KELLY A TIMMONS


Address: 1470 N 16th Ave, Suite D, Yakima, WA 98902-1381
Phone: 5095746000

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RR0500X Internal Medicine
Specialization: Rheumatology
M10053 ID Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
ID 807841500 05
GA 00715305B 05

Office Location

Street Address 1470 N 16TH AVE
SUITE D
City YAKIMA
State WA
Zip Code 98902-1381

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207RR0500X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Rheumatology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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Competitor

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City YAKIMA
Zip Code 98902

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Dataset Information

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.

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