DEBRA M GOULD (NPI# 1740289883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740289883 |
| Entity Type | Individual |
| Full Name | DEBRA M GOULD |
| Credential | M.D. |
| Practice Address |
504 N 40th Ave Yakima WA 98908-4311 |
| Mailing Address |
3800 Summitview Ave Yakima WA 98902-2715 |
| Practice Telephone | 5099669480 |
| Practice Fax Number | 5092252702 |
| Mailing Telephone | 5092487849 |
| Mailing Fax Number | 5092488291 |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2019-04-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD00027853 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | RAILROAD MEDICARE | P00059088 | 01 |
| WA | 8140154 | 05 | |
| WA | LABOR & INDUSTRIES | 0107394 | 01 |
| WA | CRIME VICTIM | 8939873 | 01 |
| Street Address |
504 N 40TH AVE |
| City | YAKIMA |
| State | WA |
| Zip Code | 98908-4311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245687862 | Irene Varghese | Family Medicine | 504 N 40th Ave, Yakima, WA 98908-4311 | 2016-05-24 |
| 1487023776 | Vivian Orthmann | Nurse Practitioner | 504 N 40th Ave, Yakima, WA 98908-4311 | 2015-09-17 |
| 1821485020 | Kial Lynne Wiley | Family Medicine | 504 N 40th Ave, Yakima, WA 98908 | 2015-04-25 |
| 1134441231 | Memorial Physicians, P.l.l.c. | Clinic/Center | 504 N 40th Ave, Yakima, WA 98908-4311 | 2010-02-17 |
| 1730321522 | Memorial Practice Management, LLC | Clinic/Center | 504 N 40th Ave, Yakima, WA 98908-4311 | 2009-03-25 |
| 1265604094 | Medical Associates of Yakima, LLC | Clinic/Center | 504 N 40th Ave, Yakima, WA 98908-4311 | 2008-04-01 |
| 1811177314 | Yakima Valley Professional Services, PC | Clinical Medical Laboratory | 504 N 40th Ave, Yakima, WA 98908-4311 | 2007-11-13 |
| 1275713778 | Memorial Physicians, Pllc | Clinical Medical Laboratory | 504 N 40th Ave, Yakima, WA 98908-4311 | 2007-11-13 |
| 1568513422 | Theresa Hicks Inc Ps | Counselor | 504 N 40th Ave, Yakima, WA 98908-4311 | 2007-01-16 |
| 1083638001 | Jeffrey S Kaplan | Family Medicine | 504 N 40th Ave, Yakima, WA 98908-4311 | 2006-07-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447857941 | Hillary Leigh Frank | Massage Therapist | 607 S 48th Ave Suite A, Yakima, WA 98908 | 2020-10-07 |
| 1255976056 | Olusegun Adesesan Bamgbelu | Pharmacist | Memorial Cornerstone Pharmacy, 4003 Creekside Loop, Yakima, WA 98908 | 2019-11-15 |
| 1699325811 | Sunrise Dental of Yakima | Dentist | 1020 South 40th Avenue, Suite G, Yakima, WA 98908 | 2019-09-19 |
| 1558896175 | Alyssa Noelle Wickenhagen | Specialist/Technologist | 106 N 91st Ave, Yakima, WA 98908 | 2017-04-21 |
| 1962861591 | Vanessa Roth | Massage Therapist | 10607 Wide Hollow Road, Yakima, WA 98908 | 2016-02-10 |
| 1407214000 | Kristine Mcclure | Counselor | 506 N 40th Ave Ste 201, Yakima, WA 98908 | 2016-02-10 |
| 1245635069 | Harry Williams | Pharmacist | 6600 West Nob Hill Blvd, Yakima, WA 98908 | 2014-10-23 |
| 1508107509 | Richard Paul Bustetter | Registered Nurse | 6513 West Chestnut Ave, Elite Nursing P.l.l.c., Yakima, WA 98908 | 2013-03-15 |
| 1528305331 | Beverly Irene Chandler | Licensed Practical Nurse | 6573 W. Chestnut Ave, Yakima, WA 98908 | 2013-01-14 |
| 1225373764 | Susan Schell | Licensed Practical Nurse | 6513 W.chestnut Ave, Elite Nursing, Yakima, WA 98908 | 2012-12-11 |
| Find all providers in zip 98908 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144755919 | Tiffany Mark | Family Medicine | 311 S 72nd Ave Ste 100, Yakima, WA 98908-1661 | 2017-04-28 |
| 1669732954 | Memorial Physicians, Pllc | Family Medicine | 101 N 65th Ave, Harman Center At Gailleon Park, Yakima, WA 98908-3014 | 2012-05-21 |
| 1396010815 | George S Garfein Md Inc Ps | Family Medicine | 1021 S 40th Ave, Suite 4, Yakima, WA 98908-3858 | 2012-03-16 |
| 1508140021 | Memorial Physicians, Pllc | Family Medicine | 2506 W Nob Hill Blvd, Yakima, WA 98902-5104 | 2011-10-03 |
| 1609059823 | Northwest Medical Clinic | Family Medicine | 215 S 11th Ave Ste D, Yakima, WA 98902-3253 | 2007-12-11 |
| 1629195508 | Deepika S Goshike | Family Medicine | 602 E. Nob Hill Blvd, Yakima, WA 98901-3534 | 2007-03-23 |
| 1770633299 | Mary Pellicer | Family Medicine | 214 S 47th Ave, Yakima, WA 98908-3234 | 2007-01-10 |
| 1487735569 | Jonathan R. Hibbs | Family Medicine | 717 Fruitvale Blvd., Yakima Va Clinic, Yakima, WA 98902 | 2006-10-17 |
| 1003929423 | Stephen G Litchfield | Family Medicine | 210 S 11th Ave, Suite 44, Yakima, WA 98902-3293 | 2006-08-17 |
| 1144233826 | Geoff Hodge | Family Medicine | 1117 Tieton Dr, Yakima, WA 98902-3835 | 2006-08-14 |
| Find all providers in YAKIMA | ||||
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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.