Organization Active NPI

Cancer Institutes of Washington, PLLC

  • Medical Oncology Physician
  • Yakima, WA
National Provider Identifier
1871508564
Registry record updated Dec 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
Legal business name
CANCER INSTITUTES OF WASHINGTON, PLLC
Practice address
3911 Castlevale Rd
Suite 201
Yakima, WA 98902-7807
Phone
(509) 454-9499
Fax
(509) 457-4994
NPI assigned
Jul 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2013

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

Authorized official

Name
Albert Michael Brady, MD
Title
Physician / Owner
Phone
(509) 454-9499

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RX0202X Primary
Durable Medical Equipment & Medical Supplies 332B00000X MD00044836 WA

Addresses

Primary practice location

3911 Castlevale Rd
Suite 201
Yakima, WA 98902-7807

Mailing address

PO Box 996
Hayden, ID 83835-0996
Phone (208) 664-4026

Other identifiers 1

IdentifierTypeStateIssuer
7115017MedicaidWA

Other names 1

  • Washington Hematology Oncology Doing business as

National Provider Directory

National Provider Directory

Locations

3911 Castlevale Rd
Ste 201
Yakima, WA 98902
Phone (509) 454-9499

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388448000000",
    "number": "1871508564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 996",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838350996",
            "telephone_number": "208-664-4026",
            "fax_number": "208-664-4840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3911 CASTLEVALE RD",
            "address_2": "SUITE 201",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989027807",
            "telephone_number": "509-454-9499",
            "fax_number": "509-457-4994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANCER INSTITUTES OF WASHINGTON, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2013-12-31",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PHYSICIAN / OWNER",
        "authorized_official_telephone_number": "509-454-9499",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Medical Oncology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WA",
            "license": "MD00044836",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7115017",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Washington Hematology Oncology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yakima, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2013; 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.