Organization Active NPI

Emergency Rooms, PS

  • General Practice Physician
  • Vancouver, WA
National Provider Identifier
1013040500
Registry record updated Aug 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
EMERGENCY ROOMS, PS
Practice address
4421 NE St Johns Rd
Suite F
Vancouver, WA 98661-2573
Phone
(360) 695-9922
Fax
(360) 695-1310
NPI assigned
Mar 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Leann M Bigoni
Title
Operations
Phone
(360) 695-9922

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207PE0004X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

4421 NE St Johns Rd
Suite F
Vancouver, WA 98661-2573

Mailing address

4421 NE St Johns Rd
Suite F
Vancouver, WA 98661-2573
Phone (360) 695-9922

Other identifiers 1

IdentifierTypeStateIssuer
0829670001OtherWAMEDICARE TYPE UNSPECIFIED

Other names 1

  • Family Care & Urgent Medical Doing business as

National Provider Directory

National Provider Directory

Locations

4421 NE St Johns Rd
Ste F
Vancouver, WA 98661
Phone (360) 253-2822

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249516800000",
    "number": "1013040500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4421 NE ST JOHNS RD",
            "address_2": "SUITE F",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986612573",
            "telephone_number": "360-695-9922",
            "fax_number": "360-695-1310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4421 NE ST JOHNS RD",
            "address_2": "SUITE F",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986612573",
            "telephone_number": "360-695-9922",
            "fax_number": "360-695-1310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERGENCY ROOMS, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2009-08-06",
        "status": "A",
        "authorized_official_last_name": "BIGONI",
        "authorized_official_first_name": "LEANN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OPERATIONS",
        "authorized_official_telephone_number": "360-695-9922",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE TYPE UNSPECIFIED",
            "identifier": "0829670001",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Care & Urgent Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.