Individual provider Active NPI

Palmer P Wright, D.O.

  • Otolaryngology/Facial Plastic Surgery Physician
  • Yakima, WA
National Provider Identifier
1760569701
Registry record updated Dec 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
OP00001051 Issued in WA
Practice address
1601 Creekside Loop
Yakima, WA 98902-4882
Phone
(509) 575-1000
Fax
(509) 575-0333
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X OP00001051 WA Primary

Addresses

Primary practice location

1601 Creekside Loop
Yakima, WA 98902-4882

Mailing address

3800 Summitview Ave
Yakima, WA 98902-2715
Phone (509) 249-5066

Other identifiers 1

IdentifierTypeStateIssuer
1002831MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1051WAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Yakima Valley Memorial Physicians CurrentSince Sep 1, 2020 Accepting new patients
Yakima Valley Memorial Physicians CurrentSince Sep 1, 2020 Accepting new patients
E.N.T.-Facial Plastic Surgery Associates, PLLC. Otolaryngology/Facial Plastic Surgery PastSince Aug 30, 2005 Accepting new patients

Locations

100 E Jackson Ave
Ste 102
Ellensburg, WA 98926
Phone (509) 453-4614

1601 Creekside Loop
Yakima, WA 98902
Phone (509) 453-8231

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325116800000",
    "number": "1760569701",
    "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": "509-249-5066",
            "fax_number": "509-249-5042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 CREEKSIDE LOOP",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989024882",
            "telephone_number": "509-575-1000",
            "fax_number": "509-575-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "PALMER",
        "middle_name": "P",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2011-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "WA",
            "license": "OP00001051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1002831",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

Verify at the official NPI Registry.