JUDITH A HARGIS (NPI# 1164468062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164468062 |
| Entity Type | Individual |
| Full Name | JUDITH A HARGIS |
| Credential | PA |
| Practice Address |
3911 Castlevale Rd Suite 301 Yakima WA 98902-7807 |
| Mailing Address |
Po Box 4949 Portland OR 97208-4949 |
| Practice Telephone | 5094538231 |
| Practice Fax Number | 5094530130 |
| Mailing Telephone | 5032156446 |
| Mailing Fax Number | 5032156644 |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2007-10-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | PA10001229 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8436271 | 05 |
| Street Address |
3911 CASTLEVALE RD SUITE 301 |
| City | YAKIMA |
| State | WA |
| Zip Code | 98902-7807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1154432904 | Kirk Torgle Ecklund | Dermatology | 3911 Castlevale Rd, Ste 301, Yakima, WA 98902-7807 | 2006-08-31 |
| 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 | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639252224 | Renee Banning Woods | Obstetrics & Gynecology | 4702 Summitview Ave Ste 102, Yakima, WA 98908 | 2006-10-24 |
| 1912016247 | Leslie Carruthers Mclemore | Obstetrics & Gynecology | 3003 Tieton Dr Ste 230, Yakima, WA 98902-3684 | 2006-08-30 |
| 1407879224 | Anita Louise Showalter | Obstetrics & Gynecology | 306 S 12th Ave Ste 1, Yakima, WA 98902-3151 | 2006-07-25 |
| 1558359091 | Roger B Rowles | Obstetrics & Gynecology | 3003 Tieton Dr, Suite 240, Yakima, WA 98902-3679 | 2005-10-10 |
| 1386203727 | Community Birth Group | Obstetrics & Gynecology | 3405 W Nob Hill Blvd Ste B, Yakima, WA 98902-4732 | 2019-06-10 |
| 1699124107 | Ama Thrasher | Obstetrics & Gynecology | 2205 W Lincoln Ave, Yakima, WA 98902-2437 | 2016-06-06 |
| 1538589643 | Sarah Elizabeth Hendrickson | Obstetrics & Gynecology | 2205 W Lincoln Ave, Yakima, WA 98902-2437 | 2014-04-16 |
| 1437592573 | Bonnie Catherine Crouthamel | Obstetrics & Gynecology | 3003 Tieton Dr Ste 230, Yakima, WA 98902-3684 | 2013-04-08 |
| 1326380536 | Elizabeth Song Jacobson | Obstetrics & Gynecology | 2205 W Lincoln Ave, Yakima, WA 98902-2437 | 2013-03-26 |
| 1689931933 | Kyle Andrew Biggs | Obstetrics & Gynecology | 2205 W Lincoln Ave, Yakima, WA 98902-2437 | 2012-04-11 |
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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.