2011-09-15 |
| 1972891505 | Gorav Kalra | Internal Medicine | 410 9th Ave, Seattle, WA 98104-2499 | 2011-07-18 |
| 1609163294 | Patrick John Laing | Internal Medicine | 301 W Poplar St Ste 210, Walla Walla, WA 99362-2800 | 2011-07-01 |
| 1194018366 | Hamid Habibi | Internal Medicine | 105 W 8th Ave Ste 6010, Spokane, WA 99204 | 2011-05-20 |
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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.