Frederick Jarl Thysell, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

MD00024540 Issued in WA

Practice address

2807 W Washington Ave
Ste 117
Yakima, WA 98903-1367

Phone

(509) 469-1903

Fax

(509) 469-1905

NPI assigned

Aug 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: fredrick.thysell.1@3721.direct.athenahealth.com

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.

• Fred Thysell MD

  • Family Medicine Physician
  • Yakima, WA
  • NPI 1255805628
  NPD (past) Authorized official
• Fastex Advanced Mobile Imaging

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Yakima, WA
  • NPI 1801869383
  NPD (past)

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547164800000",
    "number": "1285643544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 JESICA DR",
            "city": "SELAH",
            "state": "WA",
            "postal_code": "989421729",
            "telephone_number": "509-829-3861",
            "fax_number": "509-469-1905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2807 W WASHINGTON AVE",
            "address_2": "STE 117",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989031367",
            "telephone_number": "509-469-1903",
            "fax_number": "509-469-1905"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2240 E Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "Sunnyside",
            "state": "WA",
            "postal_code": "989442487",
            "country_code": "US",
            "telephone_number": "509-837-6681",
            "fax_number": "509-839-0075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THYSELL",
        "first_name": "FREDERICK",
        "middle_name": "JARL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2019-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WA",
            "license": "MD00024540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8120578",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Alexander Thorner, D.O.
• Gretchen Elizabeth Thorner, PA-C
• Katherine Joy Thorner, RD
• Thrifty Payless Inc
• Thrifty Payless Inc
• Lindy Tibbling, SUDP/T
• Terry J Tieman
• Tieton Village Drug
• Tieton Village Drug Inc.
• Tieton Village Drugs Inc

• General Practice Physician in Yakima, WA
• Providers in Yakima, WA by specialty
• General Practice Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2019; 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.