Yakima Urology Associates PLLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

601650432 Issued in WA

Legal business name

YAKIMA UROLOGY ASSOCIATES PLLC

Practice address

2500 Racquet LN
Ste 150
Yakima, WA 98902-6114

Phone

(509) 249-3910

Fax

(509) 573-9527

NPI assigned

Oct 4, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Eric M Ruud

Title

Administrator

Phone

(509) 249-3910

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Yakima Urology Surgery Center Doing business as

Locations

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258934400000",
    "number": "1720075864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 RACQUET LN",
            "address_2": "STE 150",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989026114",
            "telephone_number": "509-249-3910",
            "fax_number": "509-573-9527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 RACQUET LN",
            "address_2": "STE 150",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989026114",
            "telephone_number": "509-249-3910",
            "fax_number": "509-573-9527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAKIMA UROLOGY ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-04",
        "last_updated": "2009-11-23",
        "status": "A",
        "authorized_official_last_name": "RUUD",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "509-249-3910",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "WA",
            "license": "601650432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "49003689",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7091200",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yakima Urology Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yakima Primary Care, PLLC
• Yakima Primary Care, PLLC
• Yakima School District
• Yakima Specialties, Inc
• Yakima Surgical Associates, PLLC
• Yakima Urology Associates PLLC
• Yakima Urology at Memorial TR
• Yakima Valley Cab Company LLC
• Yakima Valley Community College
• Yakima Valley Council on Alcoholism

• Medical Specialty Clinic/Center in Yakima, WA
• Providers in Yakima, WA by specialty
• Medical Specialty Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2009; 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.