CHARLES KOTULSKI (NPI# 1902398407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902398407 |
| Entity Type | Individual |
| Full Name | CHARLES KOTULSKI |
| Credential | MD |
| Practice Address |
1806 W Lincoln Ave Yakima WA 98902 |
| Mailing Address |
1806 W Lincoln Ave Yakima WA 98902-2473 |
| Practice Telephone | 5094524520 |
| Mailing Telephone | 5094524520 |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2018-06-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ML60863184 | WA | Allopathic & Osteopathic Physicians |
| Street Address |
1806 W LINCOLN AVE |
| City | YAKIMA |
| State | WA |
| Zip Code | 98902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891793832 | Margaret Anne Macleod | Family Medicine | 1806 W Lincoln Ave, Yakima, WA 98902-2473 | 2005-07-13 |
| 1235744160 | Amanda A Baughman | Registered Nurse | 1806 W Lincoln Ave, Yakima, WA 98902-2473 | 2020-09-08 |
| 1528673456 | Kelly Suko | Registered Nurse | 1806 W Lincoln Ave, Yakima, WA 98902-2473 | 2020-09-08 |
| 1295359743 | Michael Jacob Covington | Family Medicine | 1806 W Lincoln Ave, Yakima, WA 98902-2473 | 2020-06-01 |
| 1568086114 | Sarah Wu Ayala | Family Medicine | 1806 W Lincoln Ave, Yakima, WA 98902-2473 | 2020-05-29 |
| 1518581164 | Chanel Florence Ostrem | Family Medicine | 1806 W Lincoln Ave, Yakima, WA 98902-2473 | 2020-05-29 |
| 1891319448 | Brent Maxwell Wilkinson | Family Medicine | 1806 W Lincoln Ave, Yakima, WA 98902-2473 | 2020-05-29 |
| 1700400355 | Jessica Lauren Coleman | Family Medicine | 1806 W Lincoln Ave, Yakima, WA 98902-2473 | 2020-05-29 |
| 1457975005 | Jai J Patel | Family Medicine | 1806 W Lincoln Ave, Yakima, WA 98902-2473 | 2020-05-29 |
| 1629692272 | Emily Newton Webb | Family Medicine | 1806 W Lincoln Ave, Yakima, WA 98902-2473 | 2020-05-29 |
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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 |
| Find all providers in zip 98902 | ||||
| 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.