Kennewick Public Hospital District

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

KENNEWICK PUBLIC HOSPITAL DISTRICT

Doing business as

KGH Physician Clinics

Practice address

900 S. Auburn St.
Kennewick, WA 99336-0128

Phone

(509) 737-1880

Fax

(509) 737-1879

NPI assigned

Mar 27, 2007

Last updated

Oct 17, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

KENNEWICK PUBLIC HOSPITAL DISTRICTAs reported in NPPES

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

Authorized official

Name

Mr. Gerald A Paule

Title

Cfo

Phone

(509) 586-6111

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• KGH PHYSICIAN CLINICS Doing business as

Part of

Kennewick Public Hospital District

Locations (25 of 27)

Practitioners 65

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.

• Drew S Ableman, DO

  • Family Medicine Physician
  • Kennewick, WA
  • NPI 1285379867
  NPD (past)
• Christine A Acker, ARNP

  • Primary Care Nurse Practitioner
  • Kennewick, WA
  • NPI 1023004256
  NPD (past)
• Mahmoud N Al-Hawamdeh, MD

  • Internal Medicine Physician
  • Kennewick, WA
  • NPI 1467405340
  NPD (past)
• H Pamela Anderson, ARNP

  • Nurse Practitioner
  • Kennewick, WA
  • NPI 1225084486
  NPD (past)
• Joshua R. Anderson, ARNP

  • Family Nurse Practitioner
  • Kennewick, WA
  • NPI 1912307653
  NPD (past)
• Nancy Elizabeth Baxter, M.D.

  • Pediatrics Physician
  • Kennewick, WA
  • NPI 1528374220
  NPD (past)
• James Walter Beck, M.D.

  • Family Medicine Physician
  • Richland, WA
  • NPI 1558308320
  NPD (past)
• Alan Keith Berger, MD

  • Interventional Cardiology Physician
  • Sunnyside, WA
  • NPI 1104861350
  NPD (past)
• Tracey L Bryant, PA C

  • Physician Assistant
  • Kennewick, WA
  • NPI 1962473256
  NPD (past)
• Byron L Burrup, D.O.

  • Family Medicine Physician
  • Kennewick, WA
  • NPI 1598751729
  NPD (past)
• Alexandria Marie Capers, DO

  • Internal Medicine Physician
  • Kennewick, WA
  • NPI 1275119976
  NPD (past)
• Christine V Carpenter, PA-C

  • Physician Assistant
  • Kennewick, WA
  • NPI 1326080540
  NPD (past)

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381968000000",
    "number": "1235257262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6128",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993360128",
            "telephone_number": "509-737-1878",
            "fax_number": "509-737-1879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 S. AUBURN ST.",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993360128",
            "telephone_number": "509-737-1880",
            "fax_number": "509-737-1879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNEWICK PUBLIC HOSPITAL DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KENNEWICK PUBLIC HOSPITAL DISTRICT",
        "enumeration_date": "2007-03-27",
        "last_updated": "2013-10-17",
        "status": "A",
        "authorized_official_last_name": "PAULE",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "509-586-6111",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7137417",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3304003",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KGH PHYSICIAN CLINICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kennewick Medical Investors, LLC (Life Care Center of Kennewick)
• Kennewick Memory Care LLC (Windsong at Southridge)
• Kennewick Public Health District (Kennewick General Hospital)
• Kennewick Public Health District (Kennewick General Hospital)
• Kennewick Public Hospital District (Kennewick General Hospital Home Health Care)
• Kennewick Public Hospital District (Kennewick General Hospital)
• Kennewick Public Hospital District
• Kennewick Radiology Group PC
• Kennewick Radiology Group, PC
• Kennewick School District #17

• Multi-Specialty Clinic/Center in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Multi-Specialty Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.