Active NPI
Yakima Plastic Surgery Associates, PC
- Plastic and Reconstructive Surgery Physician
- Yakima, WA
National Provider Identifier
1972653855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- MD00043074
- Legal business name
- YAKIMA PLASTIC SURGERY ASSOCIATES, PC
- Practice address
- 3003 Tieton Dr
Suite 330
Yakima, WA 98902-3679 - Phone
- (509) 575-8633
- Fax
- (509) 575-8548
- NPI assigned
- Jan 11, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bernard L Swartz, MD
- Title
- President
- Phone
- (509) 575-8633
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | MD00043074 | WA | Primary |
Addresses
Primary practice location
3003 Tieton Dr
Suite 330
Yakima, WA 98902-3679
Mailing address
PO Box 2947
Yakima, WA 98907-2947
Phone (509) 248-7849
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7136013 | Medicaid | WA |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1192752000000",
"number": "1972653855",
"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": "3003 TIETON DR",
"address_2": "SUITE 330",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989023679",
"telephone_number": "509-575-8633",
"fax_number": "509-575-8548"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YAKIMA PLASTIC SURGERY ASSOCIATES, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-11",
"last_updated": "2007-10-19",
"status": "A",
"authorized_official_last_name": "SWARTZ",
"authorized_official_first_name": "BERNARD",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "509-575-8633",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "WA",
"license": "MD00043074",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7136013",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yakima, WA
- Yakima Orthodontics
- Yakima Orthopedics at Memorial TR
- Yakima Orthotics and Prosthetics P C
- Yakima Orthotics and Prosthetics P C
- Yakima Otolaryngology & Facial Plastic Surgery, PLLC
- Yakima Primary Care, PLLC
- Yakima Primary Care, PLLC
- Yakima Primary Care, PLLC
- Yakima School District
- Yakima Specialties, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.