KELLY A TIMMONS (NPI# 1417943630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417943630 |
Entity Type | Individual |
Full Name | KELLY A TIMMONS |
Credential | M.D. PHD |
Practice Address |
1470 N 16th Ave Suite D Yakima WA 98902-1381 |
Mailing Address |
3800 Summitview Ave Yakima WA 98902-2715 |
Practice Telephone | 5095746000 |
Practice Fax Number | 5092252714 |
Mailing Telephone | 5095746000 |
Mailing Fax Number | 5092252714 |
Enumeration Date | 2005-09-22 |
Last Update Date | 2015-08-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
M10053 | ID | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ID | 807841500 | 05 | |
GA | 00715305B | 05 |
Street Address |
1470 N 16TH AVE SUITE D |
City | YAKIMA |
State | WA |
Zip Code | 98902-1381 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215380415 | Holly Ann Sprunger | Physical Therapist | 1470 N 16th Ave, Yakima, WA 98902-1381 | 2016-07-22 |
1275988206 | Yakima Valley Memorial Hospital | Clinic/Center | 1470 N 16th Ave, Yakima, WA 98902-1381 | 2016-04-27 |
1770954562 | Corie Koreski | Physical Therapy Assistant | 1470 N 16th Ave, Yakima, WA 98902-1381 | 2015-10-19 |
1598186231 | Ryan Sprunger | Physical Therapist | 1470 N 16th Ave, Yakima, WA 98902-1381 | 2013-12-24 |
1699114843 | De-ann R Williams | Internal Medicine | 1470 N 16th Ave, Yakima, WA 98902 | 2013-06-20 |
1396081923 | Joel E Buffum | Specialist/Technologist | 1470 N 16th Ave, Yakima, WA 98902-1381 | 2013-01-01 |
1538429386 | Memorial Physicians, Pllc | Family Medicine | 1470 N 16th Ave, Yakima, WA 98902-1381 | 2012-05-25 |
1982994356 | Memorial Physicians, Pllc | Clinic/Center | 1470 N 16th Ave, Suite D, Yakima, WA 98902-1381 | 2011-04-19 |
1164744264 | Memorial Physicians, P.l.l.c. | Neurological Surgery | 1470 N 16th Ave, Yakima, WA 98902-1381 | 2010-02-17 |
1487815213 | Jeffrey M Ventre | Physical Medicine & Rehabilitation | 1470 N 16th Ave, Yakima, WA 98902-1381 | 2008-06-24 |
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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 | 207RR0500X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Rheumatology |
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
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 |
---|---|---|---|---|
1790964294 | Rheumatology Northwest, Pllc | Internal Medicine | 3902 Creekside Loop, Suite 120, Yakima, WA 98902-4876 | 2007-10-31 |
1346226339 | Stephen R Shaul | Internal Medicine | 1470 N 16th Ave, Suite D, Yakima, WA 98902-1381 | 2005-12-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437410354 | Jeonghun Moon | Internal Medicine | 4033 Talbot Rd S Ste 440, Renton, WA 98055-5767 | 2012-06-06 |
1356571087 | Christopher C. Wright | Internal Medicine | 105 W 8th Ave Ste 6080, Spokane, WA 99204-2313 | 2009-07-15 |
1508094707 | Daniel Jaeung Kim | Internal Medicine | 11311 Bridgeport Way Sw Ste 100, Lakewood, WA 98499-3096 | 2009-06-25 |
1962623959 | Wayne J Wallis | Internal Medicine | 2339 Federal Ave E, Seattle, WA 98102-4031 | 2007-05-01 |
1639399546 | Robert Lee Johnson | Internal Medicine | 1735 W Sunn Fjord Ln, Apartment I-107, Bremerton, WA 98312-5327 | 2007-04-26 |
1093933491 | Western Washington Medical Group, Inc Ps | Internal Medicine | 1330 Rockefeller Ave Ste 330, Everett, WA 98201 | 2007-04-23 |
1750433546 | Lisa Vasanth | Internal Medicine | 700 Ne 87th Ave # 330, Vancouver, WA 98664-1913 | 2007-01-18 |
1225196215 | John Flint Dickson | Internal Medicine | 714 Bellevue Ave East, #401, Seatlle, WA 98102-5990 | 2006-12-04 |
1659445260 | Janice Gupta | Internal Medicine | 515 Minor Avneue, Seattle, WA 98104 | 2006-11-17 |
1336218171 | Philip J Mease | Internal Medicine | 1101 Madison St Ste 1000, Seattle, WA 98104-3556 | 2006-11-07 |
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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.