WALLA WALLA GENERAL HOSPITAL (NPI# 1013943778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013943778 |
| Entity Type | Organization |
| Organization Name | WALLA WALLA GENERAL HOSPITAL |
| Practice Address |
1017 S 2nd Ave Walla Walla WA 99362-4183 |
| Mailing Address |
1017 S 2nd Ave 2 Walla Walla WA 99362-4183 |
| Practice Telephone | 5095251800 |
| Practice Fax Number | 5095251800 |
| Mailing Telephone | 5095251800 |
| Mailing Fax Number | 5095251800 |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2013-06-17 |
| Authorized Official Name | DENNIS EUGENE LENHART JR. (PRES.) |
| Authorized Official Telephone | 5095251800 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208200000X | Plastic Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 2082S0105X |
Plastic Surgery Specialization: Surgery of the Hand |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376894048 | Walla Walla General Hospital | Clinic/Center | 336 Chardonnay Ave Ste A, Prosser, WA 99350 | 2012-09-21 |
| 1013299965 | Walla Walla General Hospital | Pharmacy | 1111 S 2nd Ave, Walla Walla, WA 99362-4118 | 2011-09-16 |
| 1780972562 | Walla Walla General Hospital | Clinic/Center | 1111 S 2nd Ave, Walla Walla, WA 99362-4118 | 2011-07-14 |
| 1821394750 | Walla Walla General Hospital | Surgery | 1017 S 2nd Ave, Ste 1, Walla Walla, WA 99362-4183 | 2011-02-10 |
| 1992958771 | Walla Walla General Hospital | Clinic/Center | 1111 S 2nd Ave, Walla Walla, WA 99362-4118 | 2008-10-24 |
| 1467436030 | Walla Walla General Hospital | Medicare Defined Swing Bed Unit | 1025 S 2nd Ave, Walla Walla, WA 99362-4116 | 2005-12-06 |
| 1760466114 | Walla Walla General Hospital | Clinic/Center | 1025 S 2nd Ave, Walla Walla, WA 99362-4116 | 2005-11-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | WALLA WALLA GENERAL HOSPITAL | 1025 S Second Avenue, Walla Walla, WA 99362 |
| Washington State Corporations | WALLA WALLA GENERAL HOSPITAL | 1 Adventist Health Way, Roseville, CA 95661-3266 |
| Street Address |
1017 S 2ND AVE |
| City | WALLA WALLA |
| State | WA |
| Zip Code | 99362-4183 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306845268 | Jean M Colombo | Registered Nurse | 1017 S 2nd Ave, Ste 2, Walla Walla, WA 99362-4183 | 2005-07-21 |
| 1821394750 | Walla Walla General Hospital | Surgery | 1017 S 2nd Ave, Ste 1, Walla Walla, WA 99362-4183 | 2011-02-10 |
| 1366689069 | Surgical Specialists Field & Newbold Pllc | Surgery | 1017 S 2nd Ave, Ste 3, Walla Walla, WA 99362-4183 | 2009-01-16 |
| 1871540955 | Scott B Hutson | Orthopaedic Surgery | 1017 S 2nd Ave, Suite 1, Walla Walla, WA 99362-4116 | 2006-05-27 |
| 1467431726 | Family Practice Associates of Walla Walla Pllc | Nurse Practitioner | 1017 S 2nd Ave, Suite 2, Walla Walla, WA 99362-4183 | 2006-01-13 |
| 1245235894 | Regina E Karmy | Obstetrics & Gynecology | 1017 S 2nd Ave, Ste 4, Walla Walla, WA 99362-4183 | 2005-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164065959 | Kevin Gia-minh Phan | Optometrist | Walla Walla Vamc Bldg 86, Walla Walla, WA 99362 | 2019-10-24 |
| 1659836401 | Arlene Lavonne Whitney | Social Worker | 1361 Dalles Military Road, Walla Walla, WA 99362 | 2019-02-06 |
| 1053880674 | Julie Ann Cooke | Speech-Language Pathologist | Providence St. Mary Medical Center, 401 W. Poplar St., Walla Walla, WA 99362 | 2018-11-14 |
| 1558887133 | Chantey Walker | Massage Therapist | 1840 Pleasant St, Walla Walla, WA 99362 | 2017-08-16 |
| 1447798723 | Carrie S Diede | Speech-Language Pathologist | 410 West Poplar Street, Rehabilitation Services, Walla Walla, WA 99362 | 2017-02-07 |
| 1235584103 | Anchor Point Counseling Pllc | Clinic/Center | 2330 Eastgate St. Ste. 140, Walla Walla, WA 99362 | 2016-04-28 |
| 1548627011 | Washington State Walla Walla Veterans Home | Skilled Nursing Facility | 92 Wainwright Drive, Walla Walla, WA 99362 | 2016-01-28 |
| 1073926200 | Sherry Goff | Registered Nurse | 11120 W Rose St, Family Medical Center, Walla Walla, WA 99362 | 2014-06-05 |
| 1538597935 | Michael Wade Gillespie | Orthopaedic Surgery | 101 Brookside Drive, Walla Walla, WA 99362 | 2013-10-22 |
| 1023357985 | Sandra Kay Bushnell | Speech-Language Pathologist | 1105 Isaacs Ave, Walla Walla, WA 99362 | 2013-02-12 |
| Find all providers in zip 99362 | ||||
| Taxonomy Code | 2082S0105X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| Specialization | Surgery of the Hand |
| A plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184015364 | Dennis F. Dundas, Md | Plastic Surgery | 134 Gold Dust Ln, Sequim, WA 98382-7562 | 2015-02-10 |
| 1346518537 | Kenneth Richard Tucker | Plastic Surgery | 22843 Tranquility Pl Ne, Kingston, WA 98346-8241 | 2011-12-02 |
| 1255576971 | James F Brinkman | Plastic Surgery | 6105 S Helena St, Spokane, WA 99223-8342 | 2008-12-09 |
| 1629009857 | David H Slepyan | Plastic Surgery | 107 S Main St Ste D101, Coupeville, WA 98239-3547 | 2006-07-05 |
| 1457578676 | Association of University Physicians | Plastic Surgery | 908 Jefferson St, Hmc Hand Surgery Clinic, Seattle, WA 98104-2420 | 2007-04-19 |
| 1710062492 | Nicholas B Vedder | Plastic Surgery | 4245 Roosevelt Way Ne, Seattle, WA 98105-6008 | 2006-10-25 |
| 1598865586 | David F Pratt Md Ps | Plastic Surgery | 4005 Colby Ave, Everett, WA 98201-4989 | 2006-09-22 |
| 1427169838 | Joseph Folsom Woodward | Plastic Surgery | 12039 Ne 128th St Ste 500, Kirkland, WA 98034-3030 | 2006-08-31 |
| 1801801659 | Khashayar Dehghan | Plastic Surgery | 3515 S 15th St, Suite 101, Tacoma, WA 98405-1952 | 2006-07-30 |
| 1104877109 | Michael Eugene Blatner | Plastic Surgery | 16259 Sylvester Rd Sw, #302, Burien, WA 98166-3049 | 2006-05-14 |
| Find all providers with the same taxonomy | ||||
| City | WALLA WALLA |
| Zip Code | 99362 |
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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.