Kirk Torgle Ecklund, MD

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

MD00032475 Issued in WA

Practice address

3911 Castlevale Rd
Ste 301
Yakima, WA 98902-7807

Phone

(509) 965-1714

Fax

(509) 965-1714

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

Oregon Health Sciences University School of Medicine, 1984

Medicare assignment

May accept Medicare assignment

Group practices

Yakima Valley Dermatology Inc PSGroup PAC ID 9830081470, 8 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.96 of 100Reported as group

Quality

100

Promoting interoperability

100

Improvement activities

40

Cost

73.19

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Yakima Valley Dermatology Inc. , PS

  dba Valley Dermatology Associates

  • Dermatology Physician
  • Yakima, WA
  • NPI 1710173703
  Medicare reassignment Care Compare group NPD
• Yakima Valley Dermatology Inc PS

  • MOHS-Micrographic Surgery Physician
  • Yakima, WA
  • NPI 1831387489
  NPD (past)
• Yakima Valley Dermatology Inc. , PS

  dba Valley Dermatology Associates

  • Dermatology Physician
  • Yakima, WA
  • NPI 1093493280
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1154432904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3911 CASTLEVALE RD",
            "address_2": "STE 301",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989027807",
            "telephone_number": "509-966-7899",
            "fax_number": "509-225-6811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3911 CASTLEVALE RD",
            "address_2": "STE 301",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989027807",
            "telephone_number": "509-965-1714",
            "fax_number": "509-965-1714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECKLUND",
        "first_name": "KIRK",
        "middle_name": "TORGLE",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WA",
            "license": "MD00032475",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "WA",
            "license": "MD00032475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B178956",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Eastham, PT, DPT
• Aaron Eastman, RN
• Didi Elise Ebert, DO
• Morgan Leigh Eckert, PHARMD
• Nicholas Eugene Eckert, PHARM.D.
• Craig W. Edgar, MD00041988
• Karen Edgel, RN, BSN
• Gregory Allen Edmiston, PHARM.D,.
• Educational Service District 105
• Kdean Edwards

• MOHS-Micrographic Surgery Physician in Yakima, WA
• Providers in Yakima, WA by specialty
• MOHS-Micrographic Surgery Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.