Organization Active NPI

Memorial Physicians, P.L.L.C.

Doing business as Yakima Vascular Associates

  • Vascular Surgery Physician
  • Yakima, WA
National Provider Identifier
1528390861
Registry record updated Jan 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
MEMORIAL PHYSICIANS, P.L.L.C.
Doing business as
Yakima Vascular Associates
Practice address
1607 Creekside Loop
Suite 100
Yakima, WA 98902-4882
Phone
(509) 453-4614
Fax
(509) 225-2712
NPI assigned
Feb 11, 2010
Last updated
Jan 11, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2016

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

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X NU Primary

Addresses

Primary practice location

1607 Creekside Loop
Suite 100
Yakima, WA 98902-4882

Mailing address

3800 Summitview Ave
Yakima, WA 98902-2715
Phone (509) 248-7849

Other names 1

  • Yakima Vascular Associates Doing business as

National Provider Directory

National Provider Directory

Locations

1607 Creekside Loop
#100
Yakima, WA 98902
Phone (509) 225-4669

NPI Registry JSON

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

{
    "created_epoch": "1265846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452470400000",
    "number": "1528390861",
    "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": "1607 CREEKSIDE LOOP",
            "address_2": "SUITE 100",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989024882",
            "telephone_number": "509-453-4614",
            "fax_number": "509-225-2712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL PHYSICIANS, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-11",
        "last_updated": "2016-01-11",
        "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": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yakima Vascular Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 11, 2016; 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.