Our Lady of Lourdes Health Center

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

OUR LADY OF LOURDES HEALTH CENTER

Doing business as

Lourdes Pediatric Care Kennewick

Practice address

815 S Auburn St
Kennewick, WA 99336-5661

Phone

(509) 547-7704

NPI assigned

Jul 6, 2011

Organization subpart

No

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

Authorized official

Name

Mr. John Serle

Title

Presiden & Ceo

Phone

(509) 543-2483

Specialties & licenses 1

Addresses

Other names 1

• Lourdes Pediatric Care Kennewick Doing business as

Locations

Practitioners 2

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

• Sharon L Ahart, M.D

  • Pediatrics Physician
  • Kennewick, WA
  • NPI 1770697021
  NPD (past)
• Geraldine Y Gatmaitan Dizon, MD

  • Pediatrics Physician
  • Pasco, WA
  • NPI 1942277157
  NPD (past)

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

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309910400000",
    "number": "1326335712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5891",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993025801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 S AUBURN ST",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993365661",
            "telephone_number": "509-547-7704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR LADY OF LOURDES HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-06",
        "last_updated": "2011-07-06",
        "status": "A",
        "authorized_official_last_name": "SERLE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDEN & CEO",
        "authorized_official_telephone_number": "509-543-2483",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lourdes Pediatric Care Kennewick",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Allvis Osorio, MHP MSW
• Anna Ostergaard
• Brandon Jake Ostergaard
• Wade R Otte, MD
• Monica Lynn Ottum, CDP
• Our Lady of Lourdes Hosptial at Pasco
• Steve R Ouradnik
• Marian A. Owen, LICSW
• Nathan Wayne Owen, OD
• Christine Pabilona, M.D.

• Pediatrics Physician in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Pediatrics Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.