Sean Thomas Duffy (NPI# 1528027901, PAC ID# 9234328766) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1528027901 |
| PAC ID by PECOS | 9234328766 |
| Professional Enrollment ID | I20110113000805 |
| Full Name | Sean Thomas Duffy |
| Organization Legal Name | YAKIMA VALLEY FARM WORKERS CLINIC |
| Address |
1120 W Rose St Walla Walla WA 99362-1662 |
| Phone Number | 5095256650 |
| Gender | M |
| Medical School | UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE |
| Graduation Year | 1994 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4385541986 |
| Number of Group Practice Members | 169 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500002 | PROVIDENCE ST MARY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1120 W Rose St, Walla Walla, WA 99362-1662 | 5095256650 | YAKIMA VALLEY FARM WORKERS CLINIC |
| Organization Legal Name | YAKIMA VALLEY FARM WORKERS CLINIC |
| Physicians | 189 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kan Yang | Family Medicine | Yakima Valley Farm Workers Clinic | 589 Nw 11th St, Hermiston, OR 97838-6600 |
| Joji W Kohjima | Family Medicine | Yakima Valley Farm Workers Clinic | 240 Division St, Grandview, WA 98930-1357 |
| Jayme D Thompson | Family Medicine | Yakima Valley Farm Workers Clinic | 115 Sunnyside Ave, Suite A, Granger, WA 98932-9348 |
| Andrew Chin | Physician Assistant | Yakima Valley Farm Workers Clinic | 2158 Exchange St, Suite 304, Astoria, OR 97103-3316 |
| Fiorella Saavedra | Physician Assistant | Yakima Valley Farm Workers Clinic | 255 Lancaster Dr Ne, Salem, OR 97301-5155 |
| Lauren Ciszak | Family Medicine | Yakima Valley Farm Workers Clinic | 2205 W Lincoln Ave, Yakima, WA 98902-2437 |
| Caleb Knight | Physician Assistant | Yakima Valley Farm Workers Clinic | 3801 Kern Rd, Yakima, WA 98902-6340 |
| Erin Steiner | Nurse Practitioner | Yakima Valley Farm Workers Clinic | 8935 Se Powell Blvd, Portland, OR 97266-1938 |
| Richard Chung | Psychiatry | Yakima Valley Farm Workers Clinic | 918 E Mead Ave, Yakima, WA 98903-3720 |
| Heather Stickle | Nurse Practitioner | Yakima Valley Farm Workers Clinic | 2680 Yakima Valley Hwy B, Sunnyside, WA 98944-1242 |
| Street Address |
1120 W ROSE ST |
| City | WALLA WALLA |
| State | WA |
| Zip | 99362-1662 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cynthia A Wallace | Clinical Social Worker | 19 E Birch, Suite 103, Walla Walla, WA 99362 | |
| Susan L Stough | Clinical Social Worker | 409 E Sumach St, Suite 6, Walla Walla, WA 99362-1202 | |
| Natasha Anne Rustad | Clinical Social Worker | 409 E Sumach St, Rustad Counseling LLC, Walla Walla, WA 99362-1202 | |
| Pavel S Blagov | Clinical Psychologist | 409 E Sumach St, Suite 3, Walla Walla, WA 99362-1202 | |
| Robert L Stough Jr. | Psychologist, Clinical | 409 E Sumach St, Walla Walla, WA 99362-1228 | |
| Chance Higginbotham | Chiropractic | 2200 Melrose St, 7a, Walla Walla, WA 99362-1579 | |
| Alayna M Brinton | Clinical Social Worker | 2330 Eastgate St, Suite 140, Walla Walla, WA 99362-1589 | |
| Bradley K Nielson | Optometry | 208 N 2nd Ave, Walla Walla, WA 99362-1806 | |
| Eric John Wiessner | Optometry | 614 E Alder St, Suite 1, Walla Walla, WA 99362-2073 | |
| Harry W Wiessner | Optometry | 614 E Alder, 1 Vision Source Walla Walla, Walla Walla, WA 99362-2073 | |
| Find all physicians in zip 99362 | |||
| City | WALLA WALLA |
| Zip Code | 99362 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | WALLA WALLA + FAMILY MEDICINE |
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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.