HEART CENTRAL OF WASHINGTON (NPI# 1790382224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790382224 |
| Entity Type | Organization |
| Organization Name | HEART CENTRAL OF WASHINGTON |
| Practice Address |
1006 S 64th Ave Ste 110 Yakima WA 98908-2090 |
| Practice Telephone | 5097281135 |
| Enumeration Date | 2020-10-07 |
| Last Update Date | 2020-11-03 |
| Authorized Official Name | DR. DAVID W KRUEGER (OWNER) |
| Authorized Official Telephone | 5097281135 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | HEART CENTRAL OF WASHINGTON, P.L.L.C. | 316 N 46th Ave, Yakima, WA 98908-2819 |
| Street Address |
1006 S 64TH AVE STE 110 |
| City | YAKIMA |
| State | WA |
| Zip Code | 98908-2090 |
| 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 | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255844163 | Shc Medical Center - Yakima | Internal Medicine | 1005 W Walnut St Ste 120, Yakima, WA 98902-3360 | 2017-11-14 |
| 1164649018 | Oscar V. Bailon | Internal Medicine | 7303 Heathers Way, Yakima, WA 98903-9281 | 2007-04-20 |
| 1184792418 | Dao Gia Pham | Internal Medicine | 406 S 30th Ave Ste 101, Yakima, WA 98902-3713 | 2006-12-04 |
| 1326076118 | Yakima Heart Center, Inc., P.s. | Internal Medicine | 406 S. 30th Ave Suite 201, Yakima, WA 98902 | 2006-06-29 |
| 1790948974 | Jesse Cone | Internal Medicine | 406 S 30th Ave Ste 101, Yakima, WA 98902-3713 | 2008-07-08 |
| 1710149737 | Adarsh Subodh Bhardwaj | Internal Medicine | 406 S 30th Ave, Suite 101, Yakima, WA 98902-3713 | 2008-06-30 |
| 1184823098 | Bharat Keshavaprasad | Internal Medicine | 406 S 30th Ave Ste 101, Yakima, WA 98902-3713 | 2007-07-12 |
| 1629116397 | Adriana Slobodova | Internal Medicine | 111 S 11th Ave, Suite 203, Yakima, WA 98902-3242 | 2007-02-02 |
| 1568515625 | Kevin P Foley | Internal Medicine | 406 S 30th Ave, Suite 201, Yakima, WA 98902-3713 | 2007-01-19 |
| 1477606549 | Anatole S Kim | Internal Medicine | 611 N 39th Ave, Yakima, WA 98902-6348 | 2007-01-19 |
| 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.