Individual provider Active NPI

Theodore Kent Vye, DO

  • Family Medicine Physician
  • Yakima, WA
National Provider Identifier
1609894278
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
WA1175 Issued in WA
Practice address
310 Holton Ave
Yakima, WA 98902-3208
Phone
(509) 452-2508
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X WA1175 WA Primary

Addresses

Primary practice location

310 Holton Ave
Yakima, WA 98902-3208

Mailing address

310 Holton
Yakima, WA 98902
Phone (509) 452-2508

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100924000129 WA Practitioner - Family PracticePractitioner - Addiction Medicine 6305733841 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Addiction Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yakima Medical Clinic Inc PCGroup PAC ID 8224920996, 3 clinicians

Practice addresses (Care Compare)

310 Holton Ave
Yakima, WA 98902-3208
Phone (509) 452-2508

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
1175WAMDPsychologist
WA1175WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yakima Medical Clinic Inc PC Family Medicine CurrentSince Jan 1, 2003 Accepting new patients

Locations

310 Holton Ave
Yakima, WA 98902
Phone (509) 452-2508

Interoperability endpoints

  • Direct secure messaging: kent.vye.1@3721.direct.athenahealth.com
  • Direct secure messaging: tkvyedo@ymc-wa.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609894278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 HOLTON",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "98902",
            "telephone_number": "509-452-2508",
            "fax_number": "509-452-7316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 HOLTON AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023208",
            "telephone_number": "509-452-2508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VYE",
        "first_name": "THEODORE",
        "middle_name": "KENT",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "WA1175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

Verify at the official NPI Registry.