Organization Active NPI

Yakima Otolaryngology & Facial Plastic Surgery, PLLC

  • Otolaryngology/Facial Plastic Surgery Physician
  • Yakima, WA
National Provider Identifier
1548416258
Registry record updated Aug 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
Legal business name
YAKIMA OTOLARYNGOLOGY & FACIAL PLASTIC SURGERY, PLLC
Practice address
307 S 12TH Ave
Suite 12
Yakima, WA 98902-3100
Phone
(509) 575-7500
Fax
(509) 575-0333
NPI assigned
Aug 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2008

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

Authorized official

Name
Dr. Rick D Gross, MD
Title
Partner
Phone
(509) 575-7500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207YX0905X Primary

Addresses

Primary practice location

307 S 12TH Ave
Suite 12
Yakima, WA 98902-3100

Mailing address

307 S 12TH Ave
Suite 12
Yakima, WA 98902-3100
Phone (509) 575-7500

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1218585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218585600000",
    "number": "1548416258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 S 12TH AVE",
            "address_2": "SUITE 12",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023100",
            "telephone_number": "509-575-7500",
            "fax_number": "509-575-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 S 12TH AVE",
            "address_2": "SUITE 12",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023100",
            "telephone_number": "509-575-7500",
            "fax_number": "509-575-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAKIMA OTOLARYNGOLOGY & FACIAL PLASTIC SURGERY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-13",
        "last_updated": "2008-08-13",
        "status": "A",
        "authorized_official_last_name": "GROSS",
        "authorized_official_first_name": "RICK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "509-575-7500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Aug 13, 2008; 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.