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CREEKSIDE ORTHOPEDICS PLLC NPI 1730180746


NPI Information

NPI: 1730180746
Provider Name: CREEKSIDE ORTHOPEDICS, PLLC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
3907 CREEKSIDE LOOP
STE. 100
YAKIMA, WA
ZIP 98902
Phone: (509) 457-1900
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CREEKSIDE ORTHOPEDICS, PLLC is a specialist in Yakima, WA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CREEKSIDE ORTHOPEDICS, PLLC NPI is 1730180746. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3907 CREEKSIDE LOOP
STE. 100
YAKIMA, WA
ZIP 98902-879
Phone: (509) 457-1900
Fax: (509) 853-2700

The provider's authorized official is John S Place .
The authorized official title is Ceo and has the following contact phone number (509) 457-1900.

The enumeration date for this NPI number is 8/2/2005 and was last updated on 8/16/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistMD0012321WASHINGTONYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1P00184475MEDICARE PINWASHINGTON
2G8850405MEDICARE PINWASHINGTON
3DC6949MEDICARE PINWASHINGTON
4A06594MEDICARE UPINWASHINGTON
57126642MEDICAIDWASHINGTON
60197897OTHERWASHINGTONLABOR AND INDUSTRIES

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.