Manuel Jimenez (NPI# 1619412350, PAC ID# 1355624628) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
Nation Provider ID (NPI) | 1619412350 |
PAC ID by PECOS | 1355624628 |
Professional Enrollment ID | I20170210001552 |
Full Name | Manuel Jimenez |
Organization Legal Name | SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION |
Address |
222 E 2nd St Grandview WA 98930-1342 |
Phone Number | 5098823500 |
Gender | M |
Graduation Year | 2016 |
Primary Specialty | PHYSICIAN ASSISTANT |
Group Practice PAC ID | 1658280896 |
Number of Group Practice Members | 86 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
501330 | SUNNYSIDE COMMUNITY HOSPITAL |
Address | Phone | Organization |
---|---|---|
208 N Euclid Rd, Grandview, WA 98930-9470 | 5098821855 | SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION |
222 E 2nd St, Grandview, WA 98930-1342 | 5098823500 | SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION |
355 Chardonnay Ave, Prosser, WA 99350-9521 | 5097816366 | SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION |
2705 E Lincoln Ave, Sunnyside, WA 98944-4006 | 5098364848 | SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION |
803 E Lincoln Ave, Sunnyside, WA 98944-2383 | 5098376911 | SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION |
Organization Legal Name | SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION |
Physicians | 93 |
Name | Specialty | Organization | Address |
---|---|---|---|
Andrew Gustavson | Neurology | Sunnyside Community Hospital Association | 2925 Allen Rd, Sunnyside, WA 98944-8931 |
Mirna Tovalin | Nurse Practitioner | Sunnyside Community Hospital Association | 1420 Ahtanum Ridge Dr, Union Gap, WA 98903-1839 |
Larry Edwards | Family Practice | Sunnyside Community Hospital Association | 2 E Valley Mall Blvd, Union Gap, WA 98903-1613 |
Pedro Fernandez | Psychiatry | Sunnyside Community Hospital Association | 208 N Euclid Rd, Grandview, WA 98930-9470 |
David C Livingston | Family Medicine | Sunnyside Community Hospital Association | 915 Vintage Valley Pkwy, Suite 200, Zillah, WA 98953-9800 |
John R Ribic | Cardiovascular Disease (cardiology) | Sunnyside Community Hospital Association | 355 Chardonnay Ave, Prosser, WA 99350-9521 |
Paul Rodney Furan | Physician Assistant | Sunnyside Community Hospital Association | 2705 E Lincoln Ave, Sunnyside, WA 98944-4006 |
Deborah Titus | Nurse Practitioner | Sunnyside Community Hospital Association | 222 E 2nd St, Grandview, WA 98930-1342 |
Muhammad Riaz | Family Medicine | Sunnyside Community Hospital Association | 1005 W Walnut St, Suite 205, Yakima, WA 98902-3386 |
Charles V Bulfinch | Family Medicine | Sunnyside Community Hospital Association | 715 N Park Ctr, Selah, WA 98942-1174 |
Street Address |
222 E 2ND ST |
City | GRANDVIEW |
State | WA |
Zip | 98930-1342 |
Name | Specialty | Organization | Address |
---|---|---|---|
Deborah Titus | Nurse Practitioner | Sunnyside Community Hospital Association | 222 E 2nd St, Grandview, WA 98930-1342 |
Jessica E Bury | Obstetrics/gynecology | Sunnyside Community Hospital Association | 222 E 2nd St, Grandview, WA 98930-1342 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jeremy J Anderson | Chiropractic | 211 Euclid St, Grandview, WA 98930-1160 | |
Troy N Thomas | Physical Therapy | Columbia Physical Therapy Inc Ps | 214 Ash St, Grandview, WA 98930-1319 |
Frank N Charlton | Physical Therapy | Columbia Physical Therapy Inc Ps | 214 Ash St, Grandview, WA 98930-1319 |
Bret L Maiers | Physical Therapy | Columbia Physical Therapy Inc Ps | 214 Ash St, Grandview, WA 98930-1319 |
David A Bullock | Physical Therapy | Columbia Physical Therapy Inc Ps | 214 Ash St, Grandview, WA 98930-1319 |
Juan R Camacho | Chiropractic | 105 E 2nd St, Grandview, WA 98930-1345 | |
Joji W Kohjima | Family Medicine | Yakima Valley Farm Workers Clinic | 240 Division St, Grandview, WA 98930-1357 |
Ridhima Gupta | Obstetrics/gynecology | Yakima Valley Farm Workers Clinic | 240 Division St, Grandview, WA 98930-1357 |
Tad White | Family Medicine | Yakima Valley Farm Workers Clinic | 240 Division St, Grandview, WA 98930-1357 |
Donald D Lasselle | Obstetrics/gynecology | Yakima Valley Farm Workers Clinic | 240 Division St, Grandview, WA 98930-1357 |
Find all physicians in zip 98930 |
City | GRANDVIEW |
Zip Code | 98930 |
Specialty | PHYSICIAN ASSISTANT |
City + Specialty | GRANDVIEW + PHYSICIAN ASSISTANT |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.