WALLA WALLA CARDIOLOGY SPECIALIST CLINIC,P.S. (NPI# 1255452058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255452058 |
| Entity Type | Organization |
| Organization Name | WALLA WALLA CARDIOLOGY SPECIALIST CLINIC,P.S. |
| Practice Address |
1103 S 2nd Ave Suite A Walla Walla WA 99362-4118 |
| Practice Telephone | 5095222882 |
| Practice Fax Number | 5095222809 |
| Mailing Telephone | 5095222882 |
| Mailing Fax Number | 5095222809 |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | BESSIE C. YUSTE (OFFICE MANAGER) |
| Authorized Official Telephone | 5095222882 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
WA | Allopathic & Osteopathic Physicians |
| Street Address |
1103 S 2ND AVE SUITE A |
| City | WALLA WALLA |
| State | WA |
| Zip Code | 99362-4118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164065959 | Kevin Gia-minh Phan | Optometrist | Walla Walla Vamc Bldg 86, Walla Walla, WA 99362 | 2019-10-24 |
| 1659836401 | Arlene Lavonne Whitney | Social Worker | 1361 Dalles Military Road, Walla Walla, WA 99362 | 2019-02-06 |
| 1053880674 | Julie Ann Cooke | Speech-Language Pathologist | Providence St. Mary Medical Center, 401 W. Poplar St., Walla Walla, WA 99362 | 2018-11-14 |
| 1558887133 | Chantey Walker | Massage Therapist | 1840 Pleasant St, Walla Walla, WA 99362 | 2017-08-16 |
| 1447798723 | Carrie S Diede | Speech-Language Pathologist | 410 West Poplar Street, Rehabilitation Services, Walla Walla, WA 99362 | 2017-02-07 |
| 1235584103 | Anchor Point Counseling Pllc | Clinic/Center | 2330 Eastgate St. Ste. 140, Walla Walla, WA 99362 | 2016-04-28 |
| 1548627011 | Washington State Walla Walla Veterans Home | Skilled Nursing Facility | 92 Wainwright Drive, Walla Walla, WA 99362 | 2016-01-28 |
| 1073926200 | Sherry Goff | Registered Nurse | 11120 W Rose St, Family Medical Center, Walla Walla, WA 99362 | 2014-06-05 |
| 1538597935 | Michael Wade Gillespie | Orthopaedic Surgery | 101 Brookside Drive, Walla Walla, WA 99362 | 2013-10-22 |
| 1023357985 | Sandra Kay Bushnell | Speech-Language Pathologist | 1105 Isaacs Ave, Walla Walla, WA 99362 | 2013-02-12 |
| Find all providers in zip 99362 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295792281 | Ronny Y Yu | Internal Medicine | 1103a S 2nd Ave, Walla Walla, WA 99362-4118 | 2006-04-26 |
| 1629382122 | Providence Health & Services - Washington | Internal Medicine | 401 W Poplar St, Cardiology Suite, Walla Walla, WA 99362-2846 | 2010-07-27 |
| 1912210709 | Providence Health & Services | Internal Medicine | 55 W Tietan St, Walla Walla, WA 99362-4445 | 2010-07-21 |
| 1770539991 | S Steven Maxood | Internal Medicine | 401 W Poplar St, Walla Walla, WA 99362-2846 | 2006-05-26 |
| 1497700975 | Suwong Wongsuwan | Internal Medicine | 401 W Poplar St, St Mary Medical Center, Cardiology Suite, Walla Walla, WA 99362-2846 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255844163 | Shc Medical Center - Yakima | Internal Medicine | 1005 W Walnut St Ste 120, Yakima, WA 98902-3360 | 2017-11-14 |
| 1295113108 | Sophia Larson | Internal Medicine | 1959 Ne Pacific St Ste Bb-552, Seattle, WA 98195 | 2015-05-12 |
| 1780002485 | Kavisha Singh | Internal Medicine | 62 W 7th Ave Ste 450, Spokane, WA 99204-2321 | 2014-04-01 |
| 1740522127 | Takor Besong Arrey-mbi | Internal Medicine | Madigan Army Medicalcenter 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2013-03-22 |
| 1023357845 | Samuel Everett George | Internal Medicine | 19005 Se 34th St Bldg 3, Vancouver, WA 98683 | 2013-02-14 |
| 1386997740 | Fredric Tobis | Internal Medicine | 7411 Se 36th St, Mercer Island, WA 98040-3412 | 2012-10-23 |
| 1063716595 | Jeffrey David Feldstein | Internal Medicine | 5415 Ne 52nd St, Vancouver, WA 98661-7838 | 2010-12-23 |
| 1407162571 | Providence Health & Services - Washington | Internal Medicine | 510 E Amende Drive, Odessa, WA 99159-0000 | 2010-08-26 |
| 1881907715 | Providence Health & Services Washington | Internal Medicine | 62 W 7th Ave, Spokane, WA 99204-2321 | 2010-07-20 |
| 1720391659 | Providence Health & Services | Internal Medicine | 629 Jasmine St, Omak, WA 98841 | 2010-07-20 |
| Find all providers with the same taxonomy | ||||
| City | WALLA WALLA |
| Zip Code | 99362 |
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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.