Robert Lewis Fallstrom, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OP0001389 Issued in WA

Practice address

5 S 14TH Ave
Yakima, WA 98902-3101

Phone

(509) 426-2378

Fax

(509) 426-2380

NPI assigned

Jul 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Yakima Medical Clinic Inc PC

  • Preferred Provider Organization
  • Yakima, WA
  • NPI 1316079585

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1922033604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 S 14TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023101",
            "telephone_number": "509-426-2378",
            "fax_number": "509-426-2380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 S 14TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023101",
            "telephone_number": "509-426-2378",
            "fax_number": "509-426-2380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4001 Tieton Dr",
            "address_purpose": "LOCATION",
            "city": "Yakima",
            "state": "WA",
            "postal_code": "989083345",
            "country_code": "US",
            "telephone_number": "509-965-1770",
            "fax_number": "509-966-5459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FALLSTROM",
        "first_name": "ROBERT",
        "middle_name": "LEWIS",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "OP0001389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2047318",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Darlene Rae Fairbrook
• Mary Fairfield
• Julia Faith, RN
• Parker Faith
• Constance Anna Fallstrom, PT
• Family Counseling & Autism Consulting
• Family Vision Care of Yakima PC
• Guofang Fan, RDH
• Adolfina Lizbet Farias-Mendoza
• Fredy Farias-Sanchez

• Family Medicine Physician in Yakima, WA
• Providers in Yakima, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.