Provider Demographics
NPI:1063406619
Name:TOPPING, JOHN WILLIAM III (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:WILLIAM
Last Name:TOPPING
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1601 CREEKSIDE LOOP
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98902
Mailing Address - Country:US
Mailing Address - Phone:509-575-1000
Mailing Address - Fax:509-575-0333
Practice Address - Street 1:1601 CREEKSIDE LOOP
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98902
Practice Address - Country:US
Practice Address - Phone:509-575-1000
Practice Address - Fax:509-225-2703
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-09
Last Update Date:2020-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD19690174400000X
WAMD60723753207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORB002OtherTRICARE
OR900847001OtherBLUE CROSS BLUE SHIELD
OR207501Medicaid
OR04000935OtherRAIL ROAD MEDICARE
ORR108023Medicare ID - Type Unspecified
ORB002OtherTRICARE