Individual provider Active NPI

Paul E Emmans III, D.O.

  • Family Medicine Physician
  • Yakima, WA
National Provider Identifier
1669493227
Registry record updated Jun 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OP00001755 Issued in WA
Practice address
311 S 72ND Ave
Yakima, WA 98908-1661
Phone
(509) 972-1818
Fax
(509) 225-2706
NPI assigned
Jul 21, 2006
Last updated
Jun 17, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2015

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 OP00001755 WA Primary

Addresses

Primary practice location

311 S 72ND Ave
Yakima, WA 98908-1661

Mailing address

3800 Summitview Ave
Yakima, WA 98902-2715
Phone (509) 972-1818

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
I20070305000154 WA Practitioner - Family PracticePractitioner - Endocrinology 9335241702 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yakima Valley Memorial PhysiciansGroup PAC ID 1557391596, 397 clinicians

Practice addresses (Care Compare)

406 S 30TH Ave
Suite 101
Yakima, WA 98902-3713
Phone (509) 248-7715

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Yakima Valley Memorial Physicians CurrentSince Jan 19, 2020 Accepting new patients
Yakima Valley Memorial Physicians CurrentSince Jan 19, 2020 Accepting new patients
Community Health of Central Washington Family Medicine CurrentSince Jan 1, 2007 Accepting new patients
Community Health of Central Washington CurrentSince Jan 1, 2007 Accepting new patients
Garden Village Past Accepting new patients
Yakima Hma Physician Management LLC Family Medicine Past Accepting new patients

Locations

1806 W Lincoln Ave
Yakima, WA 98902
Phone (509) 452-4520

2811 Tieton Dr
Yakima, WA 98902
Phone (509) 249-5210

311 S 72nd Ave
Yakima, WA 98908
Phone (509) 972-2028

4003 Creekside Loop
Yakima, WA 98908
Phone (509) 248-3263

406 S 30th Ave
Ste 101
Yakima, WA 98902
Phone (509) 248-1175

501 S 5th Ave
Yakima, WA 98902
Phone (509) 494-6700

Interoperability endpoints

  • Direct secure messaging: pemmans772074@direct.multicare.org

Organizations & group practices 6

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

Hospital & facility affiliations 3

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434499200000",
    "number": "1669493227",
    "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": "509-972-1818",
            "fax_number": "509-225-2706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 S 72ND AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989081661",
            "telephone_number": "509-972-1818",
            "fax_number": "509-225-2706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMMANS",
        "first_name": "PAUL",
        "middle_name": "E",
        "name_suffix": "III",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2015-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "OP00001755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

Verify at the official NPI Registry.