Yakima Valley Dermatology Inc PS

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

Legal business name

YAKIMA VALLEY DERMATOLOGY INC PS

Practice address

3911 Castlevale Rd Ste 301
Yakima, WA 98902-7807

Phone

(509) 966-7899

Fax

(509) 965-1714

NPI assigned

Oct 9, 2007

Last updated

May 2, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carole Violette, BSB/ACC, CPC

Title

Clinic Manager

Phone

(509) 965-1714

Specialties & licenses 1

Addresses

Tax ID family

Valley Dermatology Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Yakima Valley Dermatology Inc. , PS

  dba Valley Dermatology Associates

  • Dermatology Physician
  • Yakima, WA
  • NPI 1093493280
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kirk Torgle Ecklund, MD

  • MOHS-Micrographic Surgery Physician
  • Yakima, WA
  • NPI 1154432904
  NPD (past)

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556755200000",
    "number": "1831387489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3911 CASTLEVALE RD STE 301",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989027807",
            "telephone_number": "509-966-7899",
            "fax_number": "509-965-1714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3911 CASTLEVALE RD STE 301",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989027807",
            "telephone_number": "509-966-7899",
            "fax_number": "509-965-1714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAKIMA VALLEY DERMATOLOGY INC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2019-05-02",
        "status": "A",
        "authorized_official_last_name": "VIOLETTE",
        "authorized_official_first_name": "CAROLE",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "509-965-1714",
        "authorized_official_credential": "BSB/ACC, CPC"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yakima Valley Council on Alcoholism (Triumph Treatment Services)
• Yakima Valley Council on Alcoholism (Triumph Treatment Services)
• Yakima Valley Council on Alcoholism (Triumph Treatment Services)
• Yakima Valley Council on Alcoholism (Triumph Treatment Services)
• Yakima Valley Council on Alcoholism (Triumph Treatment Services)
• Yakima Valley Dermatology Inc. , PS (Valley Dermatology Associates)
• Yakima Valley Dermatology Inc. , PS (Valley Dermatology Associates)
• Yakima Valley Family Clinic (Yakima Valley Family Clinic, LLC)
• Yakima Valley Family Counseling
• Yakima Valley Farm Worker Clinic

• MOHS-Micrographic Surgery Physician in Yakima, WA
• Providers in Yakima, WA by specialty
• MOHS-Micrographic Surgery Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; 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.