Organization Active NPI

Yakima Urology Associates,PLLC

  • Urology Physician
  • Ellensburg, WA
National Provider Identifier
1851572523
Registry record updated Mar 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
YAKIMA UROLOGY ASSOCIATES,PLLC
Practice address
100 E Jackson Ave
Ste 105
Ellensburg, WA 98926-3692
Phone
(509) 249-3900
Fax
(509) 573-9539
NPI assigned
Nov 21, 2007
Organization subpart
Yes
Parent organization
YAKIMA UROLOGY ASSOCIATES, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 22, 2010

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

Authorized official

Name
Mr. Richard M Chang
Title
Administrator
Phone
(509) 249-3900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

100 E Jackson Ave
Ste 105
Ellensburg, WA 98926-3692

Mailing address

2500 Racquet LN
Ste 100
Yakima, WA 98902-6114
Phone (509) 249-3900

National Provider Directory

National Provider Directory
Part of
Yakima Urology Assoc PL

NPI Registry JSON

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

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269216000000",
    "number": "1851572523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 RACQUET LN",
            "address_2": "STE 100",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989026114",
            "telephone_number": "509-249-3900",
            "fax_number": "509-573-9539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E JACKSON AVE",
            "address_2": "STE 105",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989263692",
            "telephone_number": "509-249-3900",
            "fax_number": "509-573-9539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAKIMA UROLOGY ASSOCIATES,PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "YAKIMA UROLOGY ASSOCIATES, PLLC",
        "enumeration_date": "2007-11-21",
        "last_updated": "2010-03-22",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "509-249-3900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellensburg, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2010; 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.