Central Washington Gastroenterology, PC

Key facts

NPI

1124288527

Entity type

Organization (NPI type 2)

Primary specialty

Gastroenterology Physician 207RG0100X

License

602659073 (WA)

Legal business name

CENTRAL WASHINGTON GASTROENTEROLOGY, PC

Practice address

507 Hospital Way
Brewster, WA 98812-2517

Phone

(509) 664-0530

Fax

(509) 665-8043

NPI assigned

Jun 10, 2008

Organization subpart

No

Authorized official

Name

Gerald Bassett, MD

Title

President/Owner

Phone

(509) 664-0530

National Provider Directory

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 17, 2008.

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1124288527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 E PENNY RD",
            "address_2": "SUITE C",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988018127",
            "telephone_number": "509-664-0530",
            "fax_number": "509-665-8043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 HOSPITAL WAY",
            "city": "BREWSTER",
            "state": "WA",
            "postal_code": "988122517",
            "telephone_number": "509-664-0530",
            "fax_number": "509-665-8043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL WASHINGTON GASTROENTEROLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-10",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "BASSETT",
        "authorized_official_first_name": "GERALD",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "509-664-0530",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WA",
            "license": "602659073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brewster, WA

• Brewster Chiropractic Center
• Brewster School District
• Brewster School District 111-203J
• Robert T Brown, PAC
• Caribou Trail Professional Medical Group
• Central Washington Health Services Association
• Central Washington Medical Associates
• Central Washington Sleep Diagnostic Center, PLLC
• Erin Cooley, MD
• Tyler Ryan Copenhaver, D.C.

All providers in Brewster, WA · Gastroenterology Physician in Washington