Associated Valley Providers PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD00032726 Issued in WA

Legal business name

ASSOCIATED VALLEY PROVIDERS PLLC

Practice address

4361 Talbot Rd S Ste 112
Renton, WA 98055-6226

Phone

(425) 255-5111

Fax

(425) 254-0985

NPI assigned

Dec 2, 2010

Last updated

Dec 2, 2010By 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

Marianne Broers

Title

MD

Phone

(425) 255-5111

Specialties & licenses 3

Addresses

Other identifiers 1

Practitioners 1

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 L Vander Heyden, MD

  • Obstetrics & Gynecology Physician
  • Renton, WA
  • NPI 1578623690
  NPD (past)

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

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291248000000",
    "number": "1316249907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4361 TALBOT RD S STE 112",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980556226",
            "telephone_number": "425-255-5111",
            "fax_number": "425-254-0985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4361 TALBOT RD S STE 112",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980556226",
            "telephone_number": "425-255-5111",
            "fax_number": "425-254-0985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED VALLEY PROVIDERS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-02",
        "last_updated": "2010-12-02",
        "status": "A",
        "authorized_official_last_name": "BROERS",
        "authorized_official_first_name": "MARIANNE",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "425-255-5111"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00032726",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WA",
            "license": "PO00000396",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP30004306",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7112634",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Babylyn Villanueva Aspuria, PA-C
• Associated Emergency Room Physicians, Inc P.S.
• Associated Valley Counseling, LLC
• Associated Valley Obstetrics and Gynecology, Inc., P.S.
• Associated Valley Providers PLLC
• Assure Ride Non Emergency Medical Transportation Company
• Adoracion Asuncion-Reed
• Nicolle Atchison, LMFTA
• Jens Jurgen Galindo Atienza
• Rachel Atkins, LMT

• Family Medicine Physician in Renton, WA
• Providers in Renton, 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 Dec 2, 2010; 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.