Active NPI
Yakima Urology Associates,PLLC
- Urology Physician
- Ellensburg, WA
National Provider Identifier
1851572523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- 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, PLLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 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.