Yakima Primary Care, PLLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

MD00020754 Issued in WA

Legal business name

YAKIMA PRIMARY CARE, PLLC

Practice address

1008 S. 38TH Avenue
Yakima, WA 98902-0000

Phone

(509) 249-9045

Fax

(509) 249-5041

NPI assigned

Jan 16, 2008

Organization subpart

No

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

Authorized official

Name

Jim W Simmons

Title

Director of Operations

Phone

(509) 248-7849

Specialties & licenses 1

Addresses

Other identifiers 5

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

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262736000000",
    "number": "1902082340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2947",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989072947",
            "telephone_number": "509-248-7849",
            "fax_number": "509-249-5042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 S. 38TH AVENUE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989020000",
            "telephone_number": "509-249-9045",
            "fax_number": "509-249-5041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAKIMA PRIMARY CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-16",
        "last_updated": "2010-01-06",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "JIM",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "509-248-7849"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "WA",
            "license": "MD00020754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7056898",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7057060",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7055643",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7057045",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7056930",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yakima Orthotics and Prosthetics P C (Kittitas Orthotics & Prosthetics)
• Yakima Orthotics and Prosthetics P C
• Yakima Otolaryngology & Facial Plastic Surgery, PLLC
• Yakima Plastic Surgery Associates, PC
• Yakima Primary Care, PLLC (Yakima Internal Medicine Specialist)
• Yakima Primary Care, PLLC (Richard B Boyd, MD)
• Yakima School District
• Yakima Specialties, Inc
• Yakima Surgical Associates, PLLC
• Yakima Urology Associates PLLC (Yakima Urology Surgery Center)

• General Practice Physician in Yakima, WA
• Providers in Yakima, WA by specialty
• General Practice Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.