WASHINGTON NEUROLOGY, INC (NPI# 1790172963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790172963 |
| Entity Type | Organization |
| Organization Name | WASHINGTON NEUROLOGY, INC |
| Practice Address |
307 S 12th Ave Suite #17 Yakima WA 98902-3100 |
| Practice Telephone | 5099699393 |
| Enumeration Date | 2015-04-24 |
| Last Update Date | 2015-04-24 |
| Authorized Official Name | SARAH WILKEY (HEALTHCARE CONSULTANT) |
| Authorized Official Telephone | 8588882160 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
MD60295880 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| INDIVIDUAL NPI | 1477692416 | 01 | |
| WA | MEDICAL LICENSE | MD60295880 | 01 |
| Street Address |
307 S 12TH AVE SUITE #17 |
| 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 |
| 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 |
| 1588854178 | Clinic for Ear Nose Throat Head & Neck Medicine & Surgery P S | Otolaryngology | 307 S 12th Ave, Suite 12, Yakima, WA 98902-3100 | 2007-07-30 |
| 1902006869 | Total Care, Inc. | Home Health | 307 S 12th Ave, Suite 18, Yakima, WA 98902-3100 | 2007-07-19 |
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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 |
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| 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 |
|---|---|---|---|---|
| 1396063293 | Richard L Lukose | Psychiatry & Neurology | 1110 N 35th Ave, Yakima, WA 98902-1622 | 2010-05-17 |
| 1548365521 | R Richard Sloop | Psychiatry & Neurology | 307 A 12th Ave, #16, Yakima, WA 98902 | 2006-09-14 |
| 1477692416 | Tony T Lee | Psychiatry & Neurology | 307 S 12th Ave, Suite #17, Yakima, WA 98902-3100 | 2007-02-06 |
| 1235214610 | Seshurao V Kruthiventi | Psychiatry & Neurology | 111 S 11th Ave, Suite 321, Yakima, WA 98902-3242 | 2006-10-26 |
| 1376551796 | Peter C Gilmore | Psychiatry & Neurology | 1110 N. 35th Ave, Yakima, WA 98902 | 2006-08-03 |
| 1730139510 | Yakima Hma Physician Management LLC | Psychiatry & Neurology | 110 S 9th Ave, Yakima, WA 98902-3315 | 2006-05-11 |
| 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 |
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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.