MEMORIAL PHYSICIANS, PLLC (NPI# 1093240301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093240301 |
| Entity Type | Organization |
| Organization Name | MEMORIAL PHYSICIANS, PLLC |
| Other Organization Name | YAKIMA PODIATRY ASSOCIATES |
| Practice Address |
1607 Creekside Loop Suite 140 Yakima WA 98902-4882 |
| Mailing Address |
3800 Summitview Ave Yakima WA 98902-2715 |
| Practice Telephone | 5094534614 |
| Practice Fax Number | 5092252712 |
| Mailing Telephone | 5092487849 |
| Mailing Fax Number | 5092488291 |
| Enumeration Date | 2017-04-24 |
| Last Update Date | 2017-04-26 |
| Authorized Official Name | TIMOTHY REED (CFO, VP) |
| Authorized Official Telephone | 5092487849 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
602902835 | WA | Podiatric Medicine & Surgery Service Providers |
| Other Name | Type Code |
|---|---|
| Yakima Podiatry Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053883504 | Memorial Physicians, Pllc | Clinic/Center | 3003 Tieton Dr Ste 350, Yakima, WA 98902-3690 | 2018-12-21 |
| 1851716278 | Memorial Physicians, Pllc | Clinic/Center | 3904 Terrace Heights Dr, Yakima, WA 98901-1427 | 2014-02-21 |
| 1689098436 | Memorial Physicians, Pllc | Clinic/Center | 120 S 72nd Ave, Suite 102, Yakima, WA 98908-4200 | 2014-02-14 |
| 1669732954 | Memorial Physicians, Pllc | Family Medicine | 101 N 65th Ave, Harman Center At Gailleon Park, Yakima, WA 98908-3014 | 2012-05-21 |
| 1508140021 | Memorial Physicians, Pllc | Family Medicine | 2506 W Nob Hill Blvd, Yakima, WA 98902-5104 | 2011-10-03 |
| 1154602084 | Memorial Physicians, Pllc | Surgery | 1812 E Edison Ave, Sunnyside, WA 98944-1653 | 2011-09-06 |
| 1558683334 | Memorial Physicians, Pllc | Clinic/Center | 3909 Creekside Loop Ste 130, Yakima, WA 98902-4880 | 2010-02-22 |
| 1114553674 | Memorial Physicians, Pllc | Clinic/Center | 1607 Creekside Loop Ste 100, Yakima, WA 98902-4882 | 2020-03-17 |
| 1558928143 | Memorial Physicians, Pllc | Clinic/Center | 1812 E Edison Ave, Sunnyside, WA 98944 | 2019-05-20 |
| 1760966022 | Memorial Physicians, Pllc | Clinic/Center | 1812 E Edison Ave, Sunnyside, WA 98944-1653 | 2018-09-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | MEMORIAL PHYSICIANS, PLLC | 3800 Summitview, Yakima, WA 98907 |
| Street Address |
1607 CREEKSIDE LOOP SUITE 140 |
| City | YAKIMA |
| State | WA |
| Zip Code | 98902-4882 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164492666 | Susan Gayle Rogers | Registered Nurse | 1607 Creekside Loop, Ste. 100, Yakima, WA 98902-4882 | 2006-01-25 |
| 1265744577 | Lorena P De Marco Garcia | Surgery | 1607 Creekside Loop, Suite 100, Yakima, WA 98902-4882 | 2010-07-02 |
| 1003137506 | Katherine Irene Warner | Surgery | 1607 Creekside Loop, Yakima, WA 98902-4882 | 2010-06-18 |
| 1659693877 | Cascade Neurosurgical Associates, Pllc | Neurological Surgery | 1607 Creekside Loop, Suite 140, Yakima, WA 98902-4882 | 2010-02-16 |
| 1528390861 | Memorial Physicians, P.l.l.c. | Surgery | 1607 Creekside Loop, Suite 100, Yakima, WA 98902-4882 | 2010-02-11 |
| 1891717864 | Tekchand Tanwani | Surgery | 1607 Creekside Loop, Suite 100, Yakima, WA 98902-4882 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922653203 | Laboratory Corporation of America | Clinical Medical Laboratory | 314 S 11th Ave Suite A, Yakima, WA 98902 | 2019-08-05 |
| 1669967865 | Rebecca Schrader | Speech-Language Pathologist | Children's Village 3801 Kern Road, Yakima, WA 98902 | 2018-06-29 |
| 1720572928 | Hyperbaric Centers of Washington | Preventive Medicine | 302 S. 12th Ave., Yakima, WA 98902 | 2018-06-20 |
| 1487155503 | Courtney Lombardi | Nurse Practitioner | 1515 W Yakima Ave, Yakima, WA 98902 | 2018-02-23 |
| 1003329665 | Maria-elena Mendoza | Case Manager/Care Coordinator | 918 E Mead Avenue, Yakima, WA 98902 | 2017-11-06 |
| 1679017610 | Claudia Zepeda | Massage Therapist | 3908 Creekside Loop Ste # 110, Yakima, WA 98902 | 2016-12-09 |
| 1093194425 | Silas Klaver | Podiatrist | 1607 Creekside Loop Ste 140, Yakima, WA 98902 | 2015-05-18 |
| 1821490905 | Jen Lynn Silver | Massage Therapist | 3512 Tieton Dr, Yakima, WA 98902 | 2014-09-20 |
| 1194131383 | Brenna Claire Hayes | Genetic Counselor, MS | 2903 W Walnut, Yakima, WA 98902 | 2014-07-08 |
| 1720400435 | Agnes Nadine Jeske | Speech-Language Pathologist | 621 S. 13th Ave., Mckinley Elementary School, Yakima, WA 98902 | 2014-01-15 |
| Find all providers in zip 98902 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093194425 | Silas Klaver | Podiatrist | 1607 Creekside Loop Ste 140, Yakima, WA 98902 | 2015-05-18 |
| 1154337392 | Joshua D Johnson | Podiatrist | 2400 Racquet Ln, Yakima, WA 98902-6109 | 2006-07-31 |
| 1124330493 | Jeffrey B Lecheminant | Podiatrist | 6101 Summitview Ave, Ste 200, Yakima, WA 98908 | 2010-07-02 |
| 1619165438 | Central Washington Podiatry Service Pllc | Podiatrist | 307 S 12th Ave, Suite #9, Yakima, WA 98902-3100 | 2007-10-05 |
| 1003996901 | Jonathan C. Graham | Podiatrist | 502 N 40th Ave, Yakima, WA 98908-4319 | 2006-10-16 |
| 1871506444 | Stuart Cardon | Podiatrist | 2400 Racquet Ln, Yakima, WA 98902-6109 | 2006-08-14 |
| 1205842465 | Stuart B Cardon | Podiatrist | 2400 Racquet Ln, Yakima, WA 98902-6109 | 2006-07-31 |
| 1487668729 | Donald W Orminski | Podiatrist | 307 S 12th Ave, #9, Yakima, WA 98902-3100 | 2006-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598392599 | Northern Cascades Foot and Ankle, LLC | Podiatrist | 532 E. Woodin Ave, Chelan, WA 98816-1852 | 2020-03-27 |
| 1801433784 | South Hill Foot & Ankle Clinic Ps | Podiatrist | 3707 S Grand Blvd Ste A, Spokane, WA 99203-2762 | 2019-12-10 |
| 1679025902 | Fasa Family Wellness, Pllc | Podiatrist | 2964 Limited Ln Nw, Suite B, Olympia, WA 98502-4577 | 2016-11-03 |
| 1356899363 | Emily Wagler | Podiatrist | 34509 9th Ave S Ste 303, Federal Way, WA 98003-8709 | 2016-09-19 |
| 1821546540 | Ata Podiatric and Integrative Medicine, Pllc | Podiatrist | 1950 Alaskan Way, Apt 526, Seattle, WA 98101-1075 | 2016-09-12 |
| 1376998179 | Hyowon Choi | Podiatrist | 2075 Barkley Blvd Ste 220, Bellingham, WA 98226 | 2016-04-28 |
| 1407210479 | Philip Matthew Woods | Podiatrist | 1812 N 13th Loop Rd # 1, Shelton, WA 98584-2169 | 2016-04-06 |
| 1063897916 | Yan Rong Cullen | Podiatrist | 13030 121st Way Ne Ste 204, Kirkland, WA 98034-3008 | 2015-07-21 |
| 1972982023 | Brittany Lynn Logan | Podiatrist | 10049 Kitsap Mall Blvd Nw Ste 109, Silverdale, WA 98383-8901 | 2015-05-21 |
| 1215322532 | Midori Higashi | Podiatrist | 515 Minor Ave Ste 200, Seattle, WA 98104 | 2015-04-02 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MEMORIAL PHYSICIANS, PLLC.
| 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.