MR. KIRK TORGLE ECKLUND (NPI# 1154432904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154432904 |
| Entity Type | Individual |
| Full Name | MR. KIRK TORGLE ECKLUND |
| Credential | MD |
| Practice Address |
3911 Castlevale Rd Ste 301 Yakima WA 98902-7807 |
| Practice Telephone | 5099651714 |
| Practice Fax Number | 5099651714 |
| Mailing Telephone | 5099667899 |
| Mailing Fax Number | 5092256811 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2017-04-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | MD00032475 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | B178956 | 05 |
| Street Address |
3911 CASTLEVALE RD STE 301 |
| City | YAKIMA |
| State | WA |
| Zip Code | 98902-7807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164468062 | Judith A Hargis | Obstetrics & Gynecology | 3911 Castlevale Rd, Suite 301, Yakima, WA 98902-7807 | 2006-06-21 |
| 1013154038 | Michael Severin Shultis | Physician Assistant | 3911 Castlevale Rd, Suite 301, Yakima, WA 98902-7807 | 2009-01-13 |
| 1841458783 | Goldy Bansal | Internal Medicine | 3911 Castlevale Rd, Suite 201, Yakima, WA 98902-7807 | 2008-05-28 |
| 1063540094 | Cascade Womens Healthcare | Obstetrics & Gynecology | 3911 Castlevale Rd, Suite 301, Yakima, WA 98902-7807 | 2007-03-01 |
| 1083757967 | Kari A Brewer | Physician Assistant | 3911 Castlevale Rd, Suite 201, Yakima, WA 98902-7807 | 2007-02-14 |
| 1023154465 | Diagnostic Vascular Laboratory, LLC | Physiological Laboratory | 3911 Castlevale Rd, Suite 105, Yakima, WA 98902-7807 | 2007-01-30 |
| 1992879860 | Anna Marie Fulton | Obstetrics & Gynecology | 3911 Castlevale Rd, Suite 301, Yakima, WA 98902-7807 | 2006-11-20 |
| 1780772434 | Carl Youngstrom | Surgery | 3911 Castlevale Rd, Suite 105, Yakima, WA 98902-7807 | 2006-10-10 |
| 1710089636 | Insight Diagnostic Imaging Pa | Internal Medicine | 3911 Castlevale Rd, Suite 305, Yakima, WA 98902-7807 | 2006-09-01 |
| 1891708574 | Idolina Maltos | Family Medicine | 3911 Castlevale Rd, Yakima, WA 98902-7807 | 2006-08-14 |
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| 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 | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417048752 | Donald Michael Pehlke | Dermatology | 1111 W Spruce, Suite 24, Yakima, WA 98902 | 2006-09-28 |
| 1528154713 | Marvin J Scotvold | Dermatology | 602 E Nob Hill Blvd, Yakima, WA 98901-3534 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629694864 | Fishers Landing Internal Medicine | Dermatology | 1405 Se 164th Ave Ste 101, Vancouver, WA 98683-9644 | 2020-06-23 |
| 1417599374 | Dermatology Solutions | Dermatology | 8503 W Clearwater Ave Ste B, Kennewick, WA 99336-3100 | 2019-10-11 |
| 1588164925 | Northwest Pediatric Dermatology, Pllc | Dermatology | 703 Lilly Rd Ne Ste 105, Olympia, WA 98506-5191 | 2018-02-12 |
| 1255858247 | Ame Phitwong | Dermatology | 21727 76th Ave W Ste H, Edmonds, WA 98026-7549 | 2017-08-29 |
| 1467879320 | Jayasri Iyer | Dermatology | 9924 Ne 185th St Ste 215, Bothell, WA 98011-3504 | 2014-03-27 |
| 1164869459 | Kaley Myer | Dermatology | 304 W Bay Dr Nw Ste 301, Olympia, WA 98502-4957 | 2013-05-28 |
| 1093158305 | Erica Shantha Tarabadkar | Dermatology | 850 Republican Street, Brotman Room 242, Uw Medical Center At Lake Union, Seattle, WA 98109 | 2013-04-17 |
| 1871835322 | Jason Lee Meeker | Dermatology | 2622 S. Meridian, Puyallup, WA 98373-1500 | 2013-03-22 |
| 1578839494 | Carolina Andrea Simunovic | Dermatology | 1959 Ne Pacific St Rm Bb-1353, Box 356524, Seattle, WA 98195-6524 | 2012-03-25 |
| 1184999260 | April Schachtel | Dermatology | 1660 S Columbian Way Va Puget Sound Health Care System, General Internal Medicine Clinic, Seattle, WA 98108 | 2012-03-21 |
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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.