Amg Primary Healthcare LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

AMG PRIMARY HEALTHCARE LLC

Practice address

303 Bradley Blvd Ste 202
Richland, WA 99352-4497

Phone

(509) 943-8839

Fax

(509) 943-8851

NPI assigned

Feb 19, 2019

Organization subpart

No

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

Authorized official

Name

Mario S Garriga

Title

Ceo Member

Phone

(509) 943-8839

Specialties & licenses 1

Addresses

Other names 1

• Bramar Medical Group PLLC Other name

Practitioners 2

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

• Deanna Lynn Diulio, WHNP, CNM

  • Advanced Practice Midwife
  • Seattle, WA
  • NPI 1376072587
  NPD (past)
• Bradley J. Logston, D.O.

  • Obstetrics & Gynecology Physician
  • Pasco, WA
  • NPI 1073752085
  NPD (past)

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

{
    "created_epoch": "1550534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550534400000",
    "number": "1235695883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 HARBOR BLVD",
            "city": "BURBANK",
            "state": "WA",
            "postal_code": "993239635",
            "telephone_number": "509-727-6891",
            "fax_number": "509-943-8851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 BRADLEY BLVD STE 202",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524497",
            "telephone_number": "509-943-8839",
            "fax_number": "509-943-8851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMG PRIMARY HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-19",
        "last_updated": "2019-02-19",
        "status": "A",
        "authorized_official_last_name": "GARRIGA",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO MEMBER",
        "authorized_official_telephone_number": "509-943-8839"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bramar Medical Group PLLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• American Medical Diagnostics
• American Medical Response Ambulance Service Inc
• American Sleep Disorders Company Inc
• Geoffrey Stillman Ames, MD
• Megan Rose Ames, CNM
• Katayoon Amir Jalali
• Siamak Amrollahie, MD
• Lorena Anaya
• Peter Anda, PHARMD
• Amy Anderson

• Family Medicine Physician in Richland, WA
• Providers in Richland, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2019; 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.