Harbor Endoscopy Center Inc

Primary specialty

Endoscopy Clinic/CenterTaxonomy code 261QE0800X

License

FX00057739 Issued in WA

Legal business name

HARBOR ENDOSCOPY CENTER INC

Practice address

4700 Point Fosdick Dr NW
308
Gig Harbor, WA 98335-1706

Phone

(253) 272-8664

Fax

(253) 404-1352

NPI assigned

Feb 28, 2006

Organization subpart

No

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

Authorized official

Name

John G Carrougher, MD

Title

Medical Director

Phone

(253) 272-8664

Specialties & licenses 2

Addresses

Other identifiers 2

Practitioners 1

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

• Richard D Baerg, MD

  • Gastroenterology Physician
  • Tacoma, WA
  • NPI 1447237631
  NPD (past)

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294963200000",
    "number": "1316914278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 6TH AVE",
            "address_2": "200",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984054040",
            "telephone_number": "253-272-8664",
            "fax_number": "253-404-1352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 POINT FOSDICK DR NW",
            "address_2": "308",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351706",
            "telephone_number": "253-272-8664",
            "fax_number": "253-404-1352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR ENDOSCOPY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-28",
        "last_updated": "2011-01-14",
        "status": "A",
        "authorized_official_last_name": "CARROUGHER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "253-272-8664",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "WA",
            "license": "ASF.FX.60100031",
            "primary": false
        },
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": "WA",
            "license": "FX00057739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7119621",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "193456",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Harbor ABA
• Harbor Audiology & Hearing Services Inc
• Harbor Child and Family Therapy, PLLC
• Harbor Children'S Therapy, L.L.C.
• Harbor Dermatology PLLC
• Harbor Eye Consultants
• Harbor Eye Physicians & Surgeons, PC
• Harbor First Assist Group, LLC
• Harbor Healing Arts PLLC
• Harbor Health, LLC

• Endoscopy Clinic/Center in Gig Harbor, WA
• Providers in Gig Harbor, WA by specialty
• Endoscopy Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2011; 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.