IM S YI (NPI# 1992796650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992796650 |
| Entity Type | Individual |
| Full Name | IM S YI |
| Credential | M.D. |
| Practice Address |
611 31st Ave Sw Puyallup WA 98373-3723 |
| Mailing Address |
Po Box 34581 Seattle WA 98124-1581 |
| Practice Telephone | 2534457100 |
| Practice Fax Number | 2534457111 |
| Mailing Telephone | 2534457100 |
| Mailing Fax Number | 2534457111 |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2009-09-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD00047267 | WA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 01055784 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM | 000000373612 | 01 |
| WA | 8497141 | 05 |
| Street Address |
611 31ST AVE SW |
| City | PUYALLUP |
| State | WA |
| Zip Code | 98373-3723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154846335 | Kristina R Hansen | Nurse Practitioner | 611 31st Ave Sw, Puyallup, WA 98373-3723 | 2017-08-08 |
| 1740531086 | Jennifer Hrivnak | Registered Nurse | 611 31st Ave Sw, Ste C, Puyallup, WA 98373-3723 | 2012-09-26 |
| 1508151325 | Justin Smith | Pharmacist | 611 31st Ave Sw, Puyallup, WA 98373-3723 | 2011-06-09 |
| 1053605600 | Jennifer N Pense | Family Medicine | 611 31st Ave Sw, Ste C, Puyallup, WA 98373-3723 | 2011-05-31 |
| 1417109844 | Heather Dawn Hokanson | Nurse Practitioner | 611 31st Ave Sw, Ste C, Puyallup, WA 98373-3723 | 2008-10-16 |
| 1134308711 | Carolyn M. Haven | Physical Therapist | 611 31st Ave Sw, Puyallup, WA 98373-3723 | 2007-10-30 |
| 1508087669 | John D. Putnam | Family Medicine | 611 31st Ave Sw, Puyallup, WA 98373 | 2007-05-02 |
| 1790823763 | Ted T Trieu | Pharmacist | 611 31st Ave Sw, Puyallup, WA 98373-3723 | 2007-02-02 |
| 1003952581 | Dennis W Zimmermann | Pharmacist | 611 31st Ave Sw, Puyallup, WA 98373-3723 | 2007-01-30 |
| 1033265913 | Andrea E. Dunn | Physician Assistant | 611 31st Ave Sw, Puyallup, WA 98373-3723 | 2007-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494711 | Caroline Brown Corbett | Dentist | 8012 112th St Ct E #320, Puyallup, WA 98373 | 2020-10-13 |
| 1629615760 | Jessie Jean Waiamau-ariota | Counselor | Winds of Liberty, 702 S Hill Park Dr Ste 206, Puyallup, WA 98373 | 2019-12-09 |
| 1194369181 | Ruba H Tawil | Dentist | 12005 Meridian E # 102, Puyallup, WA 98373 | 2019-11-01 |
| 1336621267 | Cara Tseng | Physician Assistant | 2940 S Meridian, Suite 200, Puyallup, WA 98373 | 2018-09-06 |
| 1902390289 | Melissa M Jenkins | Registered Nurse | 2920 S Meridian Ste 100, Puyallup, WA 98373 | 2018-06-19 |
| 1881141323 | Linda Cole | Massage Therapist | 8409 204th Street East, Spanaway, WA 98373 | 2016-09-01 |
| 1861855389 | Christina Leigh Bailey | Optometrist | 3500 S Meridian Ste 926, Puyallup, WA 98373 | 2016-04-01 |
| 1518301951 | Bryan Michael Swanson | Dentist | 2910 S Meridian Ste 120, Puyallup, WA 98373 | 2013-04-27 |
| 1760720569 | Vankosin Hewitt | Massage Therapist | 13613 Meridian East # 260, Puyallup, WA 98373 | 2013-01-29 |
| 1558607705 | Rosie Martinez | Counselor | 12812 101st Avenue Courte E, Suite 202, Puyallup, WA 98373 | 2012-12-17 |
| Find all providers in zip 98373 | ||||
| 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 |
|---|---|---|---|---|
| 1225584683 | Paladina Health, LLC | Family Medicine | 615 E Pioneer, Suite 103, Puyallup, WA 98372-3317 | 2016-08-26 |
| 1588048862 | Chelsi Goodman | Family Medicine | 1322 3rd St Se Ste 300, Puyallup, WA 98372 | 2015-07-16 |
| 1366824914 | Cris Perez | Family Medicine | 1322 3rd St Se Ste 302, Puyallup, WA 98372-3771 | 2015-06-19 |
| 1891042958 | Noor Azreen Ali | Family Medicine | 15214 Canyon Rd E Ste 100, Puyallup, WA 98375-7472 | 2012-08-08 |
| 1265655070 | Douglas Allan Badzik | Family Medicine | 8919 119th Street Ct E, Puyallup, WA 98373-7976 | 2007-04-10 |
| 1912055286 | Sea-mar Community Health Center | Family Medicine | 10217 125th Street Ct E Fl 2, Puyallup, WA 98374-2761 | 2007-01-05 |
| 1083788160 | John N Daniel | Family Medicine | 801 E Main Street, Puyallup, WA 98372-3365 | 2006-11-20 |
| 1053403634 | Mark S. Kim | Family Medicine | 1803 S Meridian, Puyallup, WA 98371 | 2006-09-29 |
| 1518079722 | Bruce K. Baker | Family Medicine | 1408 3rd St Se Ste 200, Puyallup, WA 98372 | 2006-09-01 |
| 1508881228 | Linh Trang Huynh | Family Medicine | 10116 116th St E, Suite 101, Puyallup, WA 98373-3543 | 2006-07-13 |
| Find all providers in PUYALLUP | ||||
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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.