TRI CITY ORTHOPAEDIC CLINIC, PSC (NPI# 1407226590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407226590 |
| Entity Type | Organization |
| Organization Name | TRI CITY ORTHOPAEDIC CLINIC, PSC |
| Practice Address |
6699 W Rio Grande Ave Kennewick WA 99336-3301 |
| Mailing Address |
6703 W Rio Grande Ave Kennewick WA 99336-2623 |
| Practice Telephone | 5094605588 |
| Practice Fax Number | 5097835438 |
| Mailing Telephone | 5094605588 |
| Mailing Fax Number | 5097835438 |
| Enumeration Date | 2015-10-01 |
| Last Update Date | 2016-08-11 |
| Authorized Official Name | MARK R MERRELL (PRESIDENT) |
| Authorized Official Telephone | 5094605588 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 601824458 | WA | Allopathic & Osteopathic Physicians |
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
601824458 | WA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 7085939 | 05 | |
| WA | RR MEDICARE | CG4772 | 01 |
| WA | L&I | 116832 | 01 |
| Street Address |
6699 W RIO GRANDE AVE |
| City | KENNEWICK |
| State | WA |
| Zip Code | 99336-3301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396838108 | Kraig C Sorensen | Physical Therapist | 6699 W Rio Grande Ave, Kennewick, WA 99336-3301 | 2006-10-02 |
| 1154842136 | Jacob E Nelson | Physical Therapist | 6699 W Rio Grande Ave, Kennewick, WA 99336-3301 | 2017-06-29 |
| 1881137495 | Juanita Hambright | Occupational Therapist | 6699 W Rio Grande Ave, Kennewick, WA 99336-3301 | 2016-11-30 |
| 1083955850 | Haley K Van Ens | Occupational Therapist | 6699 W Rio Grande Ave, Kennewick, WA 99336-3301 | 2013-03-04 |
| 1952469686 | Paul Lindsay Pettyjohn | Occupational Therapist | 6699 W Rio Grande Ave, Kennewick, WA 99336-3301 | 2006-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497393888 | Kelsie D Parvinen | Massage Therapist | 8350 W. Grandridge Blvd, Suite 100, Kennewick, WA 99336 | 2019-12-16 |
| 1508403858 | New U Women's Clinic & Aesthetics Pllc | Nurse Practitioner | 35 S Louisiana St, Suite A120, Kennewick, WA 99336 | 2019-12-05 |
| 1457901944 | Solar Mobility LLC | Durable Medical Equipment & Medical Supplies | 949 S Keller St, Kennewick, WA 99336 | 2019-09-17 |
| 1023662590 | Shane Arthur Gulley | Counselor | 500 N. Morain St Suite 1250, Kennewick, WA 99336 | 2019-08-01 |
| 1063973873 | Farah Saleem | Student in an Organized Health Care Education/Training Program | 212 W. 10th Avenue,suite 202, Kennewick, WA 99336 | 2019-03-26 |
| 1255897690 | Thomas Stanley Mcgowan | Student in an Organized Health Care Education/Training Program | Tri-cities Cancer Center, 7350 W. Deschutes Ave, Building A, Kennewick, WA 99336 | 2019-02-11 |
| 1770068280 | Remedy Urgent Mobile Medicine Pllc | Nurse Practitioner | 3311 West Clearwater Avenue, Suite D210, Kennewick, WA 99336 | 2018-10-01 |
| 1740767011 | Zachary Wilber Fournier | Specialist/Technologist | Toyota Center - 7000 West Grandridge Blvd, Kennewick, WA 99336 | 2018-07-19 |
| 1649780693 | Alan Arnold Hanson | Chiropractor | 8350 W. Grandridge Blvd #100, Kennewick, WA 99336 | 2017-10-04 |
| 1922528827 | Sarah Nicole Childress | Counselor | 415 North Morain St, Kennewick, WA 99336 | 2017-06-21 |
| Find all providers in zip 99336 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780281840 | Cascade Hand & Orthopedic Rehab, Inc. | Clinic/Center | 1301 4th Avenue Nw, Suite 200, Issaquah, WA 98027 | 2020-10-01 |
| 1316563299 | Team Vocational Services | Clinic/Center | 5608 17th Ave Nw Ste 596, Seattle, WA 98107-5232 | 2020-06-17 |
| 1871149534 | Body Talk, Inc | Clinic/Center | 1420 S Meridian Ste A, Puyallup, WA 98371-6914 | 2019-08-17 |
| 1982123394 | Sunnyside Community Hospital Association | Clinic/Center | 111 S 11th Ave Ste 321, Yakima, WA 98902-3273 | 2017-09-18 |
| 1255871299 | Power Up Therapy, LLC | Clinic/Center | 280 Nw Holly St, Suite 10, Issaquah, WA 98027-2815 | 2017-02-23 |
| 1053863035 | Kids In Motion Therapy Clinic | Clinic/Center | 4152 Meridian St Ste 105, Pmb 17, Bellingham, WA 98226-5589 | 2016-10-26 |
| 1043769441 | Corrie L Adams | Clinic/Center | 1831 8th Ave Apt 602, Seattle, WA 98101-4411 | 2016-09-26 |
| 1275871618 | Pushing Boundaries | Clinic/Center | 4162 148th Ave Ne, Redmond, WA 98052-5164 | 2013-01-18 |
| 1366790560 | Bothell Pediatric and Hand Therapy | Clinic/Center | 18606 Bothell Way Ne, Bothell, WA 98011-1929 | 2012-08-17 |
| 1881827392 | Brainstorm Rehabilitation, LLC | Clinic/Center | 109 E 3rd Ave Ste 1, Ellensburg, WA 98926-3357 | 2009-08-31 |
| 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.