Pacific Northwest Urogynecology PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD00044925 Issued in WA

Legal business name

PACIFIC NORTHWEST UROGYNECOLOGY PLLC

Practice address

903 Medical Center Dr
Arlington, WA 98223-1697

Phone

(360) 329-7897

Fax

(360) 925-2898

NPI assigned

Oct 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. William Andre Silva, M.D.

Title

Member

Phone

(206) 658-7652

Specialties & licenses 1

Addresses

Other identifiers 8

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robin M Jackson, FNP

  • Nurse Practitioner
  • Stockton, CA
  • NPI 1508134982
  NPD (past)

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

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376870400000",
    "number": "1205015112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 128",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980090128",
            "telephone_number": "360-329-7897",
            "fax_number": "360-925-2898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 MEDICAL CENTER DR",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982231697",
            "telephone_number": "360-329-7897",
            "fax_number": "360-925-2898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC NORTHWEST UROGYNECOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-26",
        "last_updated": "2013-08-19",
        "status": "A",
        "authorized_official_last_name": "SILVA",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "ANDRE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "206-658-7652",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "MD00044925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID BILLING PROVIDER #",
            "identifier": "1205015112",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 2 (GROUP/ORGANIZATIONAL) NPI",
            "identifier": "1205015112",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER ONE # (LINKED TO TYPE 2 NPI)",
            "identifier": "2025944",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0307100",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 (INDIVIDUAL) NPI",
            "identifier": "1861413965",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN FOR INDIVIDUAL (ARLINGTON, WA)",
            "identifier": "G8917674",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID RENDERING PROVIDER #",
            "identifier": "1861413965",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN FOR GROUP (ARLINGTON, WA)",
            "identifier": "G8917673",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth James Overman, PT
• Crystal J Overton
• Lily Frances Owen
• Lisa M Owens, OTRL
• Kelsey N Ozment, LMHC
• Megan Dianne Padilla, LMT
• Jennifer Paek, MD
• Grace Paik, RDN
• Daniel Minwoo Pak, MD
• Jessica Marie Paradis

• Specialist in Arlington, WA
• Providers in Arlington, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2013; 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.