EVERGREEN INTEGRATIVE GYNECOLOGY (NPI# 1467940726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467940726 |
Entity Type | Organization |
Organization Name | EVERGREEN INTEGRATIVE GYNECOLOGY |
Practice Address |
1306 Main St Vancouver WA 98660-2919 |
Practice Telephone | 3603142384 |
Mailing Telephone | 3603142384 |
Enumeration Date | 2018-04-23 |
Last Update Date | 2018-04-23 |
Authorized Official Name | DR. CYNTHIA MCNALLY (PRESIDENT AND OWNER) |
Authorized Official Telephone | 3606017285 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
00041848 | WA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | 1700866084 | 05 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Washington State Corporations | EVERGREEN INTEGRATIVE GYNECOLOGY, P.C. | 1306 Main St, Vancouver, WA 98660-2919 |
Street Address |
1306 MAIN ST |
City | VANCOUVER |
State | WA |
Zip Code | 98660-2919 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700866084 | Cynthia G Mcnally | Obstetrics & Gynecology | 1306 Main St, Vancouver, WA 98660-2919 | 2006-01-20 |
1104080373 | Everybody Physical Therapy LLC | Clinic/Center | 1306 Main St, Vancouver, WA 98660-2919 | 2008-07-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538779137 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 781 W Columbia Way, Vancouver, WA 98660 | 2020-08-07 |
1538641527 | Melissa Molly Sivaram | Counselor | 1012 Esther St, Vancouver, WA 98660 | 2018-09-05 |
1679082598 | Christopher Lewis Schwab | Peer Specialist | 5197 Nw Lower River Rd, Vancouver, WA 98660 | 2017-09-22 |
1023560141 | Disabled Veterans Hawaii LLC | Durable Medical Equipment & Medical Supplies | 4817 Nw Fruit Valley Road, Suite 100, Vancouver, WA 98660 | 2016-10-25 |
1023493004 | Laura Nicole Wood | Counselor | 1104 Main St Ste M100, Vancouver, WA 98660 | 2015-07-20 |
1790034627 | Clark County Juvenile Court | Marriage & Family Therapist | 500 W 11th Street, Vancouver, WA 98660 | 2012-09-06 |
1538439104 | Hutton Chiropractic Clinic Inc | Chiropractor | 703 Broadway Street, Ste 650, Vancouver, WA 98660 | 2012-01-12 |
1134422629 | Brenda Marie Bible | Social Worker | 101 E 8th St Ste 110, Vancouver, WA 98660 | 2010-12-06 |
1871895409 | Donna L Benedicktus | Contractor | 210 E Evergreen Blvd, Vancouver, WA 98660 | 2010-12-02 |
1992007801 | Peter Ray Hasemeier | Massage Therapist | 805 Broadway St., Vancouver, WA 98660 | 2010-11-29 |
Find all providers in zip 98660 |
Taxonomy Code | 207VG0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Gynecology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255423380 | Jane Lynell Ahearn | Obstetrics & Gynecology | 406-c Se 131st Ave, Suite 304, Vancouver, WA 98683-4004 | 2006-09-28 |
1447357587 | Barbara Ann Forsythe | Obstetrics & Gynecology | 406c Se 131st Ave, Suite 304 Northwest Gynecology Associates Pllc, Vancouver, WA 98683-4004 | 2006-09-20 |
1700866084 | Cynthia G Mcnally | Obstetrics & Gynecology | 1306 Main St, Vancouver, WA 98660-2919 | 2006-01-20 |
1336351352 | Virginia Gail King | Obstetrics & Gynecology | 1498 Se Tech Center Pl, Suite 100, Vancouver, WA 98683-9591 | 2007-05-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487051124 | Seattle Surgical Assisting, Pllc | Obstetrics & Gynecology | 4537 140th Ave Se, Bellevue, WA 98006-2339 | 2014-11-24 |
1497028047 | Henry Charles Kayser IIi | Obstetrics & Gynecology | 123 Macarthur St, Richland, WA 99354-1631 | 2012-02-13 |
1912295726 | Cecil Wilbur Ely II | Obstetrics & Gynecology | 2399 Skyline Way, Ste 202, Anacortes, WA 98221-2987 | 2011-07-13 |
1023325115 | Planned Parenthood of Greater Washington and North Idaho | Obstetrics & Gynecology | 3901 W Court, Pasco, WA 99301-2776 | 2010-09-10 |
1982870796 | Theresa A Burdick Md LLC | Obstetrics & Gynecology | 801 Broadway Suite 707, Seattle, WA 98122 | 2008-05-01 |
1609062074 | Pat J Kulpa Md Ps | Obstetrics & Gynecology | 7282 Stinson Ave, Suite C, Gig Harbor, WA 98335 | 2007-09-19 |
1689864852 | Milagros I. Arocho | Obstetrics & Gynecology | 503 First Street South, Suite 1 East, Yelm, WA 98597 | 2007-07-25 |
1801914114 | Women's Clinical Research Center, Ps | Obstetrics & Gynecology | 3216 Ne 45th Pl Ste 100, Seattle, WA 98105-4028 | 2007-03-26 |
1407907835 | Michael Edward Greer | Obstetrics & Gynecology | 509 Olive Way Ste 1349, Seattle, WA 98101-2549 | 2007-01-13 |
1679623912 | Evergreen Womens Speciality Clinic | Obstetrics & Gynecology | 13030-121st. Way Ne, 202, Kirkland, WA 98034-3008 | 2007-01-11 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.