Surgical Weight Loss Clinic of Eastern Washington PLLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

SURGICAL WEIGHT LOSS CLINIC OF EASTERN WASHINGTON PLLC

Practice address

1075 Jadwin Ave
Suite 203
Richland, WA 99352-3437

Phone

(509) 943-0710

NPI assigned

Mar 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Earl Ross Fox, MD

Title

Owner &Surgeon

Phone

(509) 943-0710

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1083732440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 JADWIN AVE",
            "address_2": "SUITE 203",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523437",
            "telephone_number": "509-943-0710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 JADWIN AVE",
            "address_2": "SUITE 203",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523437",
            "telephone_number": "509-943-0710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL WEIGHT LOSS CLINIC OF EASTERN WASHINGTON PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "EARL",
        "authorized_official_middle_name": "ROSS",
        "authorized_official_title_or_position": "OWNER &SURGEON",
        "authorized_official_telephone_number": "509-943-0710",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TERRI DAVARI",
            "identifier": "1699717009",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI FOR SAMUEL ROSS FOX",
            "identifier": "1942363353",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI FOR EARL ROSS FOX",
            "identifier": "1306919725",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Medical Specialty Clinic/Center in Richland, WA
• Providers in Richland, WA by specialty
• Medical Specialty Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.