Organization Active NPI

Mountain View Medical, PLLC

  • Family Medicine Physician
  • Battle Ground, WA
National Provider Identifier
1346348810
Registry record updated Aug 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
602378281 Issued in WA
Legal business name
MOUNTAIN VIEW MEDICAL, PLLC
Practice address
101 NW 12TH Ave
Ste 107
Battle Ground, WA 98604-4319
Phone
(360) 666-8418
Fax
(360) 666-8599
NPI assigned
Sep 20, 2006
Last updated
Aug 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2008

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

Authorized official

Name
Christine Wisti
Title
Office Manager
Phone
(360) 666-8418

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 602378281 WA Primary

Addresses

Primary practice location

101 NW 12TH Ave
Ste 107
Battle Ground, WA 98604-4319

Mailing address

101 NW 12TH Ave
Ste 107
Battle Ground, WA 98604-4319
Phone (360) 666-8418

National Provider Directory

National Provider Directory

Locations

1706 W Main St
Ste 113
Battle Ground, WA 98604
Phone (360) 666-8418

2210 W Main St
Ste 107328
Battle Ground, WA 98604

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218585600000",
    "number": "1346348810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 NW 12TH AVE",
            "address_2": "STE 107",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986044319",
            "telephone_number": "360-666-8418",
            "fax_number": "360-666-8599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 NW 12TH AVE",
            "address_2": "STE 107",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986044319",
            "telephone_number": "360-666-8418",
            "fax_number": "360-666-8599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN VIEW MEDICAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-08-13",
        "status": "A",
        "authorized_official_last_name": "WISTI",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "360-666-8418"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "602378281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Ground, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.