Craig D Whittlesey (NPI# 1588673883, PAC ID# 1557256377) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1588673883 |
| PAC ID by PECOS | 1557256377 |
| Professional Enrollment ID | I20040219000431 |
| Full Name | Craig D Whittlesey |
| Organization Legal Name | SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION |
| Address |
1420 Ahtanum Ridge Dr Union Gap WA 98903-1839 |
| Phone Number | 5094547700 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE |
| Graduation Year | 1993 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1658280896 |
| Number of Group Practice Members | 86 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500012 | YAKIMA HMA, INC. D/B/A YAKIMA REGIONAL MEDICAL AND CARDIAC CENTE |
| 500036 | YAKIMA VALLEY MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1420 Ahtanum Ridge Dr, Union Gap, WA 98903-1839 | 5094547700 | SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION |
| 1420 Ahtanum Ridge Dr, Union Gap, WA 98903-1839 | SHC MEDICAL CENTER TOPPENISH |
| Organization Legal Name | SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION |
| Physicians | 93 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew Gustavson | Neurology | Sunnyside Community Hospital Association | 2925 Allen Rd, Sunnyside, WA 98944-8931 |
| Mirna Tovalin | Nurse Practitioner | Sunnyside Community Hospital Association | 1420 Ahtanum Ridge Dr, Union Gap, WA 98903-1839 |
| Larry Edwards | Family Practice | Sunnyside Community Hospital Association | 2 E Valley Mall Blvd, Union Gap, WA 98903-1613 |
| Pedro Fernandez | Psychiatry | Sunnyside Community Hospital Association | 208 N Euclid Rd, Grandview, WA 98930-9470 |
| David C Livingston | Family Medicine | Sunnyside Community Hospital Association | 915 Vintage Valley Pkwy, Suite 200, Zillah, WA 98953-9800 |
| John R Ribic | Cardiovascular Disease (cardiology) | Sunnyside Community Hospital Association | 355 Chardonnay Ave, Prosser, WA 99350-9521 |
| Paul Rodney Furan | Physician Assistant | Sunnyside Community Hospital Association | 2705 E Lincoln Ave, Sunnyside, WA 98944-4006 |
| Deborah Titus | Nurse Practitioner | Sunnyside Community Hospital Association | 222 E 2nd St, Grandview, WA 98930-1342 |
| Muhammad Riaz | Family Medicine | Sunnyside Community Hospital Association | 1005 W Walnut St, Suite 205, Yakima, WA 98902-3386 |
| Charles V Bulfinch | Family Medicine | Sunnyside Community Hospital Association | 715 N Park Ctr, Selah, WA 98942-1174 |
| Street Address |
1420 AHTANUM RIDGE DR |
| City | UNION GAP |
| State | WA |
| Zip | 98903-1839 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mirna Tovalin | Nurse Practitioner | Sunnyside Community Hospital Association | 1420 Ahtanum Ridge Dr, Union Gap, WA 98903-1839 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leslie C Rodriguez | Nurse Practitioner | 2807 W Washington Ave, B1, Yakima, WA 98903-1159 | |
| Robert Vincent Wickes | Optometry | Ryan Coyle Od Ps | 2310 Longfibre Ave, Union Gap, WA 98903-1513 |
| Ronald P Delano | Optometry | 9 E Valley Mall Blvd, Union Gap, WA 98903-1612 | |
| Larry Edwards | Family Practice | Sunnyside Community Hospital Association | 2 E Valley Mall Blvd, Union Gap, WA 98903-1613 |
| Sandra E Flammini | Optometry | Shopko Stores Operating Co LLC | 2530 Rudkin Rd, Suite 4073, Union Gap, WA 98903-1632 |
| Aaron J Cutler | Optometry | Shopko Stores Operating Co LLC | 2530 Rudkin Rd, Suite 4073, Union Gap, WA 98903-1632 |
| Thomas Edward Beck | Optometry | Beck and Beck Inc | 2402 S 1st St, 114 Precision Eye Doctors, Yakima, WA 98903-1646 |
| Janis E Beck | Optometry | Beck and Beck Inc | 2402 S 1st St, 114 Precision Eye Doctors, Yakima, WA 98903-1646 |
| Nathaniel N Ruiz | Physician Assistant | Kittitas Valley Urgent Care Pllc | 17 E Valley Mall Blvd, Union Gap, WA 98903-1652 |
| Paul D Wood | Physician Assistant | Kittitas Valley Urgent Care Pllc | 17 E Valley Mall Blvd, Union Gap, WA 98903-1652 |
| Find all physicians in zip 98903 | |||
| City | UNION GAP |
| Zip Code | 98903 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | UNION GAP + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Craig D Whittlesey.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.