Upland Edge Medical Group

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

MD00042734 Issued in WA

Legal business name

UPLAND EDGE MEDICAL GROUP

Practice address

112 Columbia Point Dr
Suite 103
Richland, WA 99352-4390

Phone

(509) 943-7997

Fax

(509) 943-7955

NPI assigned

May 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Eduardo A Gembs, M.D.

Title

Co-Owner

Phone

(509) 943-7997

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191456000000",
    "number": "1184838377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 COLUMBIA POINT DR",
            "address_2": "SUITE 103",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524390",
            "telephone_number": "509-943-7997",
            "fax_number": "509-943-7955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 COLUMBIA POINT DR",
            "address_2": "SUITE 103",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524390",
            "telephone_number": "509-943-7997",
            "fax_number": "509-943-7955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPLAND EDGE MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2007-10-04",
        "status": "A",
        "authorized_official_last_name": "GEMBS",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "509-943-7997",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "WA",
            "license": "MD00042734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamara M Turner, PT
• Jennifer Twitchell, LMHCA
• Ankur Kumar Tyagi, DMD
• Kathleen Tyutyunnik, M.S., CCC-SLP
• Mark A. Underwood, MA, CCC-SLP
• Uptown Vision Center Inc PS
• Cecelia Urban
• Victoria Urbina
• Tauni M Urdahl, PA-C
• V5 Spine Center and Pain Clinic

• Preferred Provider Organization in Richland, WA
• Providers in Richland, WA by specialty
• Preferred Provider Organization in Washington

• 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.

Verify at the official NPI Registry.