Jeffrey Licht (NPI# 1770642274, PAC ID# 2163411976) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1770642274 |
| PAC ID by PECOS | 2163411976 |
| Professional Enrollment ID | I20050906000456 |
| Full Name | Jeffrey Licht |
| Organization Legal Name | J HAMILTON LICHT MD PC |
| Address |
315 Holton Ave Suite 100 Yakima WA 98902-3245 |
| Phone Number | 5092486292 |
| Gender | M |
| Credential | MD |
| Medical School | COLLEGE OF MEDICINE AND SURGERY |
| Graduation Year | 1969 |
| Primary Specialty | NEPHROLOGY |
| Group Practice PAC ID | 0648202242 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 315 Holton Ave, Suite 100, Yakima, WA 98902-3245 | 5092486292 | J HAMILTON LICHT MD PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 89% | |
| MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 92% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
| Organization Legal Name | J HAMILTON LICHT MD PC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sajal Kumar | Nephrology | J Hamilton Licht Md PC | 315 Holton Ave, Suite 100, Yakima, WA 98902-3245 |
| Street Address |
315 HOLTON AVE SUITE 100 |
| City | YAKIMA |
| State | WA |
| Zip | 98902-3245 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sajal Kumar | Nephrology | J Hamilton Licht Md PC | 315 Holton Ave, Suite 100, Yakima, WA 98902-3245 |
| Mark D. Baldwin | Nephrology | J. Hamilton Licht, M.d., P.C.,inc | 315 Holton Ave, Suite 100, Yakima, WA 98902-3245 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Richard Peay | Nurse Practitioner | Ideal Telemedicine Services LLC | 2609 River Rd, Yakima, WA 98902-1133 |
| Michael S Shultis | Physician Assistant | Yakima Orthopedics At Memorial Tr | 1211 N 16th Ave, Yakima, WA 98902-1347 |
| John W Adkison | Hand Surgery | Yakima Orthopedics At Memorial Tr | 1211 N 16th Ave, Yakima, WA 98902-1347 |
| Karen Marie Rice | Physical Therapy | Yakima Orthopedics At Memorial Tr | 1211 N 16th Ave, Yakima, WA 98902-1347 |
| Daniel Pak | Diagnostic Radiology | Yakima Valley Radiology Inc PC | 1211 N 16th Ave, Ohana Memorials Mammography Services, Yakima, WA 98902-1347 |
| Kristy L Scott | Physical Therapy | Yakima Orthopedics At Memorial Tr | 1211 N 16th Ave, Yakima, WA 98902-1347 |
| Kristina M Simmons | Physical Therapy | Yakima Orthopedics At Memorial Tr | 1211 N 16th Ave, Yakima, WA 98902-1347 |
| Shane A Sigler | Physician Assistant | Yakima Orthopedics At Memorial Tr | 1211 N 16th Ave, Yakima, WA 98902-1347 |
| Gene Griffiths | Orthopedic Surgery | Yakima Orthopedics At Memorial Tr | 1211 N 16th Ave, Yakima, WA 98902-1347 |
| Steven J Quinlan | Physical Therapy | Yakima Orthopedics At Memorial Tr | 1211 N 16th Ave, Yakima, WA 98902-1347 |
| Find all physicians in zip 98902 | |||
| City | YAKIMA |
| Zip Code | 98902 |
| Specialty | NEPHROLOGY |
| City + Specialty | YAKIMA + NEPHROLOGY |
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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.