Memorial Physicians, PLLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

602902835 Issued in WA

Legal business name

MEMORIAL PHYSICIANS, PLLC

Practice address

100 E Jackson Ave
Suite 102
Ellensburg, WA 98926-3692

Phone

(509) 453-4614

Fax

(509) 225-2712

NPI assigned

May 8, 2017

Organization subpart

No

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

Authorized official

Name

Timothy Reed

Title

Cfo. VP

Phone

(509) 248-7849

Specialties & licenses 1

Addresses

Other names 1

• Yakima Podiatry Associates Ellensburg Doing business as

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

{
    "created_epoch": "1494201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494201600000",
    "number": "1962938183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 SUMMITVIEW AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989022715",
            "telephone_number": "509-453-4614",
            "fax_number": "509-225-2712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E JACKSON AVE",
            "address_2": "SUITE 102",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989263692",
            "telephone_number": "509-453-4614",
            "fax_number": "509-225-2712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL PHYSICIANS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-08",
        "last_updated": "2017-05-08",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "CFO. VP",
        "authorized_official_telephone_number": "509-248-7849"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WA",
            "license": "602902835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yakima Podiatry Associates Ellensburg",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley Melin, CD(DONA)
• Memorial Physicians, PLLC
• Memorial Physicians, PLLC
• Memorial Physicians, PLLC
• Memorial Physicians, PLLC
• Memorial Physicians, PLLC
• Bianca Mendez
• Anne Merrill-Steskal
• John J Merrill-Steskal, M.D.
• Danielle S Metz, ARNP

• Foot & Ankle Surgery Podiatrist in Ellensburg, WA
• Providers in Ellensburg, WA by specialty
• Foot & Ankle Surgery Podiatrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2017; 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.