TRI-CITY NEUROLOGY, INC. (NPI# 1457531303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457531303 |
| Entity Type | Organization |
| Organization Name | TRI-CITY NEUROLOGY, INC. |
| Practice Address |
216 W 10th Ave Suite 304 Kennewick WA 99336-6300 |
| Practice Telephone | 5095865700 |
| Practice Fax Number | 5095865700 |
| Mailing Telephone | 5095865700 |
| Mailing Fax Number | 5095865700 |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2012-06-12 |
| Authorized Official Name | MRS. LINDA M BRITAIN (PRACTICE MANAGER) |
| Authorized Official Telephone | 5095855972 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
MD00033734 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1116714 | 05 | |
| WA | L&I STATE | 160721 | 01 |
| WA | FEDERAL L&I | 349208400 | 01 |
| WA | RR MEDICARE | 130024998 | 01 |
| WA | L&I CRIME VICTIMS | 8936953 | 01 |
| Street Address |
216 W 10TH AVE SUITE 304 |
| City | KENNEWICK |
| State | WA |
| Zip Code | 99336-6300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902891104 | Paulo J Cancado | Psychiatry & Neurology | 216 W 10th Ave, Suite 304, Kennewick, WA 99336-6300 | 2005-09-13 |
| 1083190649 | Wyatt James Boles | Student in an Organized Health Care Education/Training Program | 216 W 10th Ave, Kennewick, WA 99336-6300 | 2018-07-17 |
| 1881904308 | Cardiology Associates of Tri-cities LLC | Internal Medicine | 216 W 10th Ave, Suite 302, Kennewick, WA 99336-5751 | 2010-10-18 |
| 1114023587 | Steven J Kincaid | Surgery | 216 W 10th Ave, Ste 206, Kennewick, WA 99336-6300 | 2006-09-15 |
| 1467495580 | Linda Marie Monroe | Specialist/Technologist | 216 W 10th Ave, Ste 101, Kennewick, WA 99336-6300 | 2006-06-14 |
| 1376582148 | Joan Marie Gilmore | Specialist/Technologist | 216 W 10th Ave, Ste.101, Kennewick, WA 99336-6300 | 2006-06-06 |
| 1790738235 | James Michael Scully | Surgery | 216 W 10th Ave, Suite 202, Kennewick, WA 99336-6300 | 2006-05-18 |
| 1669425120 | Qayyum Nazar | Internal Medicine | 216 W 10th Ave, Suite 304, Kennewick, WA 99336-6300 | 2006-05-18 |
| 1801849377 | Yasmin A Chaudhry | Family Medicine | 216 W 10th Ave, Suite 304, Kennewick, WA 99336-6300 | 2006-05-18 |
| 1477506145 | Toomas Eisler | Psychiatry & Neurology | 216 W 10th Ave, Suite 203, Kennewick, WA 99336-6300 | 2006-05-17 |
| Find all providers in the same location | ||||
| 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 | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912942053 | Clarence Daniel Washington | Psychiatry & Neurology | 3730 Plaza Wa, Floor 4, Kennewick, WA 99338 | 2006-06-20 |
| 1902891104 | Paulo J Cancado | Psychiatry & Neurology | 216 W 10th Ave, Suite 304, Kennewick, WA 99336-6300 | 2005-09-13 |
| 1477506145 | Toomas Eisler | Psychiatry & Neurology | 216 W 10th Ave, Suite 203, Kennewick, WA 99336-6300 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720608235 | Alexander John Arnold | Psychiatry & Neurology | 1959 Ne Pacific St, Rr650, Seattle, WA 98195 | 2020-04-24 |
| 1760024632 | Ethan Budd Russo | Psychiatry & Neurology | 20402 81st Avenue Sw, Vashon, WA 98070-6253 | 2019-10-12 |
| 1730683053 | Selkirk Neurology Pllc | Psychiatry & Neurology | 610 S Sherman St Ste 201, Spokane, WA 99202-1342 | 2018-03-21 |
| 1881116341 | William Russell Schmidt | Psychiatry & Neurology | 12207 243rd Pl Ne, Redmond, WA 98053-5685 | 2017-07-16 |
| 1568872281 | Marie-sarah Gagne Brosseau | Psychiatry & Neurology | 1536 N 115th Street, Suite 130, Seattle, WA 98133 | 2014-05-02 |
| 1972920049 | Anusha Mannava | Psychiatry & Neurology | 1100 Goethals Dr Ste D, Richland, WA 99352 | 2014-03-26 |
| 1275954646 | George Delyanis | Psychiatry & Neurology | 1220 Ventura Dr, Tacoma, WA 98465-1240 | 2014-01-02 |
| 1326381500 | Jill Kaspar Baird | Psychiatry & Neurology | 2121 Ne 139th St Ste 205, Vancouver, WA 98686-2316 | 2013-04-05 |
| 1124361993 | Malveeka Sharma | Psychiatry & Neurology | 325 9th Ave Rm 3ct70, Seattle, WA 98104 | 2013-03-31 |
| 1124367776 | Tilahun Haile Abraha | Psychiatry & Neurology | 317 Nine Bark St Nw, Olympia, WA 98502-8709 | 2013-02-01 |
| 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.