GENERAL SURGEONS ON TIETON, PC (NPI# 1841474632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841474632 |
Entity Type | Organization |
Organization Name | GENERAL SURGEONS ON TIETON, PC |
Other Organization Name | CASCADE SURGICAL PARTNERS |
Practice Address |
3003 Tieton Dr Suite 300 Yakima WA 98902-3679 |
Mailing Address |
Po Box 2947 Yakima WA 98907-2947 |
Practice Telephone | 5095753946 |
Practice Fax Number | 5092256449 |
Mailing Telephone | 5092487849 |
Mailing Fax Number | 5092495042 |
Enumeration Date | 2007-12-28 |
Last Update Date | 2007-12-28 |
Authorized Official Name | DR. ROBERT JOHN CONROY (AUTHORIZED OFFICIAL) |
Authorized Official Telephone | 5095753946 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208600000X | Surgery | 6939 | WA | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Cascade Surgical Partners | Doing Business As Name - Organization |
Street Address |
3003 TIETON DR SUITE 300 |
City | YAKIMA |
State | WA |
Zip Code | 98902-3679 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558359091 | Roger B Rowles | Obstetrics & Gynecology | 3003 Tieton Dr, Suite 240, Yakima, WA 98902-3679 | 2005-10-10 |
1154792265 | Yakima Valley Memorial Hospital Association | Durable Medical Equipment & Medical Supplies | 3003 Tieton Dr, Suite 200, Yakima, WA 98902-3679 | 2015-10-14 |
1174864425 | Roy S Pierson, Md PC | Orthopaedic Surgery | 3003 Tieton Dr, Suite 320, Yakima, WA 98902-3679 | 2013-03-12 |
1457648198 | Jennifer Johannes | Surgery | 3003 Tieton Dr, Suite 300, Yakima, WA 98902-3679 | 2011-07-01 |
1063725851 | Memorial Physicians, Pllc | Clinic/Center | 3003 Tieton Dr, Ste 350, Yakima, WA 98902-3679 | 2010-07-21 |
1629390059 | Premier Womens Health of Yakima Pllc | Obstetrics & Gynecology | 3003 Tieton Dr, Suite 200, Yakima, WA 98902-3679 | 2010-02-26 |
1871815977 | Memorial Physicians, P.l.l.c. | Surgery | 3003 Tieton Dr, Ste 300, Yakima, WA 98902-3679 | 2010-02-17 |
1932421039 | Memorial Physicians, P.l.l.c. | Surgery | 3003 Tieton Dr, Ste. 330, Yakima, WA 98902-3679 | 2010-02-17 |
1285967752 | Generations Ob/gyn, Pllc | Obstetrics & Gynecology | 3003 Tieton Dr, Suite 230, Yakima, WA 98902 | 2009-09-15 |
1790924728 | Matthew G Silva | Surgery | 3003 Tieton Dr, Suite 300, Yakima, WA 98902-3679 | 2009-02-15 |
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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 | 208600000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902245764 | Carrie Newton | Surgery | 1005 W Walnut St Ste 223, Yakima, WA 98902-3360 | 2013-06-14 |
1447406285 | Amber Nicole Wooten | Surgery | 3003 Tieton Dr Ste 300, Yakima, WA 98902 | 2008-08-12 |
1093739500 | Justin A Robinson | Surgery | 3999 Englewood Ave, Suite 202, Yakima, WA 98902-6334 | 2006-07-27 |
1285048041 | Clayton Miller | Surgery | 3003 Tieton Dr Ste 300, Yakima, WA 98902-3686 | 2014-06-19 |
1609217579 | Jennifer Marie Ford | Surgery | 110 S 9th Ave, Yakima, WA 98902 | 2013-07-08 |
1457648198 | Jennifer Johannes | Surgery | 3003 Tieton Dr, Suite 300, Yakima, WA 98902-3679 | 2011-07-01 |
1003137506 | Katherine Irene Warner | Surgery | 1607 Creekside Loop, Yakima, WA 98902-4882 | 2010-06-18 |
1871815977 | Memorial Physicians, P.l.l.c. | Surgery | 3003 Tieton Dr, Ste 300, Yakima, WA 98902-3679 | 2010-02-17 |
1790924728 | Matthew G Silva | Surgery | 3003 Tieton Dr, Suite 300, Yakima, WA 98902-3679 | 2009-02-15 |
1871794438 | Cascade Surgical Partners, Pllc | Surgery | 3003 Tieton Dr, Suite 300, Yakima, WA 98902-3679 | 2007-05-30 |
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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.