STEPHEN R SHAUL MD INC PS
NPI 1114240918
Clinic/Center - Medical Specialty in Yakima, WA

Active since March 08, 2010
4601 AVALANCHE AVE, YAKIMA, WA 98908(509) 966-0292 Get Directions Write a Review

NPPES record last updated: January 31, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Medical Specialty

About STEPHEN R SHAUL MD INC PS

This page provides the complete NPI Profile along with additional information for Stephen R Shaul Md Inc Ps, a provider established in Yakima, Washington operating as a Clinic/center, focusing in medical specialty . The healthcare provider is registered in the NPI registry with number 1114240918 assigned on March 2010. The practitioner's primary taxonomy code is 261QM2500X with license number MD00011637 (WA). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Dr. Stephen R Shaul M.d. (President)

NPI
1114240918 Verify this NPI
Provider Name
STEPHEN R SHAUL MD INC PS
Entity Type
Organization
Location Address
4601 AVALANCHE AVE YAKIMA, WA 98908
Location Phone
(509) 966-0292
Mailing Address
4601 AVALANCHE AVE YAKIMA, WA 98908
Mailing Phone
(509) 966-0292
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-08-2010
Last Update Date
01-31-2013
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Medical Specialty

Taxonomy Code
261QM2500X
Type
Ambulatory Health Care Facilities
License No.
MD00011637
License State
WA
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. STEPHEN R SHAUL M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(509) 966-0292

Reviews for STEPHEN R SHAUL MD INC PS

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114240918, enumerated as an "organization" on March 08, 2010.

The provider is located at 4601 AVALANCHE AVE YAKIMA, WA 98908 and the phone number is (509) 966-0292.

Clinic/Center with taxonomy code 261QM2500X and a focus in Medical Specialty.