MEMORIAL PHYSICIANS, PLLC (NPI# 1962938183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962938183 |
| Entity Type | Organization |
| Organization Name | MEMORIAL PHYSICIANS, PLLC |
| Other Organization Name | YAKIMA PODIATRY ASSOCIATES ELLENSBURG |
| Practice Address |
100 E Jackson Ave Suite 102 Ellensburg WA 98926-3692 |
| Mailing Address |
3800 Summitview Ave Yakima WA 98902-2715 |
| Practice Telephone | 5094534614 |
| Practice Fax Number | 5092252712 |
| Mailing Telephone | 5094534614 |
| Mailing Fax Number | 5092252712 |
| Enumeration Date | 2017-05-08 |
| Last Update Date | 2017-05-08 |
| 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 | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
602902835 | WA | Podiatric Medicine & Surgery Service Providers |
| Other Name | Type Code |
|---|---|
| Yakima Podiatry Associates Ellensburg | 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 |
100 E JACKSON AVE SUITE 102 |
| City | ELLENSBURG |
| State | WA |
| Zip Code | 98926-3692 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255409850 | Central Hand Therapy, PC | Physical Medicine & Rehabilitation | 100 E Jackson Ave, Suite 200, Ellensburg, WA 98926 | 2006-12-01 |
| 1437631959 | Kittitas County Public Hospital Dist 1 | Pediatrics | 100 E Jackson Ave, Ellensburg, WA 98926-3692 | 2018-08-31 |
| 1043796956 | Kittitas County Public Hospital Dist 1 | Clinic/Center | 100 E Jackson Ave, Ellensburg, WA 98926-3692 | 2018-07-13 |
| 1962949701 | Memorial Physicians, Pllc | Internal Medicine | 100 E Jackson Ave, Suite 102, Ellensburg, WA 98926-3692 | 2017-01-31 |
| 1205386505 | Canyon View Physical Therapy | Clinic/Center | 100 E Jackson Ave, Suite 201, Ellensburg, WA 98926-3692 | 2016-10-11 |
| 1528514072 | Nicholas Gray | Physical Therapist | 100 E Jackson Ave, Suite 201, Ellensburg, WA 98926-3692 | 2016-08-25 |
| 1124457387 | Canyon View Physical Therapy | Physical Therapist | 100 E Jackson Ave, Suite 201, Ellensburg, WA 98926-3692 | 2013-11-07 |
| 1568802593 | Cheri D Harrell | Physical Therapist | 100 E Jackson Ave, Suite 201, Ellensburg, WA 98926-3692 | 2013-07-05 |
| 1306189741 | Memorial Physicians, Pllc | Physical Medicine & Rehabilitation | 100 E Jackson Ave, Suite 102, Ellensburg, WA 98926-3692 | 2013-04-04 |
| 1619263936 | Memorial Physicians, Pllc | Clinic/Center | 100 E Jackson Ave, Ste. 102, Ellensburg, WA 98926-3692 | 2011-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407286214 | Sarah Rae | Occupational Therapist | 1050 E Mountian View Ave, Ellensburg, WA 98926 | 2013-11-14 |
| 1366885691 | Leslie-ann Fox I | Pharmacist | 521 East Mountain View Ave, Ellensburg, WA 98926 | 2013-04-17 |
| 1972877330 | Terri Lee Hughes | Pharmacist | 608 E Mountainview, Ellensburg, WA 98926 | 2012-03-02 |
| 1366716789 | Eiko Hama | Pharmacist | 608 E Mountain View, Ellensburg, WA 98926 | 2012-03-02 |
| 1689971228 | Carolyn Jeannette Brunk | Massage Therapist | 814 East 5th Avenue, Ellensburg, WA 98926 | 2011-02-17 |
| 1275862468 | Creekside Dental Ellensburg Pllc | Dentist | 2601 Triple L Loop, Ellensburg, WA 98926 | 2009-12-17 |
| 1659605038 | Michael Alan Patin | Pharmacist | 700 S. Main St., Ellensburg, WA 98926 | 2009-10-01 |
| 1538391040 | Brenden J Davis | Dentist | 1206 N Dolarway Rd Ste 208, Ellensburg, WA 98926 | 2009-08-17 |
| 1821206186 | Peggy Elaine Erickson | Massage Therapist | 314 E 4th, Ellensburg, WA 98926 | 2007-05-18 |
| 1295951259 | Kenneth Francis Kladnik | Specialist/Technologist | 1711 E. Canterbury, Ellesnburg, WA 98926 | 2007-04-18 |
| Find all providers in zip 98926 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598392599 | Northern Cascades Foot and Ankle, LLC | Podiatrist | 532 E. Woodin Ave, Chelan, WA 98816-1852 | 2020-03-27 |
| 1801433784 | South Hill Foot & Ankle Clinic Ps | Podiatrist | 3707 S Grand Blvd Ste A, Spokane, WA 99203-2762 | 2019-12-10 |
| 1679025902 | Fasa Family Wellness, Pllc | Podiatrist | 2964 Limited Ln Nw, Suite B, Olympia, WA 98502-4577 | 2016-11-03 |
| 1356899363 | Emily Wagler | Podiatrist | 34509 9th Ave S Ste 303, Federal Way, WA 98003-8709 | 2016-09-19 |
| 1821546540 | Ata Podiatric and Integrative Medicine, Pllc | Podiatrist | 1950 Alaskan Way, Apt 526, Seattle, WA 98101-1075 | 2016-09-12 |
| 1376998179 | Hyowon Choi | Podiatrist | 2075 Barkley Blvd Ste 220, Bellingham, WA 98226 | 2016-04-28 |
| 1407210479 | Philip Matthew Woods | Podiatrist | 1812 N 13th Loop Rd # 1, Shelton, WA 98584-2169 | 2016-04-06 |
| 1063897916 | Yan Rong Cullen | Podiatrist | 13030 121st Way Ne Ste 204, Kirkland, WA 98034-3008 | 2015-07-21 |
| 1972982023 | Brittany Lynn Logan | Podiatrist | 10049 Kitsap Mall Blvd Nw Ste 109, Silverdale, WA 98383-8901 | 2015-05-21 |
| 1093194425 | Silas Klaver | Podiatrist | 1607 Creekside Loop Ste 140, Yakima, WA 98902 | 2015-05-18 |
| Find all providers with the same taxonomy | ||||
| City | ELLENSBURG |
| Zip Code | 98926 |
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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.