NPIMap

Organization Active NPI

Donald J. Greggain, M.D. PS

  • Family Medicine Physician
  • Clarkston, WA
National Provider Identifier
1194786103
Registry record updated Sep 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DONALD J. GREGGAIN, M.D. PS
Practice address
1271 Highland Ave
Clarkston, WA 99403-2846
Phone
(509) 751-1500
Fax
(509) 751-1504
NPI assigned
Mar 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2007

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

Authorized official

Name
Ms. Debbie J. Allbee
Title
Office Manager
Phone
(509) 751-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1271 Highland Ave
Clarkston, WA 99403-2846

Mailing address

1271 Highland Ave
Clarkston, WA 99403-2846
Phone (509) 751-1500

Other identifiers 4

IdentifierTypeStateIssuer
0203406OtherWADL&I GROUP NUMBER
000010017948OtherIDREGENCE GROUP #
7114630MedicaidWA
8J935OtherIDBX/GROUP NUMBER

National Provider Directory

National Provider Directory

Locations

1267 Belmont Way
Ste B
Clarkston, WA 99403
Phone (509) 751-0312

Practitioners & affiliated clinicians

Practitioners 12

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

NPI Registry JSON

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188950400000",
    "number": "1194786103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1271 HIGHLAND AVE",
            "city": "CLARKSTON",
            "state": "WA",
            "postal_code": "994032846",
            "telephone_number": "509-751-1500",
            "fax_number": "509-751-1504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1271 HIGHLAND AVE",
            "city": "CLARKSTON",
            "state": "WA",
            "postal_code": "994032846",
            "telephone_number": "509-751-1500",
            "fax_number": "509-751-1504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD J. GREGGAIN, M.D. PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-29",
        "last_updated": "2007-09-05",
        "status": "A",
        "authorized_official_last_name": "ALLBEE",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "509-751-1500",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DL&I GROUP NUMBER",
            "identifier": "0203406",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE GROUP #",
            "identifier": "000010017948",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7114630",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BX/GROUP NUMBER",
            "identifier": "8J935",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarkston, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.