Active NPI 1861620627 Individual Practitioner Male Practitioner

Dr. Patrick W Gavin , DO

Urology • Richland, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Patrick Gavin, DO is a certified Urology practicing in Richland, WA. With approximately 17 years of clinical experience since graduating from Michigan State University College Of Osteopathic Medicine in 2009, Dr. Gavin delivers high-quality medical care to the local community at 1100 GOETHALS DRIVE.

Dr. Gavin is affiliated with Kadlec Regional Medical Center and accepts Medicare assignment.

Frequently performed procedures and clinical services include diagnostic exam of bladder and urethra using an endoscope, established patient outpatient office visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1100 Goethals Drive
Suite D Kadlec Clinic Urology

Richland, WA 99352

Telephone 5099423165

Fax 5099423167

Medicare Profile & Education

Medical School

Michigan State University College Of Osteopathic Medicine

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Richland, WA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

17 Yrs -3.0 yrs vs City Avg

City Avg: 20.0 Yrs

State Avg: 25.2 Yrs

Regional Practice Density

7 Specialists

Practicing in Richland, WA (351 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

57.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gavin (17 Years) 17 Yrs

Richland Specialty Average (20.0 Years) 20.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
52000 Diagnostic exam of bladder and urethra using an endoscope	339	277	$289.85	$76.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	293	254	$134.17	$95.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	269	269	$263.13	$129.39
99213 Established patient office or other outpatient visit, typically 15 minutes	257	241	$81.34	$63.77
74420 Imaging of urinary tract	74	63	$38.00	$23.81
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	71	60	$238.03	$135.88
55700 Biopsy of prostate gland	57	57	$341.21	$126.62
51702 Simple insertion of temporary bladder tube	57	29	$64.00	$24.57
52332 Insertion of stent in urinary duct (ureter) using an endoscope	56	50	$386.52	$130.61
76872 Ultrasound scan of pelvic region through rectum	48	48	$71.00	$31.85
51720 Instillation of anti-cancer drug into bladder	46	20	$172.00	$37.17
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	41	39	$323.00	$144.99
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	40	38	$37.00	$16.23
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	30	30	$332.00	$127.76
51700 Simple bladder irrigation and/or instillation	29	26	$95.00	$29.13
52356 Crushing of stone of ureter with insertion of stent using an endoscope	28	27	$965.11	$407.51
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	25	25	$401.00	$177.48
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	23	23	$425.00	$169.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$129.00	$80.51
52352 Removal or manipulation of stone in ureter or kidney using an endoscope	18	18	$759.00	$250.35
50590 Shock wave crushing of kidney stones	14	14	$1212.00	$564.13
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	13	12	$26.23	$8.59
99231 Follow-up hospital inpatient care per day, typically 15 minutes	12	11	$82.00	$48.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	380	306	$122.69	$96.20
52000 Diagnostic exam of bladder and urethra using an endoscope	344	275	$244.49	$77.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	327	327	$237.04	$132.78
99213 Established patient office or other outpatient visit, typically 15 minutes	181	164	$72.81	$65.44
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	75	70	$205.24	$143.52
74420 Imaging of urinary tract	67	55	$34.93	$24.28
51702 Simple insertion of temporary bladder tube	66	29	$58.18	$24.88
52332 Insertion of stent in urinary duct (ureter) using an endoscope	62	55	$356.79	$140.23
76872 Ultrasound scan of pelvic region through rectum	51	50	$64.10	$32.40
55700 Biopsy of prostate gland	51	50	$269.39	$128.25
51720 Instillation of anti-cancer drug into bladder	37	19	$157.14	$43.34
50590 Shock wave crushing of kidney stones	32	29	$1108.47	$553.98
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	29	28	$388.31	$173.86
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	27	26	$294.93	$147.54
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	24	24	$368.38	$181.10
51700 Simple bladder irrigation and/or instillation	20	19	$87.00	$29.87
51736 Simple timed assessment of bladder emptying	20	20	$16.20	$4.08
52356 Crushing of stone of ureter with insertion of stent using an endoscope	17	15	$839.79	$398.88
52352 Removal or manipulation of stone in ureter or kidney using an endoscope	15	15	$696.87	$209.25
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	15	15	$10.47	$8.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$27.67	$27.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	478	376	$117.35	$96.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	381	381	$230.87	$134.41
52000 Diagnostic exam of bladder and urethra using an endoscope	364	303	$241.26	$77.69
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	131	115	$201.26	$145.84
99213 Established patient office or other outpatient visit, typically 15 minutes	127	109	$70.30	$66.69
74420 Imaging of urinary tract	75	62	$34.00	$24.95
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	66	66	$357.00	$182.57
51720 Instillation of anti-cancer drug into bladder	63	23	$153.00	$38.71
52332 Insertion of stent in urinary duct (ureter) using an endoscope	57	47	$341.70	$127.03
51702 Simple insertion of temporary bladder tube	50	25	$57.00	$25.29
76872 Ultrasound scan of pelvic region through rectum	48	48	$63.00	$31.74
55700 Biopsy of prostate gland	48	48	$265.00	$125.85
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	38	36	$288.00	$144.25
51736 Simple timed assessment of bladder emptying	38	38	$16.00	$4.02
51700 Simple bladder irrigation and/or instillation	35	31	$85.00	$30.28
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	29	29	$378.00	$197.55
50590 Shock wave crushing of kidney stones	26	21	$1078.00	$573.33
52356 Crushing of stone of ureter with insertion of stent using an endoscope	23	20	$809.58	$399.11
52352 Removal or manipulation of stone in ureter or kidney using an endoscope	19	19	$675.00	$239.60
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	11	11	$1604.00	$727.39
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	11	11	$10.00	$9.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	384	339	$123.02	$98.86
52000 Diagnostic exam of bladder and urethra using an endoscope	365	297	$250.27	$78.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	323	323	$234.09	$135.66
99213 Established patient office or other outpatient visit, typically 15 minutes	292	234	$70.70	$67.59
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	169	140	$201.95	$147.68
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	135	135	$360.67	$183.05
52332 Insertion of stent in urinary duct (ureter) using an endoscope	73	64	$343.04	$127.65
74420 Imaging of urinary tract	67	55	$34.00	$25.01
51720 Instillation of anti-cancer drug into bladder	63	19	$153.00	$41.29
55700 Biopsy of prostate gland	52	52	$349.35	$131.29
76872 Ultrasound scan of pelvic region through rectum	47	47	$63.00	$33.47
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	45	44	$472.00	$142.90
51736 Simple timed assessment of bladder emptying	44	44	$16.00	$4.30
51700 Simple bladder irrigation and/or instillation	38	33	$85.00	$31.09
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	37	37	$378.00	$201.04
51702 Simple insertion of temporary bladder tube	36	20	$57.00	$25.43
52356 Crushing of stone of ureter with insertion of stent using an endoscope	22	18	$841.00	$412.06
50590 Shock wave crushing of kidney stones	22	20	$1078.00	$580.08
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	19	16	$135.00	$72.16
52352 Removal or manipulation of stone in ureter or kidney using an endoscope	19	17	$675.00	$218.58
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	17	17	$199.00	$105.17
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	17	17	$145.00	$18.87
51797 Insertion of device into abdomen with pressure and urine flow rate study	17	17	$76.00	$39.87
52204 Biopsy of the bladder using an endoscope	17	16	$270.00	$89.70
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$295.00	$136.42
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	12	12	$23.00	$12.63
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	12	12	$1604.00	$739.47
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	11	11	$10.00	$9.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
52000 Diagnostic exam of bladder and urethra using an endoscope	321	245	$249.26	$82.94
99213 Established patient office or other outpatient visit, typically 15 minutes	285	231	$70.74	$52.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	274	231	$121.82	$80.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	192	192	$231.72	$131.60
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	141	121	$204.68	$113.97
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	128	128	$358.29	$171.66
51720 Instillation of anti-cancer drug into bladder	113	33	$153.00	$39.95
52332 Insertion of stent in urinary duct (ureter) using an endoscope	65	53	$343.82	$131.30
76872 Ultrasound scan of pelvic region through rectum	62	62	$63.00	$34.48
55700 Biopsy of prostate gland	62	62	$265.00	$134.43
51700 Simple bladder irrigation and/or instillation	47	45	$85.00	$32.23
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	42	41	$288.00	$153.09
51702 Simple insertion of temporary bladder tube	33	17	$57.00	$26.58
51736 Simple timed assessment of bladder emptying	32	32	$16.00	$4.61
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	32	32	$378.00	$201.04
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	25	25	$24.56	$12.13
52356 Crushing of stone of ureter with insertion of stent using an endoscope	19	16	$834.68	$443.27
50590 Shock wave crushing of kidney stones	18	17	$1078.00	$588.04
99354 Prolonged office or other outpatient service first hour	17	17	$238.00	$124.44
52352 Removal or manipulation of stone in ureter or kidney using an endoscope	15	15	$675.00	$273.06
52234 Destruction and/or removal of growth of bladder and urethra using an endoscope, 0.5-2.0 cm	13	13	$479.82	$244.63
52224 Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope	12	12	$388.00	$196.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
52000 Diagnostic exam of bladder and urethra using an endoscope	356	284	$259.81	$82.20
99213 Established patient office or other outpatient visit, typically 15 minutes	339	289	$73.38	$50.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	295	262	$122.03	$79.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	266	266	$232.48	$129.73
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	148	148	$364.81	$167.94
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	142	125	$203.49	$110.50
51702 Simple insertion of temporary bladder tube	85	25	$57.00	$26.11
52332 Insertion of stent in urinary duct (ureter) using an endoscope	69	58	$326.03	$126.79
51720 Instillation of anti-cancer drug into bladder	67	24	$153.00	$38.62
55700 Biopsy of prostate gland	66	65	$331.45	$132.21
76872 Ultrasound scan of pelvic region through rectum	63	63	$63.00	$34.13
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	46	44	$408.00	$146.70
51736 Simple timed assessment of bladder emptying	42	42	$20.71	$4.61
99354 Prolonged office or other outpatient service first hour	33	31	$238.00	$123.33
50590 Shock wave crushing of kidney stones	30	26	$1078.00	$588.96
74420 Imaging of urinary tract	29	27	$34.00	$26.20
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	25	$31.89	$24.87
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	25	23	$10.00	$9.33
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	22	19	$135.00	$73.46
52356 Crushing of stone of ureter with insertion of stent using an endoscope	22	17	$817.69	$411.08
51700 Simple bladder irrigation and/or instillation	21	18	$85.00	$29.62
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	21	21	$23.00	$12.51
52352 Removal or manipulation of stone in ureter or kidney using an endoscope	19	19	$710.53	$320.21
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$295.00	$133.04
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	15	$378.00	$204.24
52235 Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm	16	14	$549.00	$279.52
52281 Dilation of bladder canal (urethra) using an endoscope	12	11	$290.00	$144.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	518	450	$120.19	$78.50
99213 Established patient office or other outpatient visit, typically 15 minutes	367	314	$69.90	$51.19
52000 Diagnostic exam of bladder and urethra using an endoscope	276	218	$241.98	$82.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	231	231	$232.86	$128.13
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	196	161	$203.37	$109.91
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	161	161	$357.00	$169.08
51702 Simple insertion of temporary bladder tube	117	22	$57.00	$26.48
51720 Instillation of anti-cancer drug into bladder	100	23	$153.00	$49.98
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	75	60	$23.00	$12.31
55700 Biopsy of prostate gland	61	61	$300.95	$130.83
76872 Ultrasound scan of pelvic region through rectum	55	55	$63.00	$34.04
52332 Insertion of stent in urinary duct (ureter) using an endoscope	52	42	$320.19	$122.44
99354 Prolonged office or other outpatient service first hour	44	41	$235.00	$122.21
51736 Simple timed assessment of bladder emptying	44	43	$16.00	$5.32
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	31	31	$10.00	$9.20
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	22	21	$378.00	$203.12
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	20	$295.00	$136.88
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	19	14	$135.00	$72.82
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	19	17	$288.00	$154.93
50590 Shock wave crushing of kidney stones	19	16	$1078.00	$550.45
52352 Removal or manipulation of stone in ureter or kidney using an endoscope	16	15	$685.55	$324.68
99231 Follow-up hospital inpatient care per day, typically 15 minutes	15	12	$73.00	$39.21
51703 Complicated insertion of bladder tube	15	11	$155.00	$78.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	342	273	$119.89	$77.43
99213 Established patient office or other outpatient visit, typically 15 minutes	282	246	$70.76	$49.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	175	175	$232.83	$126.84
52000 Diagnostic exam of bladder and urethra using an endoscope	170	141	$243.84	$100.47
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	136	136	$357.00	$166.56
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	127	111	$201.30	$109.10
51702 Simple insertion of temporary bladder tube	86	32	$57.00	$25.57
51720 Instillation of anti-cancer drug into bladder	78	18	$153.00	$63.86
76872 Ultrasound scan of pelvic region through rectum	52	51	$63.00	$33.44
55700 Biopsy of prostate gland	52	52	$266.27	$130.04
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	47	40	$10.00	$9.10
52332 Insertion of stent in urinary duct (ureter) using an endoscope	39	29	$325.41	$110.23
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	37	37	$63.00	$32.27
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	36	24	$135.00	$68.35
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	36	34	$378.00	$195.76
51736 Simple timed assessment of bladder emptying	29	29	$16.00	$4.63
50590 Shock wave crushing of kidney stones	27	19	$1078.00	$562.43
99354 Prolonged office or other outpatient service first hour	24	22	$174.75	$120.54
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	22	21	$23.00	$12.13
51741 Electronic assessment of bladder emptying	16	16	$16.00	$4.99
99231 Follow-up hospital inpatient care per day, typically 15 minutes	15	12	$73.00	$38.67
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$295.00	$134.86
52356 Crushing of stone of ureter with insertion of stent using an endoscope	12	12	$805.44	$416.97
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	11	11	$288.00	$145.19

Medical Specialties & State Licenses

CMS Verified: 2021-05-19

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License WA OP60479551

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Urology

NUCC Taxonomy Code: 208800000X

State License MI 5101018466

Hospital & Practice Group Affiliations

Kadlec Regional Medical Center

780 Swift Blvd, Richland, WA 993523524

Phone: 5099423288

Secondary Practice Locations

780 Swift Blvd

Richland, WA 993523524

Phone: 5099423070

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners

Juliana Asencio , PA-C

Physician Assistant

NPI 1629840566

Physician Assistant (Certified)

Jessika Watson

Nurse Practitioner - School

NPI 1639908320

Dr. Kacey Provenzano , MD

Urology

NPI 1740523158

Doctor of Medicine (M.D.)

Dr. Julio Slongo , MD

Urology

NPI 1952797763

Doctor of Medicine (M.D.)

Hayley Loos , PA-C

Physician Assistant

NPI 1972308609

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 19, 2021

Urology (License #5101018466 in MI)

✅

NPI Profile Active July 07, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location July 07, 2014

Registered at 1100 GOETHALS DRIVE, SUITE D KADLEC CLINIC UROLOGY, RICHLAND, WA 99352 (Tel: 5099423165)

📍

Updated Business Mailing Address July 07, 2014

Registered at 3900 S ZINTEL WAY, KENNEWICK, WA 993375092 (Tel: 5099423627)

👤

Provider Name / Credentials Updated July 07, 2014

Recorded as PATRICK GAVIN, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 07, 2014

Urology (License #OP60479551 in WA)

🟢

Initial NPI Registration & Enumeration June 30, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1861620627

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 30, 2009

Last Update: May 19, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3900 S Zintel Way

Kennewick, WA 993375092

Phone: 5099423627

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.