DR. FREDERICK JARL THYSELL MD NPI 1285643544

NPI Information

NPI: 1285643544
Provider Name: DR. FREDERICK JARL THYSELL, MD
Classification: General Practice - 208D00000X
Entity Type: Individual
Organization: COMPASSION FAMILY MEDICINE PLLC

PECOS Registration: Yes

Address:
2807 W WASHINGTON AVE
STE 117
YAKIMA, WA
ZIP 98903
Phone: (509) 469-1903
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DR. Frederick Jarl Thysell, MD is a general practice in Yakima, WA with 54 years of experience. DR. Frederick Jarl Thysell, MD NPI is 1285643544. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduation Year:1970

The provider's business location address is:

2807 W WASHINGTON AVE
STE 117
YAKIMA, WA
ZIP 98903-367
Phone: (509) 469-1903
Fax: (509) 469-1905

The NPI 1285643544 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/5/2006 and was last updated on 1/11/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		MD00024540	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8120578	MEDICAID	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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