Active NPI
Gorge Bone Density Testing
- Infectious Disease Physician
- The Dalles, OR
National Provider Identifier
1417005455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- MD17839
- Legal business name
- GORGE BONE DENSITY TESTING
- Practice address
- 1825 E 19TH St
Suite 3
The Dalles, OR 97058-3365 - Phone
- (509) 493-1467
- Fax
- (509) 493-3765
- NPI assigned
- Jan 8, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas A Nichol, MD
- Title
- Operating Manager
- Phone
- (509) 493-1467
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | MD17839 | OR | Primary |
Addresses
Primary practice location
1825 E 19TH St
Suite 3
The Dalles, OR 97058-3365
Mailing address
1825 E 19TH St
Suite 3
The Dalles, OR 97058-3365
Phone (509) 493-1467
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| K285402 | Other | OR | PACIFIC SOURCE |
| 064659 | Medicaid | OR | |
| 1088970 | Other | WA | WASHINGTON MEDICAID |
Other names 1
- FRAN M YUHAS
National Provider Directory
National Provider Directory- Tax ID family
- Fran M Yuhas
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Infectious Disease Physician
- The Dalles, OR
- NPI 1790833721
Locations
1825 E 19th St
Ste 3
The Dalles, OR 97058
Phone (509) 493-1467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1417005455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1825 E 19TH ST",
"address_2": "SUITE 3",
"city": "THE DALLES",
"state": "OR",
"postal_code": "970583365",
"telephone_number": "509-493-1467",
"fax_number": "509-493-3765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1825 E 19TH ST",
"address_2": "SUITE 3",
"city": "THE DALLES",
"state": "OR",
"postal_code": "970583365",
"telephone_number": "509-493-1467",
"fax_number": "509-493-3765"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GORGE BONE DENSITY TESTING",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-08",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "NICHOL",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OPERATING MANAGER",
"authorized_official_telephone_number": "509-493-1467",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Infectious Disease",
"state": "OR",
"license": "MD17839",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PACIFIC SOURCE",
"identifier": "K285402",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "064659",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WASHINGTON MEDICAID",
"identifier": "1088970",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "FRAN M YUHAS",
"code": "5",
"type": "Other Name"
}
]
}Other providers in The Dalles, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.