NPIMap

Organization Active NPI

Our Lady of Lourdes Health Center Dba Lourdes Ear Nose and Throat Asso

  • Otolaryngology Physician
  • Pasco, WA
National Provider Identifier
1083928709
Registry record updated Feb 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
113003371 Issued in WA
Legal business name
OUR LADY OF LOURDES HEALTH CENTER DBA LOURDES EAR NOSE AND THROAT ASSO
Practice address
520 N 4TH Ave
Pasco, WA 99301-5257
Phone
(509) 547-7704
NPI assigned
Aug 5, 2010
Organization subpart
Yes
Parent organization
OUR LADY OF LOURDES HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 4, 2011

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

Authorized official

Name
Mr. John Serle
Title
Ceo
Phone
(509) 547-7704

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Y00000X 113003371 WA Primary

Addresses

Primary practice location

520 N 4TH Ave
Pasco, WA 99301-5257

Mailing address

1200 North 14TH Avenue
Ste 220
Pasco, WA 99301
Phone (509) 545-4800

National Provider Directory

National Provider Directory
Part of
CBHC

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1280966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296777600000",
    "number": "1083928709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 NORTH 14TH AVENUE",
            "address_2": "STE 220",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "99301",
            "telephone_number": "509-545-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N 4TH AVE",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993015257",
            "telephone_number": "509-547-7704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR LADY OF LOURDES HEALTH CENTER DBA LOURDES EAR NOSE AND THROAT ASSO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OUR LADY OF LOURDES HEALTH CENTER",
        "enumeration_date": "2010-08-05",
        "last_updated": "2011-02-04",
        "status": "A",
        "authorized_official_last_name": "SERLE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "509-547-7704",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": "WA",
            "license": "113003371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasco, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2011; 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.