DR. PORNCHAI LEELASINJAROEN (NPI# 1336403062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336403062 |
| Entity Type | Individual |
| Full Name | DR. PORNCHAI LEELASINJAROEN |
| Credential | M.D. |
| Practice Address |
3909 Creekside Loop Ste 120 Yakima WA 98902 |
| Mailing Address |
3800 Summitview Ave Yakima WA 98902-2715 |
| Practice Telephone | 5092486616 |
| Practice Fax Number | 5092252708 |
| Mailing Telephone | 5092487849 |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2020-07-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 4301100064 | MI | Allopathic & Osteopathic Physicians |
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
MD60246817 | WA | Allopathic & Osteopathic Physicians |
| Street Address |
3909 CREEKSIDE LOOP STE 120 |
| City | YAKIMA |
| State | WA |
| Zip Code | 98902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275765810 | Christopher Bryan Danaque Tan | Internal Medicine | 3909 Creekside Loop Ste 120, Yakima, WA 98902-4880 | 2009-08-16 |
| 1104118553 | Tejas Kirtane | Internal Medicine | 3909 Creekside Loop Ste 120, Yakima, WA 98902 | 2011-05-04 |
| 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 | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1275765810 | Christopher Bryan Danaque Tan | Internal Medicine | 3909 Creekside Loop Ste 120, Yakima, WA 98902-4880 | 2009-08-16 |
| 1386682185 | Kevin W. Olden | Internal Medicine | 1005 W Walnut St, Suite 205, Yakima, WA 98902-3360 | 2006-06-03 |
| 1104118553 | Tejas Kirtane | Internal Medicine | 3909 Creekside Loop Ste 120, Yakima, WA 98902 | 2011-05-04 |
| 1740310283 | Gilbert K Ong | Internal Medicine | 3909 Creekside Loop, Suite 130, Yakima, WA 98902-4880 | 2007-03-06 |
| 1922012442 | Thomas J Attaway | Internal Medicine | 3909 Creekside Loop, Suite 130, Yakima, WA 98902-4880 | 2006-07-28 |
| 1780608679 | Timothy E Brown | Internal Medicine | 3909 Creekside Loop, Suite 130, Yakima, WA 98902-4880 | 2006-07-26 |
| 1013931914 | Robert M Williams | Internal Medicine | 3909 Creekside Loop, Suite 130, Yakima, WA 98902-4880 | 2006-07-26 |
| 1013939099 | Yakima Gastroenterology Associates, PC | Internal Medicine | 3909 Creekside Loop, Suite 130, Yakima, WA 98902-4880 | 2006-07-25 |
| 1215959143 | Amarnath V Ramakrishnan | Internal Medicine | 3909 Creekside Loop, Suite 130, Yakima, WA 98902-4880 | 2006-07-23 |
| 1821010760 | Gonzalo Pandolfi | Internal Medicine | 3909 Creekside Loop, Suite 130, Yakima, WA 98902-4880 | 2006-07-23 |
| Find all providers in YAKIMA | ||||
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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.