NPIMap

Individual provider Active NPI

Paul E Emmans Jr., D.O.

  • Family Medicine Physician
  • Yakima, WA
National Provider Identifier
1033130646
Registry record updated Oct 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OP00000674 Issued in WA
Practice address
402 S 12TH Ave
Yakima, WA 98902-3115
Phone
(509) 574-6139
Fax
(509) 574-6138
NPI assigned
Jul 21, 2006
Last updated
Oct 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OP00000674 WA Primary

Addresses

Primary practice location

402 S 12TH Ave
Yakima, WA 98902-3115

Mailing address

501 S 5TH Ave
Yakima, WA 98902-3550
Phone (509) 494-6700

Other identifiers 1

IdentifierTypeStateIssuer
1000770MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090820000586 WA Practitioner - Family PracticePractitioner - Geriatric Medicine 6709930068 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

501 S 5TH Ave
Yakima, WA 98902-3550

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health of Central Washington Family Medicine CurrentSince Jul 3, 2013 Accepting new patients
Community Health of Central Washington CurrentSince Jul 3, 2013 Accepting new patients
West Valley Nursing Homes Inc Past Accepting new patients
Garden Village Past Accepting new patients
Linden SNF Healthcare LLC Past Accepting new patients
Hygate Properties, Inc. Past Accepting new patients
BD Yakima I, LLC Past Accepting new patients
Crescent Health Care, Inc. Past Accepting new patients
Willow Springs Care Past Accepting new patients
Care Center Toppenish Inc. Past Accepting new patients
Emerald Care Past Accepting new patients

Locations

1806 W Lincoln Ave
Yakima, WA 98902
Phone (509) 452-4520

402 S 12th Ave
Yakima, WA 98902
Phone (509) 248-3263

402 S 12th Ave
Bsmt
Yakima, WA 98902

402 S 12th Ave
Ste A
Yakima, WA 98902

501 S 5th Ave
Yakima, WA 98902
Phone (509) 494-6700

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Emerald CareWapato, WA, CCN 505265 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Feb 4, 2014
Sep 3, 2013
Summitview Rehab and Health CenterYakima, WA, CCN 505409 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Aug 14, 2023
Aug 14, 2013
Linden Post AcuteToppenish, WA, CCN 505096 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Aug 1, 2024
Jan 28, 2026

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697760000000",
    "number": "1033130646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S 5TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023550",
            "telephone_number": "509-494-6700",
            "fax_number": "509-573-6275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 S 12TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023115",
            "telephone_number": "509-574-6139",
            "fax_number": "509-574-6138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMMANS",
        "first_name": "PAUL",
        "middle_name": "E",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "OP00000674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000770",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

Verify at the official NPI Registry.