DR. SAMUEL P. YANG (NPI# 1174507073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174507073 |
| Entity Type | Individual |
| Full Name | DR. SAMUEL P. YANG |
| Credential | MD |
| Practice Address |
105 W 8th Ave Suite 454e Spokane WA 99204-2302 |
| Mailing Address |
Po Box 421 Liberty Lake WA 99019-0421 |
| Practice Telephone | 5094743810 |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2016-01-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207SG0201X |
Medical Genetics Specialization: Clinical Genetics (M.D.) |
MD60604622 | WA | Allopathic & Osteopathic Physicians |
| N | 207SG0201X |
Medical Genetics Specialization: Clinical Genetics (M.D.) |
12316 | MT | Allopathic & Osteopathic Physicians |
| N | 207SG0201X |
Medical Genetics Specialization: Clinical Genetics (M.D.) |
A40286 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A402860 | 05 | |
| CA | 00A402862 | 05 | |
| CA | 00A402861 | 05 | |
| CA | MEDICAL LICENSE | A40286 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336777812 | Samuel Yang | Student in an Organized Health Care Education/Training Program | 11234 Anderson St, Loma Linda, CA 92354-2804 | 2020-03-30 |
| 1639722267 | Samuel Hyun Yang | Anesthesiologist Assistant | 5671 Peachtree Dunwoody Rd Ste 610, Atlanta, GA 30342-5013 | 2019-07-23 |
| 1851787410 | Samuel D. Yang | Internal Medicine | 410 W 10th Ave, Columbus, OH 43210-1240 | 2015-04-10 |
| 1316236276 | Samuel J Yang | Anesthesiology | 12040 Ne 128th St # 69, Kirkland, WA 98034-3013 | 2011-03-31 |
| 1336316280 | Samuel Chai Yang | Counselor | 4422 N Pershing Ave Ste D5, Stockton, CA 95207-6967 | 2008-05-09 |
| 1386672905 | Samuel Yang | Emergency Medicine | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2006-06-30 |
| Street Address |
105 W 8TH AVE SUITE 454E |
| City | SPOKANE |
| State | WA |
| Zip Code | 99204-2302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972506814 | Jennifer Kay Pary | Psychiatry & Neurology | 105 W 8th Ave, Suite 318c, Spokane, WA 99204-2302 | 2005-05-24 |
| 1285191346 | Lauren A Earthman | Physician Assistant | 105 W 8th Ave, Spokane, WA 99204-2302 | 2019-02-25 |
| 1285104885 | Jonathan Carmen Panetta | Nurse Practitioner | 105 W 8th Ave, Spokane, WA 99204-2302 | 2018-11-27 |
| 1821516949 | Hayden Ingram | Pharmacist | 105 W 8th Ave, Spokane, WA 99204-2302 | 2017-09-08 |
| 1326573031 | Charlotte Lynch | Advanced Practice Midwife | 105 W 8th Ave, Suite 6020, Spokane, WA 99204-2302 | 2017-05-01 |
| 1336698703 | Jocelyn Diana Christianson | Counselor | 105 W 8th Ave, Suite 332, Spokane, WA 99204-2302 | 2016-09-27 |
| 1972057172 | Ashlee Nicole Bradshaw | Counselor | 105 W 8th Ave, Suite 332, Spokane, WA 99204-2302 | 2016-08-05 |
| 1720439045 | Kristin Martin | Nurse Practitioner | 105 W 8th Ave, Suite 200, Spokane, WA 99204-2302 | 2016-06-28 |
| 1871940809 | Elizabeth Killian | Counselor | 105 W 8th Ave, Ste.332, Spokane, WA 99204-2302 | 2016-05-19 |
| 1962860981 | Mahshid Aghasadeghi | Registered Nurse | 105 W 8th Ave, Suite 6020, Spokane, WA 99204-2302 | 2016-02-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982250957 | Megan Elizabeth Dibenedetto | Pharmacist | 105 West 8th Avenue, 350e, Spokane, WA 99204 | 2019-08-14 |
| 1619521168 | Evelyn R Cabon | Genetic Counselor, MS | 101 W. 8th Avenue Suite 1100, Spokane, WA 99204 | 2019-08-01 |
| 1346700655 | Christina Rose | Student in an Organized Health Care Education/Training Program | 120 W. 8th Avenue, Spokane, WA 99204 | 2019-03-22 |
| 1508339862 | Cody J French | Physical Therapist | Washington Outpatient Rehab, 507 S Washington, Spokane, WA 99204 | 2019-01-09 |
| 1730655598 | Washington Outpatient Rehabilitation, LLC | Physical Therapist | 507 S. Washington St., Suite 10, Spokane, WA 99204 | 2018-10-19 |
| 1013405547 | Joel James Hayden | Student in an Organized Health Care Education/Training Program | Providence Sacred Heart, 101 West 8th Avenue, Spokane, WA 99204 | 2018-04-30 |
| 1144694787 | Brooksjohnsonpllc | Dentist | 1004 S. Monroe Street, Ste 100, Spokane, WA 99204 | 2015-11-19 |
| 1497184196 | Kathalene M Cassels | Physician Assistant | 810 W. 5th Ave. Ste 510, Spokane, WA 99204 | 2013-11-04 |
| 1174880454 | Kelly E Wurzel | Psychiatry & Neurology | 624 E. Front Ave, Spokane, WA 99204 | 2012-04-11 |
| 1003190331 | Katie L Gomez | Nurse Practitioner | 805 W. 5th Ave, Suite 518, Spokane, WA 99204 | 2011-10-05 |
| Find all providers in zip 99204 | ||||
| Taxonomy Code | 207SG0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Medical Genetics |
| Specialization | Clinical Genetics (M.D.) |
| A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Medical Genetics, 2007. http://www.abmg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Medical Genetics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629267067 | Sarah L. Dugan | Medical Genetics | 105 W 8th Ave Ste 454e, Spokane, WA 99204-2318 | 2007-10-22 |
| 1629395397 | Providence Physician Services Co | Medical Genetics | 105 W 8th Ave, 454 E, Spokane, WA 99204-2302 | 2010-04-21 |
| 1104804442 | Judith Martin | Medical Genetics | 105 W 8th Ave, Suite 454e, Spokane, WA 99204-2302 | 2006-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316196124 | Ghayda Mirzaa | Medical Genetics | 1900 9th Ave, Mailstop C9s-10, Seattle, WA 98101-1309 | 2008-09-17 |
| 1164632170 | Mitzi L Murray | Medical Genetics | 3905 Rockridge Pkwy, Anacortes, WA 98221-4515 | 2007-05-22 |
| 1174600183 | Kristine Michelle King | Medical Genetics | 4033 Talbot Rd S Ste 470, Renton, WA 98055-5700 | 2006-11-01 |
| 1871689273 | Nancy Louise Fisher | Medical Genetics | 676 Woodland Sq Loop Se, Ms 42701, Olympia, WA 98504-2701 | 2006-10-04 |
| 1184636227 | Melissa Ann Parisi | Medical Genetics | 4800 Sand Point Way Ne # M2-9, Children's Hospital and Regional Medical Center, Seattle, WA 98105-3901 | 2006-08-13 |
| 1922064088 | Holly Hutchison Ardinger | Medical Genetics | 12404 Kallgren Rd Ne, Bainbridge Island, WA 98110-3328 | 2006-04-25 |
| 1164412813 | Amy Lawson Yuen | Medical Genetics | 311 S L St, Tacoma, WA 98405-3720 | 2005-10-25 |
| 1053806711 | Yakima Valley Memorial Hospital | Medical Genetics | 3801 Kern Road, Yakima, WA 98902 | 2018-06-26 |
| 1275945081 | Jessica Ogawa | Medical Genetics | 311 S L St, Tacoma, WA 98405-3720 | 2014-05-28 |
| 1033539671 | Irene Joan Chang | Medical Genetics | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2014-04-22 |
| Find all providers with the same taxonomy | ||||
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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.