Organization Active NPI

Yakima Ear Nose & Throat PLLC

  • Otolaryngology Physician
  • Yakima, WA
National Provider Identifier
1053557520
Registry record updated Jan 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
YAKIMA EAR NOSE & THROAT PLLC
Practice address
307 S 12TH Ave Ste 12
Suite 12
Yakima, WA 98902-3143
Phone
(509) 575-7500
Fax
(509) 575-0333
NPI assigned
Jan 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2009

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

Authorized official

Name
Dr. Rick D Gross, MD
Title
President
Phone
(509) 575-7500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X Primary

Addresses

Primary practice location

307 S 12TH Ave Ste 12
Suite 12
Yakima, WA 98902-3143

Mailing address

307 S 12TH Ave Ste 12
Suite 12
Yakima, WA 98902-3143
Phone (509) 575-7500

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1231113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231113600000",
    "number": "1053557520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 S 12TH AVE STE 12",
            "address_2": "SUITE 12",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023143",
            "telephone_number": "509-575-7500",
            "fax_number": "509-575-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 S 12TH AVE STE 12",
            "address_2": "SUITE 12",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023143",
            "telephone_number": "509-575-7500",
            "fax_number": "509-575-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAKIMA EAR NOSE & THROAT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-05",
        "last_updated": "2009-01-05",
        "status": "A",
        "authorized_official_last_name": "GROSS",
        "authorized_official_first_name": "RICK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-575-7500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.