CLINIC FOR EAR NOSE THROAT HEAD & NECK MEDICINE & SURGERY P S (NPI# 1588854178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588854178 |
| Entity Type | Organization |
| Organization Name | CLINIC FOR EAR NOSE THROAT HEAD & NECK MEDICINE & SURGERY P S |
| Other Organization Name | OTOLARYNGOLOGY CLINIC |
| Practice Address |
307 S 12th Ave Suite 12 Yakima WA 98902-3100 |
| Practice Telephone | 5095757500 |
| Practice Fax Number | 5095750333 |
| Mailing Telephone | 5095757500 |
| Mailing Fax Number | 5095750333 |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2007-11-08 |
| Authorized Official Name | DR. JAMES I ABBENHAUS (PRESIDENT) |
| Authorized Official Telephone | 5095757500 |
| Authorized Official Credential | M.D, |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Otolaryngology Clinic | Doing Business As Name - Organization |
| Street Address |
307 S 12TH AVE SUITE 12 |
| City | YAKIMA |
| State | WA |
| Zip Code | 98902-3100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922020981 | Voderbet C Kamath | Neurological Surgery | 307 S 12th Ave, Ste 19, Yakima, WA 98902-3148 | 2006-07-25 |
| 1629437843 | Bowen Arrow Bodyworks, LLC | Specialist | 307 S 12th Ave, Suite 20, Yakima, WA 98902-3100 | 2016-02-16 |
| 1790172963 | Washington Neurology, Inc | Psychiatry & Neurology | 307 S 12th Ave, Suite #17, Yakima, WA 98902-3100 | 2015-04-24 |
| 1962743401 | Shirley A Strader | Massage Therapist | 307 S 12th Ave, Suite #20, Yakima, WA 98902-3100 | 2013-03-07 |
| 1194002899 | Beatrice E Soderstrom | Massage Therapist | 307 S 12th Ave, Suite 11, Yakima, WA 98902-3100 | 2011-11-08 |
| 1548416258 | Yakima Otolaryngology & Facial Plastic Surgery, Pllc | Otolaryngology | 307 S 12th Ave, Suite 12, Yakima, WA 98902-3100 | 2008-08-13 |
| 1710166905 | Central Washington Podiatry Service Pllc | Durable Medical Equipment & Medical Supplies | 307 S 12th Ave, Suite #9, Yakima, WA 98902-3100 | 2007-10-24 |
| 1356520548 | Central Washington Podiatry Service Pllc | Clinic/Center | 307 S 12th Ave, Suite #9, Yakima, WA 98902-3100 | 2007-10-24 |
| 1619165438 | Central Washington Podiatry Service Pllc | Podiatrist | 307 S 12th Ave, Suite #9, Yakima, WA 98902-3100 | 2007-10-05 |
| 1902006869 | Total Care, Inc. | Home Health | 307 S 12th Ave, Suite 18, Yakima, WA 98902-3100 | 2007-07-19 |
| Find all providers in the same location | ||||
| 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 | 207YX0007X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Plastic Surgery within the Head & Neck |
| An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy is currently provided in the subspecialty of Otolaryngology/Facial Plastic Surgery (see Taxonomy Code 207YX0905X) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205226099 | Facialbeauty.com, Pllc | Otolaryngology | 11040 Main St, Suite 102, Bellevue, WA 98004-6363 | 2015-01-31 |
| 1295371060 | Cloud 9 Surgery Center | Otolaryngology | 1231 116th Ave Ne Ste 900, Bellevue, WA 98004-3822 | 2019-11-26 |
| 1750802328 | Brittany Regan Barber | Otolaryngology | 1959 Ne Pacific St, Seattle, WA 98195 | 2017-07-04 |
| 1598103970 | Jeffrey Cabral Teixeira | Otolaryngology | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2013-06-07 |
| 1831351360 | Jeffrey John Houlton | Otolaryngology | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2008-06-26 |
| 1316020159 | Neal David Futran | Otolaryngology | 1959 Ne Pacific St, Box 356515, Seattle, WA 98195-6515 | 2006-10-23 |
| 1184716144 | Robert Verne Wiggins | Otolaryngology | 825 Se Bishop Blvd, Suite 130, Pullman, WA 99163-5517 | 2006-09-28 |
| 1134139595 | Marc William Herr | Otolaryngology | 9040 Jackson Ave, Tacoma, WA 98431-4501 | 2006-08-09 |
| 1316972292 | David Edward Vokes | Otolaryngology | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2006-07-11 |
| 1346289865 | Michael J. Wolfe | Otolaryngology | 1101 Madison St, Suite 301, Seattle, WA 98104-1306 | 2006-06-06 |
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Please comment or provide details below to improve the information on CLINIC FOR EAR NOSE THROAT HEAD & NECK MEDICINE & SURGERY P S.
| 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.