Yakima Medical Clinic Inc PC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

0P00001175 Issued in WA

Legal business name

YAKIMA MEDICAL CLINIC INC PC

Practice address

310 Holton Ave
Yakima, WA 98902

Phone

(509) 452-2508

Fax

(509) 452-7316

NPI assigned

Mar 12, 2007

Organization subpart

No

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

Authorized official

Name

T Kent Vye, DO

Title

President

Phone

(509) 452-2508

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 7

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.

• Theodore Kent Vye, DO

  • Family Medicine Physician
  • Yakima, WA
  • NPI 1609894278
  Medicare reassignment Care Compare group NPD
• Salvador Lopez, PA-C

  • Medical Physician Assistant
  • Yakima, WA
  • NPI 1649726852
  Medicare reassignment Care Compare group
• Raylee Susan Weaver-Jensen, PA-C

  • Physician Assistant
  • Yakima, WA
  • NPI 1023275427
  Medicare reassignment Care Compare group
• Bonny Alkofer, ARNP

  • Family Nurse Practitioner
  • Yakima, WA
  • NPI 1114011442
  NPD (past)
• Margaret I Bowles, ARNP

  • Nurse Practitioner
  • Seattle, WA
  • NPI 1043371354
  NPD (past)
• Robert Lewis Fallstrom, D.O.

  • Family Medicine Physician
  • Yakima, WA
  • NPI 1922033604
  NPD (past)
• Jeanne Camille Beauchamp, ARNP

  • Family Nurse Practitioner
  • Waldorf, MD
  • NPI 1346409661
  NPD (past)

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224028800000",
    "number": "1316079585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 HOLTON AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "98902",
            "telephone_number": "509-452-2508",
            "fax_number": "509-452-7316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 HOLTON AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "98902",
            "telephone_number": "509-452-2508",
            "fax_number": "509-452-7316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAKIMA MEDICAL CLINIC INC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2008-10-15",
        "status": "A",
        "authorized_official_last_name": "VYE",
        "authorized_official_first_name": "T",
        "authorized_official_middle_name": "KENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-452-2508",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "0P00001175",
            "primary": false
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "WA",
            "license": "0P00001175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yakima Hma LLC (Yakima Regional Medical and Cardiac Center)
• Yakima Hma LLC (Yakima Regional Medical and Cardiac Center)
• Yakima Hma LLC
• Yakima Hma Physician Management LLC
• Yakima Hma Physician Management, LLC
• Yakima Medical Consultants Inc
• Yakima Neighborhood Health Services
• Yakima Neighborhood Health Services (YNHS Hauff Resource Center)
• Yakima Neighborhood Health Services
• Yakima Neighborhood Health Services

• Preferred Provider Organization in Yakima, WA
• Providers in Yakima, WA by specialty
• Preferred Provider Organization in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.