GRAYS HARBOR WOMENS CLINIC PLLC (NPI# 1699814012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699814012 |
| Entity Type | Organization |
| Organization Name | GRAYS HARBOR WOMENS CLINIC PLLC |
| Practice Address |
1020 Anderson Dr Suite 202 Aberdeen WA 98520-1055 |
| Practice Telephone | 3605335000 |
| Practice Fax Number | 3605330572 |
| Mailing Telephone | 3605335000 |
| Mailing Fax Number | 3605330572 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MARY ANNE MABREY (BILLING MANAGER) |
| Authorized Official Telephone | 3605335000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | MD00024286 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 7026321 | 05 |
| Street Address |
1020 ANDERSON DR SUITE 202 |
| City | ABERDEEN |
| State | WA |
| Zip Code | 98520-1055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376530642 | Barbara L Givens | Internal Medicine | 1020 Anderson Dr, Suite 205, Aberdeen, WA 98520-1055 | 2005-10-03 |
| 1255709101 | Valentine Medical Group Ps | Nurse Practitioner | 1020 Anderson Dr, Suite 203, Aberdeen, WA 98520-1055 | 2015-09-09 |
| 1578947545 | Northwest Imaging LLC | Dentist | 1020 Anderson Dr, Suite 205, Aberdeen, WA 98520-1055 | 2015-07-19 |
| 1568841799 | Obenchain Pllc | Dentist | 1020 Anderson Dr, Ste 205, Aberdeen, WA 98520-1055 | 2015-05-20 |
| 1861756777 | Herdel Medical Services | Family Medicine | 1020 Anderson Dr, Suite 203, Aberdeen, WA 98520-1055 | 2012-06-26 |
| 1043448160 | Olga Elizabeth Hernandez | Family Medicine | 1020 Anderson Dr, Suite 203, Aberdeen, WA 98520-1055 | 2009-06-26 |
| 1881831501 | Geneva S Tzenov | Nurse Practitioner | 1020 Anderson Dr, Suite 204, Aberdeen, WA 98520-1055 | 2009-01-16 |
| 1659408284 | David C Obenchain | Dentist | 1020 Anderson Dr, Suite 205, Aberdeen, WA 98520-1055 | 2007-02-28 |
| 1891834511 | Mary J Clayton Arnp Inc Ps | Nurse Practitioner | 1020 Anderson Dr, Suite 203, Aberdeen, WA 98520-1055 | 2007-02-06 |
| 1932248663 | Dana A Brannon Arnp Inc Ps | Nurse Practitioner | 1020 Anderson Dr, Suite 203, Aberdeen, WA 98520-1055 | 2007-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740755354 | Wchs, Inc. | Clinic/Center | 516 East 1st Street, Aberdeen, WA 98520 | 2018-10-10 |
| 1518454180 | Katie Cutshaw | Counselor | 1700 Cherry Street, Suite C, Aberdeen, WA 98520 | 2018-04-18 |
| 1629587738 | Robert Williams | Counselor | Catholic Community Services, 403 West State Street, Suite 206, Aberdeen, WA 98520 | 2017-09-21 |
| 1174032296 | Amy D Tyler | Peer Specialist | 403 W State Street, Ste 206, Aberdeen, WA 98520 | 2017-09-20 |
| 1073032819 | Amanda Leona Franklin | Counselor | 2700 Simpson Ave, Suite 101, Aberdeen, WA 98520 | 2017-09-13 |
| 1184141152 | Chrystal Lynn Beckley | Counselor | 2700 Simpson Avenue Suite 101, Aberdeen, WA 98520 | 2017-08-29 |
| 1285158923 | Josh Butler | Technician/Technologist | 1718 Sumner Ave, Aberdeen, WA 98520 | 2017-08-02 |
| 1386165553 | Melvin Taylor | Counselor | 311 South I Street, Aberdeen, WA 98520 | 2017-06-28 |
| 1164870267 | Kelly Knittle | Counselor | 4820 She-nah-num Dr. Se, Olympia, WA 98520 | 2016-05-31 |
| 1437570249 | Aberdeen Therapy Works | Occupational Therapist | 100 S. I Street, Suite 205, Aberdeen, WA 98520 | 2013-12-20 |
| Find all providers in zip 98520 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245401603 | Ob-gyn Assoc of Aberdeen | Obstetrics & Gynecology | 310 South Penn St, Suite 204, Aberdeen, SD 57401-4553 | 2008-03-13 |
| 1780758417 | Scott Harrison Berry | Obstetrics & Gynecology | 310 So Penn St, Suite 204, Aberdeen, SD 57401 | 2006-11-17 |
| 1457467300 | Sulaiman A Bham | Obstetrics & Gynecology | 326 N Philadelphia Blvd, Aberdeen, MD 21001-1910 | 2006-08-22 |
| 1285652362 | John M Rees | Obstetrics & Gynecology | 1020 Anderson Dr Ste 202, Aberdeen, WA 98520-1055 | 2006-07-17 |
| 1720317118 | Avera St. Luke's | Obstetrics & Gynecology | 310 S Penn St, Suite 204, Aberdeen, SD 57401 | 2009-12-14 |
| 1376771881 | Breanne E Anderson-mueller | Obstetrics & Gynecology | 3015 3rd Ave Se, Aberdeen, SD 57401-5418 | 2009-06-24 |
| 1407010093 | Nicholas Hallak, Md, Pllc | Obstetrics & Gynecology | 1921 Sumner Avenue, Aberdeen, WA 98520 | 2008-07-14 |
| 1225239916 | Nicholas Hallak | Obstetrics & Gynecology | 1921 Sumner Ave, Aberdeen, WA 98520-3606 | 2007-05-30 |
| 1598880833 | Carey R Martens | Obstetrics & Gynecology | 1006 N H St, 5th Floor, Aberdeen, WA 98520-2521 | 2007-03-19 |
| 1043378912 | Gregg W Carlson | Obstetrics & Gynecology | 310 S Penn St, Ste 204, Aberdeen, SD 57401-4553 | 2006-12-04 |
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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.