Mark S Gordon (NPI# 1730148511, PAC ID# 6800801267) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL MEDICINE AND REHABILITATION.
| Nation Provider ID (NPI) | 1730148511 |
| PAC ID by PECOS | 6800801267 |
| Professional Enrollment ID | I20090218000273 |
| Full Name | Mark S Gordon |
| Organization Legal Name | SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION |
| Address |
111 S 11th Ave Suite 321 Yakima WA 98902-3273 |
| Phone Number | 5095755071 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF SOUTH DAKOTA SCHOOL OF MEDICINE |
| Graduation Year | 1990 |
| Primary Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| Group Practice PAC ID | 1658280896 |
| Number of Group Practice Members | 78 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500012 | YAKIMA HMA, INC. D/B/A YAKIMA REGIONAL MEDICAL AND CARDIAC CENTE |
| Address | Phone | Organization |
|---|---|---|
| 110 S 9th Ave, Yakima, WA 98902-3315 | 5095955102 | SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION |
| 111 S 11th Ave, Suite 321, Yakima, WA 98902-3273 | 5095755071 | 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 |
111 S 11TH AVE SUITE 321 |
| City | YAKIMA |
| State | WA |
| Zip | 98902-3273 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roy S Pierson | Orthopedic Surgery | Sunnyside Community Hospital Association | 111 S 11th Ave, Yakima, WA 98902-3273 |
| Jeffrey B Lecheminant | Podiatry | Sunnyside Community Hospital Association | 111 S 11th Ave, Suite 220, Yakima, WA 98902-3270 |
| Davis L Bronson | Plastic and Reconstructive Surgery | Sunnyside Community Hospital Association | 111 S 11th Ave, Suite 220, Yakima, WA 98902-3270 |
| Aaron Franklin Newton | Orthopedic Surgery | Sunnyside Community Hospital Association | 111 S 11th Ave, Suite 320, Yakima, WA 98902-3273 |
| Vern D Commet | Nurse Practitioner | Sunnyside Community Hospital Association | 111 S 11th Ave, Suite 220, Yakima, WA 98902-3270 |
| Corbett D Winegar | Orthopedic Surgery | Sunnyside Community Hospital Association | 111 S 11th Ave, Suite 320, Yakima, WA 98902-3273 |
| Fe M Demiar | Certified Registered Nurse Anesthetist (crna) | Evergreen Anesthesia Associates LLC | 111 S 11th Ave, Suite 220, Yakima, WA 98902-3270 |
| Michael Zammit | Vascular Surgery | Sunnyside Community Hospital Association | 111 S 11th Ave, Yakima, WA 98902-3273 |
| 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 | PHYSICAL MEDICINE AND REHABILITATION |
| City + Specialty | YAKIMA + PHYSICAL MEDICINE AND REHABILITATION |
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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.