MEDICARE: TOTAL MEDICAL AND MANAGEMENT PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	363LA2200X	Adult Health Nurse Practitioner
2	363LP2300X	Primary Care Nurse Practitioner
3	363LX0106X	Occupational Health Nurse Practitioner
4	363L00000X	Nurse Practitioner
5	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1235962309
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOTAL MEDICAL AND MANAGEMENT PLLC

Provider Business Mailing Address
First Line	:	111 UNIVERSITY PKWY STE 104
Second Line	:
City	:	YAKIMA
State	:	WA
Zip	:	98901-1448
Country	:	US
Telephone Number	:	509-767-6447
Fax Number	:	509-902-0537

Provider Business Practice Location Address
First Line	:	111 UNIVERSITY PKWY STE 104
Second Line	:
City	:	YAKIMA
State	:	WA
Zip	:	98901-1448
Country	:	US
Telephone Number	:	509-767-6447
Fax Number	:	509-902-0537

Authorized Official
Title or Position	:	OWNER/MEMBER
Name	:	JAMES RYAN CASE
Credential	:	ARNP
Telephone Number	:	509-767-6447

Provider Enumeration Date	:	08/23/2024
Last Update Date	:	04/10/2025

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