Central Washington Sleep Disorders Clinic PC

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

License

MD17581 Issued in WA

Legal business name

CENTRAL WASHINGTON SLEEP DISORDERS CLINIC PC

Practice address

111 University Pkwy
Suite 100
Yakima, WA 98901-1471

Phone

(509) 452-5378

Fax

(509) 577-7096

NPI assigned

Sep 21, 2006

Last updated

Feb 19, 2011By 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

Geoffrey M. Greenberg, M.D.NPI 1164522876

Title

President/Owner

Phone

(509) 452-5378

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Geoffrey M. Greenberg, M. D.

  • Sleep Medicine (Internal Medicine) Physician
  • Yakima, WA
  • NPI 1164522876
  Authorized official Same address or phone
• Jason Patrick Coles, MD

  • Sleep Medicine (Internal Medicine) Physician
  • Grand Rapids, MI
  • NPI 1619088580
  NPD (past)
• Ismael A. Matus, MD

  • Pulmonary Disease Physician
  • Newark, DE
  • NPI 1538118070
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298073600000",
    "number": "1265531792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 UNIVERSITY PKWY",
            "address_2": "SUITE 100",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989011471",
            "telephone_number": "509-452-5378",
            "fax_number": "509-577-7096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 UNIVERSITY PKWY",
            "address_2": "SUITE 100",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989011471",
            "telephone_number": "509-452-5378",
            "fax_number": "509-577-7096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL WASHINGTON SLEEP DISORDERS CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2011-02-19",
        "status": "A",
        "authorized_official_last_name": "GREENBERG",
        "authorized_official_first_name": "GEOFFREY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "509-452-5378",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "WA",
            "license": "MD17581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7126030",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Central Washington Optical, LLC
• Central Washington Physical Therapy
• Central Washington Podiatry Service PLLC
• Central Washington Podiatry Service PLLC
• Central Washington Podiatry Service PLLC
• Ayannah Cervantes
• Jennifer Cervantes
• Rosa Cervantes
• Melany Bridget Cesena
• Esteban Chaidez Jr., DMD

• Sleep Disorder Diagnostic Clinic/Center in Yakima, WA
• Providers in Yakima, WA by specialty
• Sleep Disorder Diagnostic Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2011; 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.