Shirley M. Mauch, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OP00001041 Issued in WA

Practice address

508 S 4TH Ave
Yakima, WA 98902-3547

Phone

(509) 574-6139

Fax

(509) 574-6138

NPI assigned

Aug 14, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403136000000",
    "number": "1700899481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S 5TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023550",
            "telephone_number": "509-494-6700",
            "fax_number": "509-573-6275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 S 4TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023547",
            "telephone_number": "509-574-6139",
            "fax_number": "509-574-6138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAUCH",
        "first_name": "SHIRLEY",
        "middle_name": "M.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2014-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "OP00001041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1045316",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donna M Matthews-Pollock, FNP
• Lisa Anne Matthews, LICSW, ACSW
• Jennifer Margaret Mattson, M.S.
• Shana Mattson, DPT, PT
• Megan Christine Mauch, MS, CCC-SLP
• Angela K Maxson, OMS-4
• James Maxson
• Jennifer Maxwell
• John Patrick Maxwell, MD
• Mary Virginia Maxwell, LH6048328

• Family Medicine Physician in Yakima, WA
• Providers in Yakima, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2014; 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.