Individual provider Active NPI

Anthony G Norman, MD

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Yakima, WA
National Provider Identifier
1336463959
Registry record updated Dec 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X
License
MD60305885 Issued in WA
Practice address
307 S 12TH Ave Ste 12
Yakima, WA 98902-3143
Phone
(509) 895-7340
Fax
(509) 895-7344
NPI assigned
Mar 25, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X MD60305885 WA
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X MD60305885 WA Primary

Addresses

Primary practice location

307 S 12TH Ave Ste 12
Yakima, WA 98902-3143

Mailing address

307 S 12TH Ave Ste 12
Yakima, WA 98902-3143
Phone (509) 895-7340

Other practice location 1

216 S 66th Ave # 1
Yakima, WA 98908-1722
Phone (206) 714-9570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Interoperability endpoints

  • Direct secure messaging: anorman231645@ghc.direct-ci.net

NPI Registry JSON

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

{
    "created_epoch": "1269475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703289600000",
    "number": "1336463959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 S 12TH AVE STE 12",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023143",
            "telephone_number": "509-895-7340",
            "fax_number": "509-895-7344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 S 12TH AVE STE 12",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023143",
            "telephone_number": "509-895-7340",
            "fax_number": "509-895-7344"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "216 S 66th Ave # 1",
            "address_purpose": "LOCATION",
            "city": "Yakima",
            "state": "WA",
            "postal_code": "989081722",
            "country_code": "US",
            "telephone_number": "206-714-9570",
            "fax_number": "509-895-7344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NORMAN",
        "first_name": "ANTHONY",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-25",
        "last_updated": "2023-12-23",
        "certification_date": "2023-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WA",
            "license": "MD60305885",
            "primary": false
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "WA",
            "license": "MD60305885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2023; 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.