Organization Active NPI

Yakima Orthopedics at Memorial TR

  • Orthopaedic Surgery Physician
  • Yakima, WA
National Provider Identifier
1508390543
Registry record updated Apr 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
YAKIMA ORTHOPEDICS AT MEMORIAL TR
Practice address
1211 N 16TH Ave
Yakima, WA 98902-1347
Phone
(509) 454-8888
Fax
(509) 453-0061
NPI assigned
Apr 17, 2017
Last updated
Apr 17, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
YAKIMA VALLEY MEMORIAL HOSPITAL ASNNAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 17, 2017

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

Authorized official

Name
Mr. Timothy Reed
Title
VP/Cfo
Phone
(509) 249-5067

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X NU Primary
Physical Therapy Clinic/Center 261QP2000X NU

Addresses

Primary practice location

1211 N 16TH Ave
Yakima, WA 98902-1347

Mailing address

1211 N 16TH Ave
Yakima, WA 98902-1347
Phone (509) 454-8888

National Provider Directory

National Provider Directory
Part of
Yakima Valley Memorial Hosp

NPI Registry JSON

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

{
    "created_epoch": "1492387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492387200000",
    "number": "1508390543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 N 16TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989021347",
            "telephone_number": "509-454-8888",
            "fax_number": "509-453-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 N 16TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989021347",
            "telephone_number": "509-454-8888",
            "fax_number": "509-453-0061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAKIMA ORTHOPEDICS AT MEMORIAL TR",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "YAKIMA VALLEY MEMORIAL HOSPITAL ASNN",
        "enumeration_date": "2017-04-17",
        "last_updated": "2017-04-17",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "VP/CFO",
        "authorized_official_telephone_number": "509-249-5067",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2017; 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.