Medical Resources NW PC

Primary specialty

Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X

License

MD00043550 Issued in WA

Legal business name

MEDICAL RESOURCES NW PC

Practice address

2601 W Falls Ave
Kennewick, WA 99336-3002

Phone

(509) 783-5301

Fax

(509) 783-5414

NPI assigned

Mar 29, 2007

Organization subpart

No

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

Authorized official

Name

Daniel F Niendorff, MDNPI 1700968732

Title

Provider

Phone

(509) 783-5301

Specialties & licenses 1

Addresses

Other names 1

• ActionEcho Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel F Niendorff, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Oak Ridge, TN
  • NPI 1700968732
  NPD (past) Authorized official
• Timothy Robert Nickolaus, PA

  • Medical Physician Assistant
  • Richland, WA
  • NPI 1518250554
  NPD (past)

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325635200000",
    "number": "1336268333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 W FALLS AVE",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993363002",
            "telephone_number": "509-783-5301",
            "fax_number": "509-783-5414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 W FALLS AVE",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993363002",
            "telephone_number": "509-783-5301",
            "fax_number": "509-783-5414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL RESOURCES NW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2012-01-04",
        "status": "A",
        "authorized_official_last_name": "NIENDORFF",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "509-783-5301",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "WA",
            "license": "MD00043550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ActionEcho",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julie Lyn McSwane-Iceberg, LMP
• Richard P Meadows, M.D.
• Jennifer Lynn Meads, DPT
• Carla Suzette Medel-Agosto, LMHCA
• Medical Contracting Services
• Cesar Medina
• Jessica Medina
• Shionna Medrano, MD
• Medsupply
• Farah Zenith Mehkri

• Critical Care Medicine (Internal Medicine) Physician in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Critical Care Medicine (Internal Medicine) Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; 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.