| Rcch Trios Health Llc | |
|
3730 Plaza Way Kennewick WA 99338 | |
| (509) 221-6450 | |
| (509) 221-6230 |
| Full Name | Rcch Trios Health Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3730 Plaza Way, Kennewick, Washington |
| Authorized Official Name and Position | Charlotte Lawrence (SECRETARY) |
| Authorized Official Contact | 6159207000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rcch Trios Health Llc 3730 Plaza Way Kennewick WA 99338-2718 Ph: (509) 221-6450 | Rcch Trios Health Llc 3730 Plaza Way Kennewick WA 99338 Ph: (509) 221-6450 |
| NPI Number | 1831682806 |
|---|---|
| Provider Enumeration Date | 06/13/2018 |
| Last Update Date | 02/09/2023 |
| Medicare PECOS PAC ID | 5799035416 |
|---|---|
| Medicare Enrollment ID | O20180830000618 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831682806 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jean M Marine |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1942226774 PECOS PAC ID: 8921903907 Enrollment ID: I20031203000380 |
| Provider Name | Michael L Thorpe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497726285 PECOS PAC ID: 0345149704 Enrollment ID: I20040105000549 |
| Provider Name | Jamie L Geris |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013944198 PECOS PAC ID: 8527951409 Enrollment ID: I20040204000839 |
| Provider Name | Sheik N Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790731115 PECOS PAC ID: 7214827112 Enrollment ID: I20040316000724 |
| Provider Name | Christine A Acker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023004256 PECOS PAC ID: 6709878291 Enrollment ID: I20040402000711 |
| Provider Name | Brooks Watson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063451763 PECOS PAC ID: 7911891205 Enrollment ID: I20040423001359 |
| Provider Name | Eric Hansen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1154396570 PECOS PAC ID: 9133116007 Enrollment ID: I20040430000756 |
| Provider Name | Nancy E Krupin |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1063584043 PECOS PAC ID: 8224010897 Enrollment ID: I20040607000508 |
| Provider Name | Douglas Graham Wysham |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275526360 PECOS PAC ID: 4385553973 Enrollment ID: I20040712000611 |
| Provider Name | Hassan Atef Haddadin |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1710918388 PECOS PAC ID: 0446239362 Enrollment ID: I20040715000262 |
| Provider Name | Henrietta L Mayuga |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497719256 PECOS PAC ID: 8123007424 Enrollment ID: I20040720000013 |
| Provider Name | Ernest O Kanu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437261179 PECOS PAC ID: 2264411479 Enrollment ID: I20040720000139 |
| Provider Name | Bruce Ayres |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962419473 PECOS PAC ID: 2264333236 Enrollment ID: I20040802000380 |
| Provider Name | Luzcel Tuazon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306990817 PECOS PAC ID: 2769474261 Enrollment ID: I20040805000157 |
| Provider Name | Sergio J Flores |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275510869 PECOS PAC ID: 2961475389 Enrollment ID: I20040814000162 |
| Provider Name | David S Morrison |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467551176 PECOS PAC ID: 9436127784 Enrollment ID: I20040923000755 |
| Provider Name | Obioma N Onuorah |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1982706818 PECOS PAC ID: 6103724331 Enrollment ID: I20041020000546 |
| Provider Name | Manuel Guillermo Iregui |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1598758484 PECOS PAC ID: 3870554629 Enrollment ID: I20041025000553 |
| Provider Name | Thomas U Tan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1285708347 PECOS PAC ID: 9436102993 Enrollment ID: I20050224000140 |
| Provider Name | James D Vaughn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568430999 PECOS PAC ID: 1456343664 Enrollment ID: I20050427001027 |
| Provider Name | Helen P Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225084486 PECOS PAC ID: 8527008283 Enrollment ID: I20050512000136 |
| Provider Name | Arthur M Cain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184670457 PECOS PAC ID: 3678513355 Enrollment ID: I20050512000240 |
| Provider Name | Jennifer R. Brindle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598718033 PECOS PAC ID: 8729028410 Enrollment ID: I20050512000377 |
| Provider Name | Wayne M Kohan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134172281 PECOS PAC ID: 3779524483 Enrollment ID: I20050512000578 |
| Provider Name | Emad Ibrahim Abukhieran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558314237 PECOS PAC ID: 9537100276 Enrollment ID: I20050512000789 |
| Provider Name | Robert S Emerick |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255315495 PECOS PAC ID: 1850332842 Enrollment ID: I20050519000888 |
| Provider Name | Teresita A Clar De Jesus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457304347 PECOS PAC ID: 8224070933 Enrollment ID: I20050524000139 |
| Provider Name | Ningxin Zeng |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1376595637 PECOS PAC ID: 4688603657 Enrollment ID: I20050810000311 |
| Provider Name | Matthew E Fewel |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1346247293 PECOS PAC ID: 7416989215 Enrollment ID: I20050831000987 |
| Provider Name | Nelson Yu |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1447297601 PECOS PAC ID: 3779554233 Enrollment ID: I20051107000369 |
| Provider Name | Leandro T Cabanilla |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386754265 PECOS PAC ID: 4981619087 Enrollment ID: I20060210000302 |
| Provider Name | Elton R Kerr |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184793622 PECOS PAC ID: 8022073311 Enrollment ID: I20060224000332 |
| Provider Name | Elhami Hannan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1093803884 PECOS PAC ID: 9638124100 Enrollment ID: I20060321000259 |
| Provider Name | Maria Aleli T Ello |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053459578 PECOS PAC ID: 6800990490 Enrollment ID: I20070410000107 |
| Provider Name | Adam T Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730210444 PECOS PAC ID: 3375642580 Enrollment ID: I20070628000097 |
| Provider Name | Katina R Rue |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841384880 PECOS PAC ID: 8325139702 Enrollment ID: I20070814000787 |
| Provider Name | Mary Grace P Hipolito |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649483645 PECOS PAC ID: 3173610193 Enrollment ID: I20071107000300 |
| Provider Name | Kimberly R Larson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558546135 PECOS PAC ID: 2264510205 Enrollment ID: I20080416000494 |
| Provider Name | Randall A Espinosa |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1194829549 PECOS PAC ID: 8527133743 Enrollment ID: I20080821000458 |
| Provider Name | Nadia A Toshani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376743823 PECOS PAC ID: 1456431196 Enrollment ID: I20080905000608 |
| Provider Name | Ramon Anel |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1467547711 PECOS PAC ID: 2769377423 Enrollment ID: I20081009000781 |
| Provider Name | Peter J Schlegel |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1891785838 PECOS PAC ID: 8224110747 Enrollment ID: I20081027000312 |
| Provider Name | Juergen Mueller |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1376636043 PECOS PAC ID: 9234161589 Enrollment ID: I20081106000317 |
| Provider Name | Jimmy Dy Chua |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1205939840 PECOS PAC ID: 7214090372 Enrollment ID: I20090115000400 |
| Provider Name | Christopher K Ravage |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1588691406 PECOS PAC ID: 0941364624 Enrollment ID: I20090123000494 |
| Provider Name | Edward Kim |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1386752913 PECOS PAC ID: 0345288916 Enrollment ID: I20090212000708 |
| Provider Name | Ernesto G Dizon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326070871 PECOS PAC ID: 1052201274 Enrollment ID: I20090306000144 |
| Provider Name | Robert A Pleyo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861631384 PECOS PAC ID: 0244387751 Enrollment ID: I20090420000289 |
| Provider Name | Ana Sofia Rosa-ruiz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922245687 PECOS PAC ID: 2860540093 Enrollment ID: I20090428000273 |
| Provider Name | Stacy K Tong |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1578729349 PECOS PAC ID: 0648318378 Enrollment ID: I20091117000332 |
| Provider Name | Bernard Joseph Navarro Pulido |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194930537 PECOS PAC ID: 7618016957 Enrollment ID: I20091130000528 |
| Provider Name | Sheila K Dunlop |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093703852 PECOS PAC ID: 2567454010 Enrollment ID: I20100113000036 |
| Provider Name | Dale Hoekema |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1447207832 PECOS PAC ID: 6709973712 Enrollment ID: I20100125000097 |
| Provider Name | Mark D Flesher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497741771 PECOS PAC ID: 1759373202 Enrollment ID: I20100420000985 |
| Provider Name | Matthew Robert Crouthamel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437264322 PECOS PAC ID: 8527196393 Enrollment ID: I20100514000816 |
| Provider Name | Muthulakshmi Ramesh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154331932 PECOS PAC ID: 2062303118 Enrollment ID: I20100521000898 |
| Provider Name | Jennifer L Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134344286 PECOS PAC ID: 9436244167 Enrollment ID: I20100629000477 |
| Provider Name | Vladimir I Bogin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992782700 PECOS PAC ID: 5991836975 Enrollment ID: I20100708000886 |
| Provider Name | Herbert M Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366409740 PECOS PAC ID: 4688566623 Enrollment ID: I20100804000493 |
| Provider Name | Ma Hazel Lyn G Gavino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679768865 PECOS PAC ID: 0345419149 Enrollment ID: I20110812000176 |
| Provider Name | Michael D D Cabasug |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538351176 PECOS PAC ID: 0648449280 Enrollment ID: I20110816000342 |
| Provider Name | Deanna Pt Dreier |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588929061 PECOS PAC ID: 0840441374 Enrollment ID: I20121110000009 |
| Provider Name | Robert A Kiddy |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1952539769 PECOS PAC ID: 3072766112 Enrollment ID: I20130123000407 |
| Provider Name | Margaret B Garcia |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932444064 PECOS PAC ID: 1557516218 Enrollment ID: I20130301000290 |
| Provider Name | Marvin F Roman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699960245 PECOS PAC ID: 9133289804 Enrollment ID: I20130607000426 |
| Provider Name | Stephen M Dechter |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1568635365 PECOS PAC ID: 2062652266 Enrollment ID: I20130711000767 |
| Provider Name | Shumal Malepati |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033472337 PECOS PAC ID: 0648413591 Enrollment ID: I20130826000569 |
| Provider Name | Lalit Vadlamani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770552648 PECOS PAC ID: 2668467481 Enrollment ID: I20130909000298 |
| Provider Name | Vamsi K Kanneganti |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1629388418 PECOS PAC ID: 6608065214 Enrollment ID: I20131002000605 |
| Provider Name | Charisao Srisuthipornsakul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609172444 PECOS PAC ID: 0446473870 Enrollment ID: I20140603001297 |
| Provider Name | Stephen Bartsch |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1417179623 PECOS PAC ID: 6608930094 Enrollment ID: I20140715002592 |
| Provider Name | Kyle T Curtis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366675803 PECOS PAC ID: 7517183031 Enrollment ID: I20140718000972 |
| Provider Name | Joshua Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912307653 PECOS PAC ID: 8729303375 Enrollment ID: I20150203000430 |
| Provider Name | Jeffrey J Mcdannel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235575721 PECOS PAC ID: 3870805187 Enrollment ID: I20150629002898 |
| Provider Name | Chia Chun Hsu |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1518162072 PECOS PAC ID: 8628124815 Enrollment ID: I20150730010645 |
| Provider Name | Mouhamad Mansour |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1851523500 PECOS PAC ID: 7012132038 Enrollment ID: I20150801017357 |
| Provider Name | Geepress D Corpuz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275954927 PECOS PAC ID: 8527285733 Enrollment ID: I20150803001050 |
| Provider Name | Fadi T Alattar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255585329 PECOS PAC ID: 9638483746 Enrollment ID: I20150803002897 |
| Provider Name | Amer Khouri |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1205833084 PECOS PAC ID: 5698857159 Enrollment ID: I20150908000415 |
| Provider Name | Kristine P Rueda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720349509 PECOS PAC ID: 7911215041 Enrollment ID: I20151008002652 |
| Provider Name | Gerson D Valdez Figueroa |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1861689960 PECOS PAC ID: 7517186786 Enrollment ID: I20151228001923 |
| Provider Name | Scott Bartels |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1124138961 PECOS PAC ID: 0547204513 Enrollment ID: I20160128001383 |
| Provider Name | Mark D Baldwin |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1477656304 PECOS PAC ID: 2769390228 Enrollment ID: I20160208001553 |
| Provider Name | Daniel Smith |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1235454901 PECOS PAC ID: 8820308059 Enrollment ID: I20160317001074 |
| Provider Name | Ivan Javier Reyes-rufo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780078733 PECOS PAC ID: 6305143702 Enrollment ID: I20160330001596 |
| Provider Name | Whitney J Fix-lanes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932587359 PECOS PAC ID: 6406153634 Enrollment ID: I20160411000235 |
| Provider Name | Bradley W Hilliard-lythgoe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376984682 PECOS PAC ID: 0941247332 Enrollment ID: I20160426001220 |
| Provider Name | Tyler James Christensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144606146 PECOS PAC ID: 4789983198 Enrollment ID: I20160505001090 |
| Provider Name | Jason D Wright |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1942438841 PECOS PAC ID: 1850614215 Enrollment ID: I20160524000717 |
| Provider Name | Ahmad A Fora |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1386875011 PECOS PAC ID: 9032359120 Enrollment ID: I20160705000602 |
| Provider Name | Scott P Spendlove |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1417240961 PECOS PAC ID: 5799093464 Enrollment ID: I20160822002835 |
| Provider Name | Charanya Sivaramakrishnan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1497053003 PECOS PAC ID: 5991091944 Enrollment ID: I20160831001228 |
| Provider Name | Oscar Del Valle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477903029 PECOS PAC ID: 8628364007 Enrollment ID: I20160912000643 |
| Provider Name | Kathryn S Shoop |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1932442050 PECOS PAC ID: 9537456967 Enrollment ID: I20160928000882 |
| Provider Name | Colleen Michelle Overdorf |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1013174432 PECOS PAC ID: 4082843701 Enrollment ID: I20160928001478 |
| Provider Name | Salil Rajayer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780082263 PECOS PAC ID: 5799063756 Enrollment ID: I20161025002712 |
| Provider Name | Tegpal S Atwal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275751869 PECOS PAC ID: 7911153200 Enrollment ID: I20161116002666 |
| Provider Name | Julie Ann Peck Rendon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992249940 PECOS PAC ID: 8325322746 Enrollment ID: I20170303000461 |
| Provider Name | Tabitha C Lustig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184985152 PECOS PAC ID: 7416108220 Enrollment ID: I20170314000573 |
| Provider Name | Nicole D Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982147641 PECOS PAC ID: 8426325903 Enrollment ID: I20170605002335 |
| Provider Name | Nicholas A Juan |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1013270875 PECOS PAC ID: 6103111349 Enrollment ID: I20170615002033 |
| Provider Name | Kirandeep Khangura |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1265650857 PECOS PAC ID: 3971769340 Enrollment ID: I20170731002580 |
| Provider Name | Joshua D Spendlove |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1356513014 PECOS PAC ID: 9436370160 Enrollment ID: I20170816002950 |
| Provider Name | Andrea Munder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801287529 PECOS PAC ID: 7719204221 Enrollment ID: I20170915003016 |
| Provider Name | Amardeep S Mann |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1396715181 PECOS PAC ID: 4183676679 Enrollment ID: I20171004001302 |
| Provider Name | Fahim Jafary |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1083659700 PECOS PAC ID: 8820029259 Enrollment ID: I20171030002204 |
| Provider Name | Christopher R Okeeffe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467993170 PECOS PAC ID: 9739448358 Enrollment ID: I20180104001933 |
| Provider Name | Sumeet Sachdev |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871545954 PECOS PAC ID: 7810970373 Enrollment ID: I20180112002583 |
| Provider Name | Porntip Kiatsimkul |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1205099082 PECOS PAC ID: 4284804576 Enrollment ID: I20180913002767 |
| Provider Name | Jessica Di Nizio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346412079 PECOS PAC ID: 0042359473 Enrollment ID: I20190319000764 |
| Provider Name | Jeremy Conklin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700830882 PECOS PAC ID: 7517109614 Enrollment ID: I20190328002037 |
| Provider Name | Zhiqing Xing |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1417129339 PECOS PAC ID: 0345412730 Enrollment ID: I20190509000844 |
| Provider Name | Rachel Logan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1255758595 PECOS PAC ID: 5395070049 Enrollment ID: I20190717002038 |
| Provider Name | Harmanjot Singh Gill |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114374030 PECOS PAC ID: 8921335399 Enrollment ID: I20190807002813 |
| Provider Name | Hala Madi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447635941 PECOS PAC ID: 7618277187 Enrollment ID: I20200312000707 |
| Provider Name | Jessica Lynn Noble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447800438 PECOS PAC ID: 4486083847 Enrollment ID: I20200406002181 |
| Provider Name | Madiha Haque |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467974170 PECOS PAC ID: 3375969611 Enrollment ID: I20200817002803 |
| Provider Name | Jaimee Kartchner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164042271 PECOS PAC ID: 9133546245 Enrollment ID: I20200902003424 |
| Provider Name | Alexander Scott Nelson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013339027 PECOS PAC ID: 7719305457 Enrollment ID: I20200914000647 |
| Provider Name | Jennifer Lynn Marquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780221333 PECOS PAC ID: 9133547714 Enrollment ID: I20200914002106 |
| Provider Name | Heather Mcmanigal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154986560 PECOS PAC ID: 3072769967 Enrollment ID: I20200916001822 |
| Provider Name | Michael Kolczynski |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1801236971 PECOS PAC ID: 7810283942 Enrollment ID: I20201021001990 |
| Provider Name | Juan Weksler |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1316919723 PECOS PAC ID: 2365482759 Enrollment ID: I20201117002856 |
| Provider Name | Maria Revina Ignacio Vitug |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417938556 PECOS PAC ID: 8022148956 Enrollment ID: I20210324003262 |
| Provider Name | Lucas Fayez Bazi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316379803 PECOS PAC ID: 1254732712 Enrollment ID: I20210622002942 |
| Provider Name | Gurpreet Johal |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1568751154 PECOS PAC ID: 6709007412 Enrollment ID: I20210719000675 |
| Provider Name | Spencer S Schulte |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326492323 PECOS PAC ID: 5597161992 Enrollment ID: I20210910000411 |
| Provider Name | Steven Douglas Spady |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356398739 PECOS PAC ID: 9436067592 Enrollment ID: I20211201003010 |
| Provider Name | Marcella Ruth Mclarty |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841295706 PECOS PAC ID: 8022078542 Enrollment ID: I20220124000001 |
| Provider Name | David L Galt |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1659369734 PECOS PAC ID: 5294630349 Enrollment ID: I20220125001511 |
| Provider Name | Elizabeth H Brallier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396249363 PECOS PAC ID: 5294081881 Enrollment ID: I20220127002237 |
| Provider Name | Kailey B Friesz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205594082 PECOS PAC ID: 9335531185 Enrollment ID: I20220128000115 |
| Provider Name | Robert C Thomas |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1083624944 PECOS PAC ID: 5890730550 Enrollment ID: I20220227000004 |
| Provider Name | Karen Lynn Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740579788 PECOS PAC ID: 8022402387 Enrollment ID: I20220302001664 |
| Provider Name | Stephen A Korte |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881615318 PECOS PAC ID: 4587557608 Enrollment ID: I20220318000828 |
| Provider Name | Ethan Estoos |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1609306828 PECOS PAC ID: 2466875265 Enrollment ID: I20220729000586 |
| Provider Name | Rukia N Busaidy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598433609 PECOS PAC ID: 7214335553 Enrollment ID: I20220811003301 |
| Provider Name | Jozef William Pavnica |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326571449 PECOS PAC ID: 2264709831 Enrollment ID: I20220817001397 |
| Provider Name | Erik William Rammelsberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710631767 PECOS PAC ID: 6406230762 Enrollment ID: I20220906001117 |
| Provider Name | Cynthia Guede |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851818835 PECOS PAC ID: 5991061848 Enrollment ID: I20220907001343 |
| Provider Name | Maria Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841209194 PECOS PAC ID: 1759336175 Enrollment ID: I20221103002915 |
| Provider Name | Kevin Huang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1205014420 PECOS PAC ID: 9234301961 Enrollment ID: I20230131000344 |
| Provider Name | Jennifer R Follwell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093785982 PECOS PAC ID: 1658391552 Enrollment ID: I20230201001195 |
| Provider Name | Juan C Vasquez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477593713 PECOS PAC ID: 5092800375 Enrollment ID: I20230310001943 |
| Provider Name | Kristy Lynn Leitze |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1356686927 PECOS PAC ID: 4981063427 Enrollment ID: I20230630003070 |
| Provider Name | Grace Lee |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1346934981 PECOS PAC ID: 5092174250 Enrollment ID: I20230706000755 |
| Provider Name | Peter Brendan Nelles Cain |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235713561 PECOS PAC ID: 9739548942 Enrollment ID: I20230706002626 |
| Provider Name | Tayte Janette Koussa-bingman |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730774712 PECOS PAC ID: 2466812185 Enrollment ID: I20230713000555 |
| Provider Name | Justin William Bingman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073282265 PECOS PAC ID: 7517327083 Enrollment ID: I20230714003024 |
| Provider Name | Corrin Joanna Veiga |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902535487 PECOS PAC ID: 6002276243 Enrollment ID: I20230719001705 |
| Provider Name | Jillian Lee Thayer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407352065 PECOS PAC ID: 7810243433 Enrollment ID: I20230828000975 |
| Provider Name | Haider Shamsulddin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528366457 PECOS PAC ID: 2062738081 Enrollment ID: I20230829001230 |
| Provider Name | Alisha Denovitz |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1134210651 PECOS PAC ID: 8022462373 Enrollment ID: I20230920003899 |
| Provider Name | Haluk Tezcan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1487684148 PECOS PAC ID: 9830091354 Enrollment ID: I20231006000333 |
| Provider Name | Julie N. Chevillet |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1407067556 PECOS PAC ID: 5496808800 Enrollment ID: I20231027003189 |
| Provider Name | Jarrett Hamilton |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1033206131 PECOS PAC ID: 5395848378 Enrollment ID: I20231030000592 |
Loren Stueckle O.d.,p.s. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1321 N Columbia Center Blvd, Suite 100, Kennewick, WA 99336 Phone: 509-783-2555 Fax: 509-783-0830 | |
Larry W Loveridge, Dmd, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1921 S Arthur St, Kennewick, WA 99338 Phone: 509-947-3862 Fax: 509-735-9885 | |
Kadlec Regional Medical Center - Express Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4008 W 27th Ave, Suite 103, Kennewick, WA 99337 Phone: 509-942-2144 | |
Tri-cities Vision Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2720 S Quillan St, Vision Center, Kennewick, WA 99337 Phone: 509-585-8314 Fax: 509-585-9653 | |
Ppgwni Kennewick Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7426 W Bonnie Pl, Kennewick, WA 99336 Phone: 866-904-7721 Fax: 509-576-8685 | |
Columbia River Gastroenterology Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 602 N Colorado St, Suite D, Kennewick, WA 99336 Phone: 509-735-8600 Fax: 509-783-7354 | |
H Matt Smith Md Ps Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 W 1st Ave, Kennewick, WA 99336 Phone: 509-585-5500 Fax: 509-585-4161 |