Organization Active NPI

Clinic for Ear Nose Throat Head & Neck Medicine & Surgery P S

Doing business as Otolaryngology Clinic

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Yakima, WA
National Provider Identifier
1588854178
Registry record updated Nov 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X
Legal business name
CLINIC FOR EAR NOSE THROAT HEAD & NECK MEDICINE & SURGERY P S
Doing business as
Otolaryngology Clinic
Practice address
307 S 12TH Ave
Suite 12
Yakima, WA 98902-3100
Phone
(509) 575-7500
Fax
(509) 575-0333
NPI assigned
Jul 30, 2007
Last updated
Nov 8, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2007

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

Authorized official

Name
Dr. James I Abbenhaus, M.D,
Title
President
Phone
(509) 575-7500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X 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

Other names 1

  • Otolaryngology Clinic Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194480000000",
    "number": "1588854178",
    "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": "CLINIC FOR EAR NOSE THROAT HEAD & NECK MEDICINE & SURGERY P S",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-30",
        "last_updated": "2007-11-08",
        "status": "A",
        "authorized_official_last_name": "ABBENHAUS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-575-7500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D,"
    },
    "taxonomies": [
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Otolaryngology Clinic",
            "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 Nov 8, 2007; 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.