DR. CARL CECIL YODER (NPI# 1194796672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194796672 |
| Entity Type | Individual |
| Full Name | DR. CARL CECIL YODER |
| Credential | MD |
| Practice Address |
9040 Reid St Joint Base Lewis Mcchord WA 98431-1100 |
| Mailing Address |
5116 84th Ave W University Place WA 98467-1826 |
| Practice Telephone | 2539680502 |
| Mailing Telephone | 2535656832 |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2012-08-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
15540 | OK | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710163241 | Carl J Yoder | Community Health Worker | 423 E Jefferson St, Goshen, IN 46528-3454 | 2008-01-15 |
| Street Address |
9040 REID ST |
| City | JOINT BASE LEWIS MCCHORD |
| State | WA |
| Zip Code | 98431-1100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295187342 | Donald Vallier | Nurse Anesthetist, Certified Registered | 9040 Reid St, Joint Base Lewis Mcchord, WA 98431-1100 | 2016-07-12 |
| 1467808477 | Erica Lewis | Dietitian, Registered | 9040 Reid St, Joint Base Lewis Mcchord, WA 98431-1100 | 2016-05-09 |
| 1669835526 | Patricia Barre | Nurse's Aide | 9040 Reid St, Attn: Mchj-clq-c, Joint Base Lewis Mcchord, WA 98431-1000 | 2016-03-29 |
| 1497129019 | Nancy Vander Linden | Dietitian, Registered | 9040 Reid St, Joint Base Lewis Mcchord, WA 98431-1100 | 2015-11-19 |
| 1902279631 | Alicia Pabilona | Dietitian, Registered | 9040 Reid St, Attn: Mchj-clq-c, Joint Base Lewis Mcchord, WA 98431-1100 | 2015-11-03 |
| 1720455348 | Nicole Glojek | Registered Nurse | 9040 Reid St, Joint Base Lewis Mcchord, WA 98431-1100 | 2015-08-31 |
| 1578930749 | Madigan Army Medical Center | Clinic/Center | 9040 Reid St, Joint Base Lewis Mcchord, WA 98431-1100 | 2015-08-24 |
| 1144696865 | Stacie Ketcham | Licensed Practical Nurse | 9040 Reid St, Attn:mchj-clq-c, Joint Base Lewis Mcchord, WA 98431-1100 | 2015-08-17 |
| 1457737314 | Cathy Crawford | Licensed Practical Nurse | 9040 Reid St, Joint Base Lewis Mcchord, WA 98431-1100 | 2015-08-03 |
| 1821473257 | Rowena V Marcelo | Registered Nurse | 9040 Reid St, Joint Base Lewis Mcchord, WA 98431-1100 | 2015-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497212260 | Catrina Renee Grugin | Registered Nurse | Madigan Army Medical Center, Attn Mchj-clq-c, 9040 Jackson Ave, Tacoma, WA 98431 | 2019-02-27 |
| 1801307681 | Bianca Gomez | Dental Assistant | Bldg 9900 Lincoln Street, Jblm, WA 98431 | 2017-10-19 |
| 1184133225 | Darren Paris | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave., Attn: Mchj-clq-c, Tacoma, WA 98431 | 2017-09-20 |
| 1922538206 | Sarah Frerichs | Dentist | Madigan Annex, Second Floor, Bldg. 9900, Apo, AA 98431 | 2017-06-19 |
| 1740736495 | Misty Hill | Dental Assistant | 9119 Mill Park Ave, Tacoma, WA 98431 | 2016-08-31 |
| 1336695535 | Jacqueline D Massouda | Dentist | Jblm Dentac, 9900 Lincoln Sreet, 2nd Floor, Apo, AA 98431 | 2016-08-28 |
| 1609239375 | Gregg V Palmer | Licensed Practical Nurse | 17th and C Street, Bldg 11582, Tacoma, WA 98431 | 2016-03-31 |
| 1114323904 | Deanna Sheets | Nurse Practitioner | 911 Mil Park Ave, Tacoma, WA 98431 | 2014-11-06 |
| 1679905434 | Austin William Schaar | Dentist | Building 9900, 2nd Floor, Tacoma, WA 98431 | 2013-08-05 |
| 1518209758 | Maurice Ibrahim Khayat | Internal Medicine | 9040 Jackson Ave Mche-qd (creds), Tacoma, WA 98431 | 2013-03-26 |
| Find all providers in zip 98431 | ||||
| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174934608 | Timothy Richard Gall | Psychiatry & Neurology | 9040 Jackson Ave Neurology, Tacoma, WA 98431-0001 | 2014-05-19 |
| 1346516168 | Juliane Gust | Psychiatry & Neurology | 4800 Sand Point Way Ne # 7.420, Seattle, WA 98105-3901 | 2012-03-27 |
| 1700192044 | Ilene Sue Ruhoy | Psychiatry & Neurology | 2900 Ne Blakeley St, Suite C, Seattle, WA 98105-3100 | 2010-08-24 |
| 1538362744 | Stephen Tolman Glass | Psychiatry & Neurology | 19515 North Creek Parkway, Suite 308, Bothell, WA 98011 | 2007-06-06 |
| 1124102843 | Brien W. Vlcek | Psychiatry & Neurology | 801 Broadway Ste 711, Seattle, WA 98122-4328 | 2006-10-25 |
| 1346353042 | Daniel W. Stowens | Psychiatry & Neurology | 750 Swift Blvd Ste 15, Richland, WA 99352-3521 | 2006-08-16 |
| 1962453472 | Catherine M Amlie Lefond | Psychiatry & Neurology | Seattle Children's Hospital, 4800 Sand Point Way Ne, Seattle, WA 98105 | 2006-05-12 |
| 1336568484 | Michael Edward Haws | Psychiatry & Neurology | 101 W 8th Ave Ste 4200, Spokane, WA 99204 | 2014-04-15 |
| 1487072765 | Alicia Fernanda Henriquez | Psychiatry & Neurology | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2014-04-02 |
| 1205270618 | Carey Lockhart | Psychiatry & Neurology | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2013-04-29 |
| Find all providers with the same taxonomy | ||||
| City | JOINT BASE LEWIS MCCHORD |
| Zip Code | 98431 |
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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.