Active NPI
Judith A Hargis, PA
- Obstetrics & Gynecology Physician
- Yakima, WA
National Provider Identifier
1164468062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- PA10001229
- Practice address
- 3911 Castlevale Rd
Suite 301
Yakima, WA 98902-7807 - Phone
- (509) 453-8231
- Fax
- (509) 453-0130
- NPI assigned
- Jun 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | PA10001229 | WA | Primary |
Addresses
Primary practice location
3911 Castlevale Rd
Suite 301
Yakima, WA 98902-7807
Mailing address
PO Box 4949
Portland, OR 97208-4949
Phone (503) 215-6446
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8436271 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA10001229 | WA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cascade Womens Healthcare | Obstetrics & Gynecology | Past | Accepting new patients |
| Providence Health & Services Oregon | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Yakima, WA
- NPI 1063540094
-
dba Providence Specialty Pharmacy Services-Infusion/SPP
- Home Infusion Therapy Pharmacy
- Portland, OR
- NPI 1427132265
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191456000000",
"number": "1164468062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4949",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972084949",
"telephone_number": "503-215-6446",
"fax_number": "503-215-6644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3911 CASTLEVALE RD",
"address_2": "SUITE 301",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989027807",
"telephone_number": "509-453-8231",
"fax_number": "509-453-0130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARGIS",
"first_name": "JUDITH",
"middle_name": "A",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-21",
"last_updated": "2007-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "WA",
"license": "PA10001229",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8436271",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Yakima, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.