YAKIMA VALLEY DERMATOLOGY INC PS (NPI# 1831387489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831387489 |
| Entity Type | Organization |
| Organization Name | YAKIMA VALLEY DERMATOLOGY INC PS |
| Practice Address |
3911 Castlevale Rd Ste 301 Yakima WA 98902-7807 |
| Practice Telephone | 5099667899 |
| Practice Fax Number | 5099651714 |
| Mailing Telephone | 5099667899 |
| Mailing Fax Number | 5099651714 |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2019-05-02 |
| Authorized Official Name | CAROLE VIOLETTE (CLINIC MANAGER) |
| Authorized Official Telephone | 5099651714 |
| Authorized Official Credential | BSB/ACC, CPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710173703 | Yakima Valley Dermatology Inc Ps | Physician Assistant | 506 N 40th Ave # 201, Yakima, WA 98908 | 2007-09-24 |
| Street Address |
3911 CASTLEVALE RD STE 301 |
| City | YAKIMA |
| State | WA |
| Zip Code | 98902-7807 |
| 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 | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598137820 | M J Doherty Pllc | Dermatology | 1151 Ellis St # 202, Bellingham, WA 98225-5203 | 2015-10-26 |
| 1679975486 | Wesley Wu | Dermatology | 1660 S Columbian Way Bldg 18241b, Seattle, WA 98108-1532 | 2014-09-24 |
| 1235217951 | Jack E. Sebben | Dermatology | 1229 Madison St Ste 1480, Seattle, WA 98104-3538 | 2006-11-01 |
| 1669422994 | Craig Steven Birkby | Dermatology | 1229 Madison Street, Suite 1090, Seattle, WA 98104 | 2006-05-10 |
| 1265498901 | Fa Abigail De Imus | Dermatology | 3726 Colby Ave, Everett, WA 98201-4911 | 2006-04-21 |
| 1700848355 | Justin H Piasecki | Dermatology | 11511 Canterwood Blvd Ste 310, Gig Harbor, WA 98332-5820 | 2006-04-06 |
| 1336129154 | Sidney F Whaley Jr | Dermatology | 314 Mlk Jr Wy #210, Tacoma, WA 98405-4271 | 2006-01-18 |
| 1669070918 | Tri-city Dermatology Pllc | Dermatology | 112 Columbia Point Dr Ste 105, Richland, WA 99352-4390 | 2020-10-09 |
| 1710443619 | Skin Surgery Clinic | Dermatology | 1414 116th Ave Ne Ste D, Bellevue, WA 98004-3801 | 2019-02-15 |
| 1154853703 | Dermatology Associates of Seattle Ps | Dermatology | 1730 Minor Ave, Suite 1000, Seattle, WA 98101-1498 | 2017-04-03 |
| 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.