Pacific Gastro Health PLLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

PACIFIC GASTRO HEALTH PLLC

Practice address

8506 E Mill Plain Blvd Ste B
Vancouver, WA 98664-2021

Phone

(360) 823-0880

Fax

(360) 823-0883

NPI assigned

May 22, 2024

Organization subpart

No

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

Authorized official

Name

Maryam Ferdows

Title

Office Manager

Phone

(360) 823-0880

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Pacific Gastroenterology Office Other name

Medicare fee-for-service enrollment

Enrolled in WA2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Pacific Gastro Health PLLC

  • Ambulatory Surgical Clinic/Center
  • Vancouver, WA
  • NPI 1841039443

  9133669336

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Pacific Gastro Health PLLC

  • Ambulatory Surgical Clinic/Center
  • Vancouver, WA
  • NPI 1841039443

  O20240913001059

  Same enrollment

Locations

Practitioners 1

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

• Mehdi S Ferdows, MD, PHD

  • Specialist
  • Vancouver, WA
  • NPI 1518960616
  Medicare reassignment NPD

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

{
    "created_epoch": "1716336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748563200000",
    "number": "1144069808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 873787",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986873787",
            "telephone_number": "360-823-0880",
            "fax_number": "360-823-0883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8506 E MILL PLAIN BLVD STE B",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986642021",
            "telephone_number": "360-823-0880",
            "fax_number": "360-823-0883"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8506 E Mill Plain Blvd Ste C",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986642021",
            "country_code": "US",
            "telephone_number": "360-823-0880",
            "fax_number": "360-823-0883",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PACIFIC GASTRO HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-22",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A",
        "authorized_official_last_name": "FERDOWS",
        "authorized_official_first_name": "MARYAM",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "360-823-0880"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1518960616",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Gastroenterology Office",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Pacific Coast Medical Supply, Inc
• Pacific Crest Massage and Wellness
• Pacific Dermatology P.C.
• Pacific Eye Group
• Pacific Eye Group, PC (Pacific Eye Group)
• Pacific Gastro Health PLLC
• Pacific Gastroenterology PLLC
• Pacific Gastroenterology PLLC
• Pacific Island Community of Oregon LLC
• Pacific Midwifery Service

• Gastroenterology Physician in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Gastroenterology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.