NPIMap

Organization Active NPI

Planned Parenthood of Greater Washington and Northern Idaho

Doing business as Ppgwni

  • Gynecology Physician
  • Walla Walla, WA
National Provider Identifier
1356596845
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
14134 Issued in WA
Legal business name
PLANNED PARENTHOOD OF GREATER WASHINGTON AND NORTHERN IDAHO
Doing business as
Ppgwni
Practice address
828 S 1St Ave
Walla Walla, WA 99362-4003
Phone
(866) 904-7721
Fax
(509) 545-8932
NPI assigned
Nov 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Karl A Eastlund, COO
Title
Ceo
Phone
(866) 904-7721

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X 14134 WA Primary

Addresses

Primary practice location

828 S 1St Ave
Walla Walla, WA 99362-4003

Mailing address

3901 W Court St
Pasco, WA 99301-2776
Phone (866) 904-7721

Other names 1

  • PPGWNI Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Planned Parenthood of C19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

Locations

828 S 1st Ave
Walla Walla, WA 99362
Phone (509) 248-3625

NPI Registry JSON

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

{
    "created_epoch": "1227571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1356596845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 W COURT ST",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993012776",
            "telephone_number": "866-904-7721",
            "fax_number": "509-545-8932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 S 1ST AVE",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993624003",
            "telephone_number": "866-904-7721",
            "fax_number": "509-545-8932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANNED PARENTHOOD OF GREATER WASHINGTON AND NORTHERN IDAHO",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-25",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "EASTLUND",
        "authorized_official_first_name": "KARL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "866-904-7721",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "COO"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "WA",
            "license": "14134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PPGWNI",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PPGWNI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Walla Walla, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.