Donald Michael Pehlke, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

252090015294 Issued in WA

Practice address

1111 W Spruce
Suite 24
Yakima, WA 98902

Phone

(509) 575-6888

Fax

(509) 575-0455

NPI assigned

Sep 28, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307577600000",
    "number": "1417048752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 W SPRUCE ST",
            "address_2": "SUITE 24",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023257",
            "telephone_number": "509-575-6888",
            "fax_number": "509-575-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 W SPRUCE",
            "address_2": "SUITE 24",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "98902",
            "telephone_number": "509-575-6888",
            "fax_number": "509-575-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEHLKE",
        "first_name": "DONALD",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2011-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WA",
            "license": "252090015294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREMERA BC",
            "identifier": "325247325247",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Loretta Pechtel
• Reed Richard Pederson, LMP
• Pediatrix Medical Group
• Jocelyn Pedrosa, MD
• Miguel Angel Pedroza
• Jenifer Pelkey, RN
• Mary Pellicer, M.D.
• Janeth Paola Pena-Serrano, MC61674441
• Bianca Pena
• Ana Ivette Penaloza Hernandez

• Dermatology Physician in Yakima, WA
• Providers in Yakima, WA by specialty
• Dermatology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2011; 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.