Issaquah Women's and Family Clinic, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD60004074 Issued in WA

Legal business name

ISSAQUAH WOMEN'S AND FAMILY CLINIC, PLLC

Practice address

22500 SE 64TH PL
Suite 120
Issaquah, WA 98027-8111

Phone

(425) 651-4338

Fax

(425) 651-4388

NPI assigned

Aug 17, 2012

Last updated

Sep 6, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Maria C Holmes, MD

Title

Owner

Phone

(425) 651-4338

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1345161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346889600000",
    "number": "1316295512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22500 SE 64TH PLACE",
            "address_2": "SUITE 120",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980278111",
            "telephone_number": "425-651-4338",
            "fax_number": "425-651-4388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22500 SE 64TH PL",
            "address_2": "SUITE 120",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980278111",
            "telephone_number": "425-651-4338",
            "fax_number": "425-651-4388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISSAQUAH WOMEN'S AND FAMILY CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-17",
        "last_updated": "2012-09-06",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-651-4338",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD60004074",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "WA",
            "license": "MD00037841",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Issaquah Primary Care Associates PS
• Issaquah School District
• Issaquah Surgery Center, LLC (Issaquah Surgery Center)
• Issaquah Valley Dental Care
• Issaquah Vision Center PLLC (Meadows Vision Center)
• Iveta Everingham Rnfa Surgical Assisting Services (Surgical Assisting Services)
• J Lee Sales LLC (Home Helpers Direct Link Issaquah)
• Jacobs MH of Washington
• Terry L Jacobson, MD
• Caitlyn Jacquemart

• Family Medicine Physician in Issaquah, WA
• Providers in Issaquah, 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 Sep 6, 2012; 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.