MEMORIAL PHYSICIANS, PLLC (NPI# 1851612998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851612998 |
| Entity Type | Organization |
| Organization Name | MEMORIAL PHYSICIANS, PLLC |
| Other Organization Name | MEMORIAL SLEEP SPECIALISTS |
| Practice Address |
406 S 30th Ave Suite 206 Yakima WA 98902-3713 |
| Mailing Address |
3800 Summitview Ave Suite B Yakima WA 98902-2715 |
| Practice Telephone | 5095743383 |
| Practice Fax Number | 5092252705 |
| Enumeration Date | 2010-06-11 |
| Last Update Date | 2013-11-25 |
| Authorized Official Name | TIMOTHY REED (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 5092487849 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | ========= | WA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Memorial Sleep Specialists | 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 |
406 S 30TH AVE SUITE 206 |
| City | YAKIMA |
| State | WA |
| Zip Code | 98902-3713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033193206 | Erik Albert Monick | Internal Medicine | 406 S 30th Ave, Suite 101, Yakima, WA 98902-3713 | 2005-12-01 |
| 1992256796 | Maryalice Renate Hardison | Nurse Practitioner | 406 S 30th Ave, Yakima, WA 98902-3713 | 2016-10-18 |
| 1801248778 | Sarah Voline | Nurse Practitioner | 406 S 30th Ave, Yakima, WA 98902-3713 | 2016-07-05 |
| 1770961765 | Daniel Lamberton | Nurse Anesthetist, Certified Registered | 406 S 30th Ave, Suite 202, Yakima, WA 98902-3713 | 2015-05-11 |
| 1356737043 | Megan Hodges | Pharmacist | 406 S 30th Ave, Yakima, WA 98902-3713 | 2015-04-09 |
| 1225433709 | Elizabeth Ann Tincher | Nurse Anesthetist, Certified Registered | 406 S 30th Ave, Suite 202, Yakima, WA 98902-3713 | 2014-10-27 |
| 1306253893 | Aaron Vizcarra | Nurse Anesthetist, Certified Registered | 406 S 30th Ave, Suite 202, Yakima, WA 98902-3713 | 2014-07-16 |
| 1295149235 | Kevin S Chadburn | Nurse Anesthetist, Certified Registered | 406 S 30th Ave, Ste 202, Yakima, WA 98902-3713 | 2014-06-18 |
| 1215278213 | Feliz D Diaz | Nurse Anesthetist, Certified Registered | 406 S 30th Ave, Suite 202, Yakima, WA 98902-3713 | 2013-03-15 |
| 1104166206 | Spencer W Soffe | Nurse Anesthetist, Certified Registered | 406 S 30th Ave, Suite 202, Yakima, WA 98902-3713 | 2013-02-26 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 98902 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| 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 |
| 1932130234 | Medi-center Group | Clinic/Center | 4001 Tieton Dr, Yakima, WA 98908-3345 | 2006-07-05 |
| 1760411912 | Yakima Valley Professional Services On Tieton, PC | Clinic/Center | 311 S. 72nd Ave, Yakima, WA 98908 | 2006-07-01 |
| 1114553674 | Memorial Physicians, Pllc | Clinic/Center | 1607 Creekside Loop Ste 100, Yakima, WA 98902-4882 | 2020-03-17 |
| 1871002527 | Sunnyside Community Hospital Assocation | Clinic/Center | 111 S 11th Ave Ste 320, Yakima, WA 98902-3273 | 2017-09-26 |
| 1881103695 | Sunnyside Community Hospital Association | Clinic/Center | 6101 Summitview Ave, Yakima, WA 98908-3028 | 2017-09-25 |
| 1063931475 | Sunnyside Community Hospital Association | Clinic/Center | 1005 W Walnut St Ste 223, Yakima, WA 98902-3360 | 2017-09-18 |
| 1457899437 | Ummelina Day Spa Yakima | Clinic/Center | 399 E Yakima Ave Ste 183, Yakima, WA 98901-4519 | 2017-02-09 |
| Find all providers in YAKIMA | ||||
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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.