Active NPI
Yakima Otolaryngology & Facial Plastic Surgery, PLLC
- Otolaryngology/Facial Plastic Surgery Physician
- Yakima, WA
National Provider Identifier
1548416258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology/Facial Plastic Surgery Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology/Facial Plastic Surgery Physician | 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 DirectoryNPI 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.