Memorial Physicians, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

602902835

Legal business name

MEMORIAL PHYSICIANS, PLLC

Practice address

616 Railroad Ave
Suite 1 & 2
Zillah, WA 98953

Phone

(509) 972-1190

Fax

(509) 249-4458

NPI assigned

Nov 16, 2016

Organization subpart

No

Name

Timothy Reed

Title

Cfo, VP

Phone

(509) 248-7849

• Zillah Family Medicine Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 13, 2016.

{
    "created_epoch": "1479254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481587200000",
    "number": "1780126177",
    "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": "509-248-7849",
            "fax_number": "509-248-8291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 RAILROAD AVE",
            "address_2": "SUITE 1 & 2",
            "city": "ZILLAH",
            "state": "WA",
            "postal_code": "98953",
            "telephone_number": "509-972-1190",
            "fax_number": "509-249-4458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL PHYSICIANS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-16",
        "last_updated": "2016-12-13",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "CFO, VP",
        "authorized_official_telephone_number": "509-248-7849"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": "602902835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Zillah Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Zillah, WA
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; 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.