Individual provider Active NPI

George Shayne Toliver, DO

  • Family Medicine Physician
  • Yakima, WA
National Provider Identifier
1730157892
Registry record updated Dec 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OP00001397 Issued in WA
Practice address
1111 W Spruce St
Ste 22
Yakima, WA 98902-3257
Phone
(509) 248-6414
Fax
(509) 902-1099
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2016

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 OP00001397 WA Primary

Addresses

Primary practice location

1111 W Spruce St
Ste 22
Yakima, WA 98902-3257

Mailing address

1111 W Spruce St
Ste 22
Yakima, WA 98902-3257
Phone (509) 248-6414

Other identifiers 1

IdentifierTypeStateIssuer
1119254MedicaidWA

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
I20040329001444 WA Practitioner - Osteopathic Manipulative Medicine 1355233735 Practice locations: Yakima, WA

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative Medicine
Education
College of Osteo Med of the Pacific at Pomona, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1111 W Spruce St
Suite 22
Yakima, WA 98902-3257
Phone (509) 248-6414

Hospital & facility affiliations

  • Mountainview Home Health Home health agency, Yakima, WA, CCN 507115
  • Yakima Valley Memorial Hospital, Yakima, WA, CCN 500036

Merit-based Incentive Payment System (MIPS)

Final score
73.03 of 100Reported as individual
Quality
34.99
Promoting interoperability
81
Improvement activities
40
Cost
90.96

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision16
Removal of tissue1-10
Removal of skin lesions41
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16685ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Physicians, PLLC Past Accepting new patients
Quality Care Medical Clinic,LLC Family Medicine PastSince Jan 4, 1999 Accepting new patients
Memorial Physicians, PLLC Past Accepting new patients

Organizations & group practices 3

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": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480550400000",
    "number": "1730157892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 W SPRUCE ST",
            "address_2": "STE 22",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023257",
            "telephone_number": "509-248-6414",
            "fax_number": "509-902-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 W SPRUCE ST",
            "address_2": "STE 22",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023257",
            "telephone_number": "509-248-6414",
            "fax_number": "509-902-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLIVER",
        "first_name": "GEORGE",
        "middle_name": "SHAYNE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2016-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "OP00001397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1119254",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

Verify at the official NPI Registry.