Organization Active NPI

Yakima Urology Associates PLLC

Doing business as Yakima Urology Surgery Center

  • Medical Specialty Clinic/Center
  • Yakima, WA
National Provider Identifier
1720075864
Registry record updated Nov 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
601650432 Issued in WA
Legal business name
YAKIMA UROLOGY ASSOCIATES PLLC
Doing business as
Yakima Urology Surgery Center
Practice address
2500 Racquet LN
Ste 150
Yakima, WA 98902-6114
Phone
(509) 249-3910
Fax
(509) 573-9527
NPI assigned
Oct 4, 2005
Last updated
Nov 23, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2009

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

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 601650432 WA Primary

Addresses

Primary practice location

2500 Racquet LN
Ste 150
Yakima, WA 98902-6114

Mailing address

2500 Racquet LN
Ste 150
Yakima, WA 98902-6114
Phone (509) 249-3910

Other names 1

  • Yakima Urology Surgery Center Doing business as

National Provider Directory

National Provider Directory

Locations

111 S 11th Ave
Ste 124
Yakima, WA 98902
Phone (509) 249-3910

NPI Registry JSON

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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yakima Urology Surgery Center",
            "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 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.