GHCH Physician Services, LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

GHCH PHYSICIAN SERVICES, LLC

Doing business as

Harbor Medical Group

Practice address

1006 North H Street
Aberdeen, WA 98520

Phone

(360) 537-6186

NPI assigned

Feb 20, 2008

Last updated

May 11, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

GHCH PHYSICIAN SERVICES, LLCAs reported in NPPES

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

Authorized official

Name

Tanya L Stott

Title

Human Resource Manager

Phone

(360) 537-6186

Specialties & licenses 10

Addresses

Other names 1

• Harbor Medical Group Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Part of

GHCH Physician Services LLC

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Grays Harbor Community Hospital

  dba Grays Harbor Radiology

  • General Acute Care Hospital
  • Aberdeen, WA
  • NPI 1144676487

  Member Of

  NPD member

Locations

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 59

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.

• Arpun Kaur Bajwa, M.D.

  • Orthopaedic Surgery Physician
  • Gig Harbor, WA
  • NPI 1356875959
  Medicare reassignment Care Compare group NPD
• Charles Best, M.D.

  • Urology Physician
  • Aberdeen, WA
  • NPI 1962423418
  Medicare reassignment Care Compare group NPD
• David H Freidenberg, MD

  • Emergency Medicine Physician
  • Seattle, WA
  • NPI 1083637839
  Medicare reassignment Care Compare group NPD
• Sarah Gael, MD

  • Orthopaedic Surgery Physician
  • Seattle, WA
  • NPI 1720439656
  Medicare reassignment Care Compare group NPD
• Jonathan Gifford, MD

  • Surgery Physician
  • Aberdeen, WA
  • NPI 1477681583
  Medicare reassignment Care Compare group NPD
• Andrew Timothy Kowalski, D.O.

  • Surgery Physician
  • Aberdeen, WA
  • NPI 1952841892
  Medicare reassignment Care Compare group NPD
• Gregory Kenneth May, M.D.

  • Orthopaedic Surgery Physician
  • Aberdeen, WA
  • NPI 1265401533
  Medicare reassignment Care Compare group NPD
• Marjorie J Nunez, N.P.

  • Nurse Practitioner
  • Aberdeen, WA
  • NPI 1407008469
  Medicare reassignment Care Compare group NPD
• Brent J Rowe, MD

  • Surgery Physician
  • Aberdeen, WA
  • NPI 1467449967
  Medicare reassignment Care Compare group NPD
• Bradley Eleazar Neuman, MD

  • Surgery Physician
  • Mesa, AZ
  • NPI 1053622548

  WA

  Medicare reassignment Care Compare group NPD
• Mark David Scholl, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Salt Lake City, UT
  • NPI 1396713020

  WA

  Medicare reassignment Care Compare group NPD
• Alvin Trieu, MD

  • Surgery Physician
  • Chicago, IL
  • NPI 1679102727

  WA

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652227200000",
    "number": "1326217670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1787",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985200292",
            "telephone_number": "360-537-6186",
            "fax_number": "360-537-6192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 NORTH H STREET",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "98520",
            "telephone_number": "360-537-6186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GHCH PHYSICIAN SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GHCH PHYSICIAN SERVICES, LLC",
        "enumeration_date": "2008-02-20",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A",
        "authorized_official_last_name": "STOTT",
        "authorized_official_first_name": "TANYA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "HUMAN RESOURCE MANAGER",
        "authorized_official_telephone_number": "360-537-6186"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harbor Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Harbor Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Phillip D Gamroth, COTA
• Erica Garcia
• Katha Suzanne Gazda, FNP-C
• George M. Whitehead D.D.S., PS
• Fatima Corbeta Gerard, ARNP
• Philip Gibbs, MD
• Jonathan Gifford, MD
• Clara Noelle Gillies, BA
• Stephanie Gilstrom, S.W.
• Glenn P Hoot MD PHD PS Inc (DBA Broadway Optical)

• Surgery Physician in Aberdeen, WA
• Providers in Aberdeen, WA by specialty
• Surgery Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.