Memorial Physicians, PLLC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

MEMORIAL PHYSICIANS, PLLC

Practice address

100 E Jackson Ave
Ste. 102
Ellensburg, WA 98926-3692

Phone

(509) 453-4614

Fax

(509) 225-2712

NPI assigned

Feb 10, 2009

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

Chief Operating Officer

Phone

(509) 248-7849

Specialties & licenses 1

Addresses

Other names 1

• Yakima Vascular Associates Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Justin A Robinson, MD

  • Surgery Physician
  • Yakima, WA
  • NPI 1093739500
  NPD (past)
• George Shayne Toliver, DO

  • Family Medicine Physician
  • Yakima, WA
  • NPI 1730157892
  NPD (past)

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

{
    "created_epoch": "1234224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385337600000",
    "number": "1487893707",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E JACKSON AVE",
            "address_2": "STE. 102",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989263692",
            "telephone_number": "509-453-4614",
            "fax_number": "509-225-2712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL PHYSICIANS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-10",
        "last_updated": "2013-11-25",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "509-248-7849"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yakima Vascular Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dale M McPherson, CDP
• Rianne Medcalf
• Ashley Melin, CD(DONA)
• Memorial Physicians, PLLC
• Memorial Physicians, PLLC
• Memorial Physicians, PLLC
• Memorial Physicians, PLLC
• Memorial Physicians, PLLC
• Bianca Mendez
• Anne Merrill-Steskal

• Vascular Surgery Physician in Ellensburg, WA
• Providers in Ellensburg, WA by specialty
• Vascular Surgery Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.