Frederick J Thysell MD Inc PS

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

MD000024540 Issued in WA

Legal business name

FREDERICK J THYSELL MD INC PS

Practice address

1416 Jesica Dr
Selah, WA 98942-1729

Phone

(509) 823-3861

Fax

(509) 697-3819

NPI assigned

Nov 2, 2013

Last updated

Nov 2, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Frederick Jarl Thysell, MD

Title

President

Phone

(509) 823-3861

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1383350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383350400000",
    "number": "1427487255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 JESICA DR",
            "city": "SELAH",
            "state": "WA",
            "postal_code": "989421729",
            "telephone_number": "509-823-3861",
            "fax_number": "509-697-3819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 JESICA DR",
            "city": "SELAH",
            "state": "WA",
            "postal_code": "989421729",
            "telephone_number": "509-823-3861",
            "fax_number": "509-697-3819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICK J THYSELL MD INC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-02",
        "last_updated": "2013-11-02",
        "status": "A",
        "authorized_official_last_name": "THYSELL",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "JARL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-823-3861",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "WA",
            "license": "MD000024540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corina L Fesler
• Alejandra Figueroa
• Noemi S Figueroa
• Amanda J Ford
• Matthew Garrett Frank, LMP
• Angela Fuentes-Valentin
• Eliza Marie Gallardo
• Nathanael Michael Garent, DC
• Tony Garent, D.C.
• Nicholus Gentry

• General Practice Physician in Selah, WA
• Providers in Selah, WA by specialty
• General Practice Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2013; 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.