Individual provider Active NPI

John W. Onstad

  • Anatomic Pathology & Clinical Pathology Physician
  • Yakima, WA
National Provider Identifier
1174606107
Registry record updated Mar 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
MD00014553 Issued in WA
Practice address
401 S 12TH Ave
Yakima, WA 98902-3142
Phone
(509) 248-1831
Fax
(509) 452-6911
NPI assigned
Oct 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X MD00014553 WA Primary
Cytopathology Physician 207ZC0500X MD00014553 WA

Addresses

Primary practice location

401 S 12TH Ave
Yakima, WA 98902-3142

Mailing address

401 S 12TH Ave
Yakima, WA 98902-3142
Phone (509) 248-1831

Other identifiers 1

IdentifierTypeStateIssuer
8173700MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00014553WAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Center Laboratory, Inc. PS Current Accepting new patients

Locations

401 S 12th Ave
Yakima, WA 98902
Phone (509) 248-1831

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269302400000",
    "number": "1174606107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S 12TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023142",
            "telephone_number": "509-248-1831",
            "fax_number": "509-452-6911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S 12TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023142",
            "telephone_number": "509-248-1831",
            "fax_number": "509-452-6911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONSTAD",
        "first_name": "JOHN",
        "middle_name": "W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2010-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "WA",
            "license": "MD00014553",
            "primary": true
        },
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "WA",
            "license": "MD00014553",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8173700",
            "state": "WA"
        }
    ],
    "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 Mar 23, 2010; 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.