Pacific Gastroenterology PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD000411 Issued in WA

Legal business name

PACIFIC GASTROENTEROLOGY PLLC

Practice address

814 NE 87TH Ave
Vancouver, WA 98664-1915

Phone

(360) 823-0880

NPI assigned

Nov 28, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mehdi S Ferdows, M.D.

Title

Owner

Phone

(360) 823-0880

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199232000000",
    "number": "1275715526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5894",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986685894",
            "telephone_number": "360-823-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 NE 87TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986641915",
            "telephone_number": "360-823-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC GASTROENTEROLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-28",
        "last_updated": "2008-01-02",
        "status": "A",
        "authorized_official_last_name": "FERDOWS",
        "authorized_official_first_name": "MEHDI",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-823-0880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "MD000411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7134794",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pacific Dermatology P.C.
• Pacific Eye Group
• Pacific Eye Group, PC
• Pacific Gastro Health PLLC
• Pacific Gastro Health PLLC
• Pacific Gastroenterology PLLC
• Pacific Island Community of Oregon LLC
• Pacific Midwifery Service
• Pacific Midwifery Service LLC
• Pacific Northwest Electrology LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2008; 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.