Holy Family Medical

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

MD00010863 Issued in WA

Legal business name

HOLY FAMILY MEDICAL

Practice address

531 W Park St Ste 1
Pasco, WA 99301-5270

Phone

(509) 547-5261

NPI assigned

Aug 20, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Enriqueta Mayuga, MDNPI 1518914373

Title

Physician/Owner

Phone

(509) 547-5261

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Enriqueta C. Mayuga, MD PS Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Enriqueta Mayuga, M.D.

  • Obstetrics & Gynecology Physician
  • Pasco, WA
  • NPI 1518914373
  NPD (past) Authorized official

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

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250726400000",
    "number": "1053543231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 W PARK ST STE 1",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993015270",
            "telephone_number": "509-547-5261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 W PARK ST STE 1",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993015270",
            "telephone_number": "509-547-5261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLY FAMILY MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-20",
        "last_updated": "2009-08-20",
        "status": "A",
        "authorized_official_last_name": "MAYUGA",
        "authorized_official_first_name": "ENRIQUETA",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "509-547-5261",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "WA",
            "license": "MD00010863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023654",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Enriqueta C. Mayuga, MD PS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tasha Hoidal, PHARMD
• Paetyn May Hoke
• Kirsten Joy Holmboe, MPT
• Sharalyne Maire Holmes, RN
• Cindy L Holt, RN, BSN
• Michael Gregory Hood
• John Allan Hornell, MD
• Stacey Lee Horspool, LMP
• House, Lee, Mast, McDonald and Nelson, PC
• Nicholas Samuel Howard, DMD, MBA

• Medical Specialty Clinic/Center in Pasco, WA
• Providers in Pasco, WA by specialty
• Medical Specialty Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.