Justin M Ellison (NPI# 1245688928, PAC ID# 3274820717) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1245688928 |
| PAC ID by PECOS | 3274820717 |
| Professional Enrollment ID | I20160927000579 |
| Full Name | Justin M Ellison |
| Organization Legal Name | SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION |
| Address |
6101 Summitview Ave Suite 200 Yakima WA 98908-3028 |
| Phone Number | 5095733530 |
| Gender | M |
| Medical School | VANDERBILT UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| 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 |
| 500012 | YAKIMA HMA, INC. D/B/A YAKIMA REGIONAL MEDICAL AND CARDIAC CENTE |
| Address | Phone | Organization |
|---|---|---|
| 500 S 11th St, Sunnyside, WA 98944-2240 | 5098377722 | SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION |
| 6101 Summitview Ave, Suite 200, Yakima, WA 98908-3028 | 5095733530 | 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 |
6101 SUMMITVIEW AVE SUITE 200 |
| City | YAKIMA |
| State | WA |
| Zip | 98908-3028 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan P Johns | Obstetrics/gynecology | Premier Womens Health of Yakima Pllc | 6101 Summitview Ave, Suite 210, Yakima, WA 98908-3028 |
| Brad A. Ward | Neurosurgery | Sunnyside Community Hospital Association | 6101 Summitview Ave, Suite 200, Yakima, WA 98908-3028 |
| Peter H Grunert | Neurosurgery | Sunnyside Community Hospital Association | 6101 Summitview Ave, Suite 200, Yakima, WA 98908-3028 |
| Dave S Atteberry | Neurosurgery | Sunnyside Community Hospital Association | 6101 Summitview Ave, Suite 200, Yakima, WA 98908-3028 |
| Linda M Burdette | Physician Assistant | Premier Womens Health of Yakima Pllc | 6101 Summitview Ave, Suite 210, Yakima, WA 98908-3028 |
| Doniel Drazin | Neurosurgery | Sunnyside Community Hospital Association | 6101 Summitview Ave, Suite 200, Yakima, WA 98908-3028 |
| Michele L Murray | Diagnostic Radiology | Sunnyside Community Hospital Association | 6101 Summitview Ave, Suite 200, Yakima, WA 98908-3028 |
| Bradley G Titus | Cardiovascular Disease (cardiology) | Sunnyside Community Hospital Association | 6101 Summitview Ave, Suite 200, Yakima, WA 98908-3028 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katrina S Silva | Diagnostic Radiology | Radadvantage A Professional Corporation | 7105 Englewood Ave, Yakima, WA 98908-1223 |
| Joseph L Vickers | Family Medicine | Memorial Physicians Pllc | 311 S 72nd Ave, Yakima, WA 98908-1661 |
| Kimberlee M Van Der Kolk | Nurse Practitioner | Memorial Physicians Pllc | 311 S 72nd Ave, Yakima, WA 98908-1661 |
| Faisal R Siddiqui | Family Medicine | Memorial Physicians Pllc | 311 S 72nd Ave, Yakima, WA 98908-1661 |
| Paul E Emmans Iii | Family Medicine | Memorial Physicians Pllc | 311 S 72nd Ave, Yakima, WA 98908-1661 |
| Alexander Colin Ho | Internal Medicine | Memorial Physicians Pllc | 311 S 72nd Ave, Yakima, WA 98908-1661 |
| Anne M Teerink | Family Medicine | Memorial Physicians Pllc | 311 S 72nd Ave, Yakima, WA 98908-1661 |
| Alexis M Bonny | Physical Therapy | Therapeutic Associates Inc | 210 S 72nd Ave, Suite 130, Yakima, WA 98908-1689 |
| Douglas Gray | Clinical Social Worker | 211 Parsons Ave, Yakima, WA 98908-1734 | |
| David E Klungness | Chiropractic | Yakima Chiropractic Centres Inc, P.s. | 7200 W Nob Hill, Yakima, WA 98908-1928 |
| Find all physicians in zip 98908 | |||
| City | YAKIMA |
| Zip Code | 98908 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | YAKIMA + NURSE PRACTITIONER |
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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.