Walla Walla Cardiology Specialist Clinic,P.S.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

WALLA WALLA CARDIOLOGY SPECIALIST CLINIC,P.S.

Practice address

1103 S 2ND Ave
Suite a
Walla Walla, WA 99362-4118

Phone

(509) 522-2882

Fax

(509) 522-2809

NPI assigned

Apr 2, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bessie C. Yuste

Title

Office Manager

Phone

(509) 522-2882

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255452058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 S 2ND AVE",
            "address_2": "SUITE A",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993624118",
            "telephone_number": "509-522-2882",
            "fax_number": "509-522-2809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 S 2ND AVE",
            "address_2": "SUITE A",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993624118",
            "telephone_number": "509-522-2882",
            "fax_number": "509-522-2809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALLA WALLA CARDIOLOGY SPECIALIST CLINIC,P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YUSTE",
        "authorized_official_first_name": "BESSIE",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "509-522-2882"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Walla Walla County Fire District 4

• Cardiovascular Disease Physician in Walla Walla, WA
• Providers in Walla Walla, WA by specialty
• Cardiovascular Disease Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.