NW Geriatric Consultants Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD00019932 Issued in WA

Legal business name

NW GERIATRIC CONSULTANTS INC

Practice address

715 S Andresen Rd
Vancouver, WA 98661-7603

Phone

(360) 693-7877

Fax

(360) 750-6900

NPI assigned

Jan 28, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Timothy T Ross, MD

Title

President

Phone

(360) 693-7877

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Mary Therese Marcy, ANP

  • Adult Health Nurse Practitioner
  • Gresham, OR
  • NPI 1710033782
  NPD (past)

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

{
    "created_epoch": "1233100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242000000000",
    "number": "1194963249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11500 NE 76TH ST STE A3",
            "address_2": "PMB 7",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986623901",
            "telephone_number": "360-254-3663",
            "fax_number": "360-254-3719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 S ANDRESEN RD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986617603",
            "telephone_number": "360-693-7877",
            "fax_number": "360-750-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NW GERIATRIC CONSULTANTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-28",
        "last_updated": "2009-05-11",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-693-7877",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00019932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE OREGON PTAN",
            "identifier": "R145738",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nutterwilson PLLC
• NW Affinity Dental
• NW Evergreen Chiropractic P.C.
• NW Family Psychology
• NW Family Psychology, LLC
• NW Geriatric Consultants Inc
• NW Health & Wellness, LLC
• NW Injury & Rehab Center, P.S.
• NW Interventional Medicine and Orthopedic Rehab PLLC
• NW Lifestyle Massage & Reiki

• Internal Medicine Physician in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Internal Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2009; 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.