Quality Care Medical Clinic,LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

QUALITY CARE MEDICAL CLINIC,LLC

Practice address

611 N 39TH Ave
Yakima, WA 98902-6348

Phone

(509) 249-1288

Fax

(509) 249-6249

NPI assigned

Sep 13, 2006

Last updated

Apr 13, 2015By 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

Dr. Larry H Keller, DC

Title

Member

Phone

(509) 249-1288

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 12

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.

• John W Lyzanchuk, DO

  • Family Medicine Physician
  • Yakima, WA
  • NPI 1730199860
  Medicare reassignment Care Compare group
• Mark A Maiocco, MD

  • Family Medicine Physician
  • Yakima, WA
  • NPI 1891703997
  Medicare reassignment Care Compare group
• Lisa Marie Benton, ARNP

  • Family Nurse Practitioner
  • Yakima, WA
  • NPI 1487933545
  Medicare reassignment
• Bonnie Louise Kultgen, ARNP

  • Nurse Practitioner
  • Yakima, WA
  • NPI 1417967548
  Medicare reassignment
• George Shayne Toliver, DO

  • Family Medicine Physician
  • Yakima, WA
  • NPI 1730157892
  NPD (past)
• Kurt Joseph Warkenthien, M.D.

  • Family Medicine Physician
  • Puyallup, WA
  • NPI 1710916986
  NPD (past)
• Jaime Geraldo Yeverino-Flores, MD

  • Internal Medicine Physician
  • Lakewood, WA
  • NPI 1023054103
  NPD (past)
• Tanvir Ahmad, MD

  • Internal Medicine Physician
  • Plano, TX
  • NPI 1649280777
  NPD (past)
• Omar Mahmoud Albustami, MD

  • Pulmonary Disease Physician
  • Greensboro, NC
  • NPI 1205846334
  NPD (past)
• Fauzia Khalida Osama, M.D.

  • Internal Medicine Physician
  • Wylie, TX
  • NPI 1952403958
  NPD (past)
• Ahmed Tarique, MD

  • Hospitalist Physician
  • Millersburg, PA
  • NPI 1699785725
  NPD (past)
• Fawad A Tufail, MD

  • Internal Medicine Physician
  • Waxahachie, TX
  • NPI 1558371682
  NPD (past)

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428883200000",
    "number": "1285738799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 N 39TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989026348",
            "telephone_number": "509-249-1288",
            "fax_number": "509-249-6249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 N 39TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989026348",
            "telephone_number": "509-249-1288",
            "fax_number": "509-249-6249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY CARE MEDICAL CLINIC,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2015-04-13",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "509-249-1288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Marie Purdom, PTA
• Aaron C Purtzer
• Julien Tyler Putnam, DO
• Megan Hope Putnam, LMHC
• Vincent C Quach
• Noah Qualls, MD
• Quest Diagnostics Clinical Laboratories Inc.
• Ashley Quinlan
• Steven James Quinlan, DPT
• Julie Quintanilla

• Family Medicine Physician in Yakima, WA
• Providers in Yakima, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.