Individual provider Active NPI

Cheri M Dorhauer, M.D.

  • Family Medicine Physician
  • Yelm, WA
National Provider Identifier
1245283472
Registry record updated Sep 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00044280 Issued in WA
Practice address
201 Tahoma Blvd
Suite 102
Yelm, WA 98597-7735
Phone
(360) 458-7761
NPI assigned
May 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2013

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 MD00044280 WA Primary

Addresses

Primary practice location

201 Tahoma Blvd
Suite 102
Yelm, WA 98597-7735

Mailing address

201 Tahoma Blvd
Suite 102
Yelm, WA 98597-7735
Phone (360) 458-7761

Other identifiers 3

IdentifierTypeStateIssuer
8425977MedicaidWA
0196745OtherWAL&I
5323DOOtherWAREGENCE

Other names 1

  • Cheri M Peterson Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050708000377 WA Practitioner - Family Practice 6709812092 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Creighton University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yelm Family Medicine, PLLCGroup PAC ID 6608767280, 11 clinicians

Practice addresses (Care Compare)

201 Tahoma Blvd
Unit 102
Yelm, WA 98597-7735
Phone (360) 458-7761

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00044280WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yelm Family Medicine, PLLC Family Medicine CurrentSince Sep 1, 2005 Accepting new patients

Locations

201 Tahoma Blvd
Unit 102
Yelm, WA 98597
Phone (360) 458-7761

Interoperability endpoints

  • Direct secure messaging: cheri.dorhauer@yfm.directbygreenway.com
  • Direct secure messaging: cdorhauer95205@wm.providencedirect.org

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.

Hospital & facility affiliations 4

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379635200000",
    "number": "1245283472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 TAHOMA BLVD",
            "address_2": "SUITE 102",
            "city": "YELM",
            "state": "WA",
            "postal_code": "985977735",
            "telephone_number": "360-458-7761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 TAHOMA BLVD",
            "address_2": "SUITE 102",
            "city": "YELM",
            "state": "WA",
            "postal_code": "985977735",
            "telephone_number": "360-458-7761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORHAUER",
        "first_name": "CHERI",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2013-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00044280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8425977",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0196745",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "5323DO",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHERI",
            "last_name": "PETERSON",
            "middle_name": "M",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Yelm, WA

Sources for this page

Verify at the official NPI Registry.