PACIFIC GASTROENTEROLOGY PLLC (NPI# 1588029870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588029870 |
| Entity Type | Organization |
| Organization Name | PACIFIC GASTROENTEROLOGY PLLC |
| Practice Address |
8506 E Mill Plain Blvd Suite C Vancouver WA 98664-2011 |
| Practice Telephone | 3608230880 |
| Mailing Telephone | 3608230880 |
| Enumeration Date | 2015-12-31 |
| Last Update Date | 2015-12-31 |
| Authorized Official Name | DR. MEHDI FERDOWS (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 3608230880 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275715526 | Pacific Gastroenterology Pllc | Specialist | 814 Ne 87th Ave, Vancouver, WA 98664-1915 | 2007-11-28 |
| Street Address |
8506 E MILL PLAIN BLVD SUITE C |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98664-2011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740366913 | George S Allen | Allergy & Immunology | 8506 E Mill Plain Blvd, Suite A, Vancouver, WA 98664-2011 | 2006-10-31 |
| 1649673856 | Arwa A Salti | Nurse Practitioner | 8506 E Mill Plain Blvd, Vancouver, WA 98664-2011 | 2014-10-01 |
| 1508049917 | Allergy and Asthma Centers of The Nw | Specialist | 8506 E Mill Plain Blvd, Suite A, Vancouver, WA 98664-2011 | 2007-12-07 |
| 1497975619 | Mikes Eastside Drugs | Durable Medical Equipment & Medical Supplies | 8506 E Mill Plain Blvd, Vancouver, WA 98664-2011 | 2007-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285249938 | Angelica Maria Parle-fresquez | Speech-Language Pathologist | Early Childhood Assessment Center - Lieser School, 301 S. Lieser Rd, Vancouver, WA 98664 | 2020-09-10 |
| 1467923441 | Elizabeth Steen | Counselor | 230 E. State St., Mossyrock, WA 98664 | 2018-12-17 |
| 1497241657 | Chelsey Nicole Parker | Peer Specialist | 9815 Ne 3rd St, Vancouver, WA 98664 | 2018-07-10 |
| 1881145431 | Brent Homan | Occupational Therapist | 807 Se Morgan Rd., Vancouver, WA 98664 | 2016-10-19 |
| 1114474277 | Rebecca Marie Stefan | Nurse's Aide | 10025 Ne 19th St, Vancouver, WA 98664 | 2016-09-07 |
| 1528454105 | Alicia Ford | Dietitian, Registered | 700 Ne 87th Ave Ste 280, Vancouver, WA 98664 | 2015-04-10 |
| 1033504261 | Reid Roberts Bennett | Anesthesiology | 505 Ne 87th Ave Ste 210, Vancouver, WA 98664 | 2015-04-03 |
| 1235550856 | Nikolay Nikolaevich Chernukhin Jr. | Chiropractor | 221-a Ne 104th Ave, Suite 205, Vancouver, WA 98664 | 2013-12-27 |
| 1013278712 | Serena Harker | Physical Therapy Assistant | 221a Ne 104th Ave, Suite #205, Vancouver, WA 98664 | 2012-05-30 |
| 1295091080 | Rebeca C Johnson | Massage Therapist | 11015 Ne 4th Plain Suite B, Vancouver, WA 98664 | 2012-04-05 |
| Find all providers in zip 98664 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700910460 | Vancouver Plastic Surgery Clinic Ps | Clinic/Center | 3100 Main St, Vancouver, WA 98663-2752 | 2007-03-15 |
| 1669427043 | Vancouver Eye Care Ps | Clinic/Center | 17720 Se Mill Plain, Suite 100, Vancouver, WA 98683 | 2006-05-23 |
| 1124438684 | Vancouver Dental Surgery Center | Clinic/Center | 14411 Ne 20th Ave, Suite 107, Vancouver, WA 98686-6431 | 2014-05-05 |
| 1962706655 | Advanced Gastroenterology | Clinic/Center | 2415 Ne 134th St, Suite 205, Vancouver, WA 98686-3025 | 2011-01-10 |
| 1558552380 | Vancouver Ear, Nose & Throat Head & Neck Surgery Clinic, Ps | Clinic/Center | 1405 Se 164th Ave, Suite 102, Vancouver, WA 98683-9644 | 2007-08-07 |
| 1821289653 | Vancouver Ear, Nose & Throat Head & Neck Surgery Clinic, Ps | Clinic/Center | 14411 Ne 20th Ave, Suite 101, Vancouver, WA 98686-6431 | 2007-08-07 |
| 1639268469 | Vancouver Ent and Ent of The Northwest Pllc | Clinic/Center | 14411 Ne 20th Ave Ste 101, Vancouver, WA 98686-6432 | 2006-10-12 |
| 1265527162 | Vancouver Ent and Ent of The Northwest Pllc | Clinic/Center | 1405 Se 164th Ave Ste 102, Vancouver, WA 98683-9644 | 2006-10-04 |
| 1366536880 | Southwest Washington Regional Surgery Center, LLC | Clinic/Center | 200 Ne Mother Joseph Place, Suite 200, Vancouver, WA 98664-3294 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942808571 | N W Eye Surgeons P C | Clinic/Center | 903 Medical Center Dr Ste 200, Arlington, WA 98223-2600 | 2020-10-15 |
| 1356965750 | Proliance Surgery Center At Valley, LLC | Clinic/Center | 4009 Talbot Road S, Suite 200, Renton, WA 98055 | 2020-06-01 |
| 1861041139 | Kadlec Regional Medical Center | Clinic/Center | 1270 Lee Blvd Ste B, Richland, WA 99352-4231 | 2019-09-09 |
| 1891357406 | Phoenix Ionm, LLC. | Clinic/Center | 11 Ohrazda Ln, East Wenatchee, WA 98802-9335 | 2019-07-03 |
| 1023570488 | Sight Partners, LLC | Clinic/Center | 3405 188th St Sw Ste 303, Lynnwood, WA 98037-4744 | 2019-04-04 |
| 1609345727 | Liberty Asc | Clinic/Center | 507 N Sullivan Suite 120, Spokane Valley, WA 99037 | 2018-11-19 |
| 1376026575 | Alderwood Surgery Center LLC | Clinic/Center | 3500 188th St Sw Ste 670, Lynnwood, WA 98037-4782 | 2018-09-13 |
| 1023507183 | South Perry Endoscopy Pllc | Clinic/Center | 907 S Perry St Ste 260, Spokane, WA 99202-3462 | 2018-05-04 |
| 1730687179 | Multicare Health System | Clinic/Center | 842 S Cowley St Ste 3, Spokane, WA 99202-1234 | 2018-01-31 |
| 1295258697 | Washington Center for Pain Management Pllc | Clinic/Center | 155 Lilly Rd Ne Ste 2, Olympia, WA 98506-5028 | 2017-07-18 |
| 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.