Thomas Penoyar (NPI# 1205140597, PAC ID# 1759696529) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1205140597 |
| PAC ID by PECOS | 1759696529 |
| Professional Enrollment ID | I20150824000705 |
| Full Name | Thomas Penoyar |
| Organization Legal Name | KITTITAS COUNTY PUBLIC HOSPITAL DIST 1 |
| Address |
611 S Chestnut St Suite A Ellensburg WA 98926-4815 |
| Phone Number | 5099338700 |
| Gender | M |
| Medical School | UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE |
| Graduation Year | 2009 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 0547179608 |
| Number of Group Practice Members | 48 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 501333 | KITTITAS VALLEY COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 611 S Chestnut St, Suite A, Ellensburg, WA 98926-4815 | 5099338700 | KITTITAS COUNTY PUBLIC HOSPITAL DIST 1 |
| Organization Legal Name | KITTITAS COUNTY PUBLIC HOSPITAL DIST 1 |
| Physicians | 56 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maribel Serrano | Obstetrics/gynecology | Kittitas County Public Hospital Dist 1 | 700 E Manitoba Ave, Suite 101, Ellensburg, WA 98926-3885 |
| Brett J White | Physician Assistant | Kittitas County Public Hospital Dist 1 | 716 E Manitoba Ave, Ellensburg, WA 98926-3842 |
| Auren C O'connell | Nurse Practitioner | Kittitas County Public Hospital Dist 1 | 201 Alpha Way, Cle Elum, WA 98922-1045 |
| Reese A Ullas | Physician Assistant | Kittitas County Public Hospital Dist 1 | 603 S Chestnut St, Ellensburg, WA 98926-3875 |
| Ada Cheung | Orthopedic Surgery | Kittitas County Public Hospital Dist 1 | 611 S Chestnut St, Suite D, Ellensburg, WA 98926-4815 |
| Mark W Larson | Family Medicine | Kittitas County Public Hospital Dist 1 | 716 E Manitoba Ave, Ellensburg, WA 98926-3842 |
| Holly J Dawson | Obstetrics/gynecology | Kittitas County Public Hospital Dist 1 | 700 E Manitoba Ave, Suite 101, Ellensburg, WA 98926-3885 |
| Susan M Oldenkamp | Dermatology | Kittitas County Public Hospital Dist 1 | 700 E Manitoba Ave, Suite 101, Ellensburg, WA 98926-3885 |
| Larry D Birger | Internal Medicine | Kittitas County Public Hospital Dist 1 | 201 Alpha Way, Cle Elum, WA 98922-1045 |
| Carissa A Dahl | Nurse Practitioner | Kittitas County Public Hospital Dist 1 | 716 E Manitoba Ave, Ellensburg, WA 98926-3842 |
| Street Address |
611 S CHESTNUT ST SUITE A |
| City | ELLENSBURG |
| State | WA |
| Zip | 98926-4815 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ada Cheung | Orthopedic Surgery | Kittitas County Public Hospital Dist 1 | 611 S Chestnut St, Suite D, Ellensburg, WA 98926-4815 |
| Timothy J Obrien | General Surgery | Kittitas County Public Hospital Dist 1 | 611 S Chestnut St, Suite A, Ellensburg, WA 98926-4815 |
| John M Asriel | Family Medicine | Kittitas County Public Hospital Dist 1 | 611 S Chestnut St, Suite D, Ellensburg, WA 98926-4815 |
| Thomas Mirich | Orthopedic Surgery | Kittitas County Public Hospital Dist 1 | 611 S Chestnut St, Suite D, Ellensburg, WA 98926-4815 |
| John H Sand | Obstetrics/gynecology | 611 S Chestnut St, Suite B, Ellensburg, WA 98926-4815 | |
| Nancy L Wells | Family Practice | 611 S Chestnut St, Suite C, Ellensburg, WA 98926-4815 | |
| William E Waltner | Pulmonary Disease | Kittitas County Public Hospital Dist 1 | 611 S Chestnut St, Ellensburg, WA 98926-4815 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Myron Harold Linder | Chiropractic | 1011 N Alder St, 1 Linder Chiropractic Center, Ellensburg, WA 98926-2699 | |
| Sandra Lou Linder | Chiropractic | 1011 N Alder St, Ellensburg, WA 98926-2699 | |
| Paula E Hagemeyer | Occupational Therapy | 213 W 4th St, Kittitas Occupational Therapy Services, Ellensburg, WA 98926-2855 | |
| Rebecca L Palmer-overmiller | Clinical Social Worker | Comprehensive Healthcare | 707 N Pearl St, Suite E, Ellensburg, WA 98926-2938 |
| Carol A Gilliom | Clinical Social Worker | Comprehensive Healthcare | 707 N Pearl St, Suite E, Ellensburg, WA 98926-2938 |
| Andrea Tierney | Physical Therapy | Argonaut Peak Physical Therapy, Inc. Ps | 722 E University Way, Ellensburg, WA 98926-2947 |
| Jonathan T Suttles | Physical Therapy | Argonaut Peak Physical Therapy, Inc. Ps | 722 E University Way, Ellensburg, WA 98926-2947 |
| Lisa Marie Godfrey Martin | Psychologist, Clinical | Valley Psychological Services | 206 W 1st Ave, Ellensburg, WA 98926-3002 |
| Paul Reppas | Psychologist, Clinical | Valley Psychological Services | 206 W 1st Ave, Ellensburg, WA 98926-3002 |
| Joseph C Mccarty Jr. | Psychologist, Clinical | Valley Psychological Services | 206 W 1st Ave, Ellensburg, WA 98926-3002 |
| Find all physicians in zip 98926 | |||
| City | ELLENSBURG |
| Zip Code | 98926 |
| Specialty | GENERAL SURGERY |
| City + Specialty | ELLENSBURG + GENERAL SURGERY |
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| 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.