Grays Harbor Pediatrics, PLLC

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

Legal business name

GRAYS HARBOR PEDIATRICS, PLLC

Practice address

611 N F St
Suite 201
Aberdeen, WA 98520-2667

Phone

(360) 533-7677

Fax

(360) 533-0470

NPI assigned

Jan 24, 2007

Last updated

Jul 19, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Edgardo C Magsalay, M.D.NPI 1700852118

Title

Member

Phone

(360) 533-7677

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Edgardo Castro Magsalay, M.D.

  • Pediatrics Physician
  • Aberdeen, WA
  • NPI 1700852118
  NPD (past) Authorized official

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311033600000",
    "number": "1104971845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 N F ST",
            "address_2": "SUITE 201",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985202667",
            "telephone_number": "360-533-7677",
            "fax_number": "360-533-0470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 N F ST",
            "address_2": "SUITE 201",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985202667",
            "telephone_number": "360-533-7677",
            "fax_number": "360-533-0470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAYS HARBOR PEDIATRICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2011-07-19",
        "status": "A",
        "authorized_official_last_name": "MAGSALAY",
        "authorized_official_first_name": "EDGARDO",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "360-533-7677",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7131519",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grays Harbor Fire Protection District #10
• Grays Harbor Fire Protection District 2
• Grays Harbor Float & Wellness (GH Float)
• Grays Harbor House Hospitalist
• Grays Harbor Imaging LLC
• Grays Harbor Surgeons
• Grays Harbor Treatment Solutions
• Grays Harbor Vision Clinic, Inc.
• Grays Harbor Womens Clinic PLLC
• Gregory G Bogdanovich

• Pediatric Adolescent Medicine Physician in Aberdeen, WA
• Providers in Aberdeen, WA by specialty
• Pediatric Adolescent Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.