YAMHILL VALLEY PULMONARY & SLEEP CENTER Full NPI Record 1003008665
Internal Medicine - Pulmonary Disease in Mcminnville, OR

Complete NPI Dataset

The following table represents the complete NPI 1003008665 dataset for Yamhill Valley Pulmonary & Sleep Center in 2397 NE CUMULUS AVE. MCMINNVILLE, OR 97128. The data table includes a list of all field names, values and definitions of the complete NPI record. The NPI dataset is available for download in CSV format using the "Download NPI" button below at the end of the table.

Name Value Definition
NPI1003008665The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Entity Type Code2Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Employer Identification Number EINUNAVAILThe Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
Provider Organization Name Legal Business NameKISHORE G. PATHIAL, M.D., P.C.The name of the organization provider. If the provider is an organization, this is the legal business name.
Provider Other Organization NameYAMHILL VALLEY PULMONARY & SLEEP CENTEROther name by which the organization provider is or has been known.
Provider Other Organization Name Type Code3Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; 5 = other.
Provider First Line Business Mailing Address2397 NE CUMULUS AVE.The first line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider first line location address’’.
Provider Business Mailing Address City NameMCMINNVILLEThe city name in the mailing address of the provider being identified.
Provider Business Mailing Address State NameORThe State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address State name’’.
Provider Business Mailing Address Postal Code971286255The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
Provider Business Mailing Address Country Code If outside U S USThe country code in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address country code’’.
Provider Business Mailing Address Telephone Number5034725163The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address telephone number’’.
Provider Business Mailing Address Fax Number5034723320The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address fax number’’.


Provider First Line Business Practice Location Address2397 NE CUMULUS AVE.The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameMCMINNVILLEThe city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameORThe State code in the location of the provider being identified.
Provider Business Practice Location Address Postal Code971286255The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code If outside U S USThe country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number5034725163The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number5034725163The fax number associated with the location address of the provider being identified.
Provider Enumeration Date8/16/2007The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date7/31/2013The date that a record was last updated or changed.
Authorized Official Last NamePATHIALThe last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
Authorized Official First NameKISHOREThe first name of the authorized official.
Authorized Official Middle NameGOPINATHANThe middle name of the authorized official.
Authorized Official Title or PositionOWNERThe title or position of the authorized official.
Authorized Official Telephone Number5034725163The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code 1163W00000XCode designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Provider License Number 1094006411N3 ANP-PPThe license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
Provider License Number State Code 1ORThe code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Healthcare Provider Primary Taxonomy Switch 1N
Healthcare Provider Taxonomy Code 2207R00000X
Provider License Number 2695279-1The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
Provider License Number State Code 2ORThe code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Healthcare Provider Primary Taxonomy Switch 2N
Healthcare Provider Taxonomy Code 3207RC0200X
Provider License Number 3695279-1The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
Provider License Number State Code 3ORThe code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Healthcare Provider Primary Taxonomy Switch 3N
Healthcare Provider Taxonomy Code 4207RP1001X
Provider License Number 4695279-1The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
Provider License Number State Code 4ORThe code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Healthcare Provider Primary Taxonomy Switch 4Y
Is Organization SubpartN
Authorized Official Name Prefix TextDR.
Authorized Official Credential TextM.D.
Healthcare Provider Taxonomy Group 1193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 2193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 3193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 4193200000X MULTI-SPECIALTY GROUP