Memorial Physicians, PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MEMORIAL PHYSICIANS, PLLC

Doing business as

VMM Lower Valley Specialty Center Lung and Asthma

Practice address

1812 E Edison Ave
Sunnyside, WA 98944-1653

Phone

(509) 575-7653

Fax

(509) 248-3723

NPI assigned

Sep 15, 2017

Organization subpart

No

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

Authorized official

Name

Timothy Reed

Title

Cfo/VP

Phone

(509) 248-7849

Specialties & licenses 4

Addresses

Other names 1

• VMM Lower Valley Specialty Center Lung and Asthma Doing business as

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

{
    "created_epoch": "1505433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547683200000",
    "number": "1407375918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 SUMMITVIEW AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989022715",
            "telephone_number": "509-248-7849",
            "fax_number": "509-248-8291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 E EDISON AVE",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "989441653",
            "telephone_number": "509-575-7653",
            "fax_number": "509-248-3723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL PHYSICIANS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-15",
        "last_updated": "2019-01-17",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "CFO/VP",
        "authorized_official_telephone_number": "509-248-7849"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VMM Lower Valley Specialty Center Lung and Asthma",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James M McGoldrick, DDS
• Charlotte L McNair, LMP
• Irma Zesati Mejia, ARNP
• Memorial Physicians, PLLC
• Memorial Physicians, PLLC
• Memorial Physicians, PLLC
• Memorial Physicians, PLLC
• Memorial Physicians, PLLC
• Memorial Physicians, PLLC
• Esmeralda Mendoza-Arias

• Clinic/Center in Sunnyside, WA
• Providers in Sunnyside, WA by specialty
• Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2019; 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.