Organization Active NPI

Emergency Physicians of Grays Harbor

  • General Practice Physician
  • Aberdeen, WA
National Provider Identifier
1386067809
Registry record updated Feb 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
OP00000936 Issued in WA
Legal business name
EMERGENCY PHYSICIANS OF GRAYS HARBOR
Practice address
1006 N H St
3Rd Floor
Aberdeen, WA 98520-2521
Phone
(360) 537-6300
Fax
(360) 637-8732
NPI assigned
Feb 4, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2014

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

Authorized official

Name
Dr. David Jester, DO
Title
Administrator
Phone
(360) 637-9263

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X OP00000936 WA
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X OP00000936 WA Primary

Addresses

Primary practice location

1006 N H St
3Rd Floor
Aberdeen, WA 98520-2521

Mailing address

PO Box 1898
Aberdeen, WA 98520-0315
Phone (360) 637-9263

Other names 1

  • David Jester, DO Doing business as

National Provider Directory

National Provider Directory

Locations

1006 N H St
Fl 3
Aberdeen, WA 98520
Phone (360) 533-6300

NPI Registry JSON

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

{
    "created_epoch": "1391472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391472000000",
    "number": "1386067809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1898",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985200315",
            "telephone_number": "360-637-9263",
            "fax_number": "360-637-8732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 N H ST",
            "address_2": "3RD FLOOR",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985202521",
            "telephone_number": "360-537-6300",
            "fax_number": "360-637-8732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERGENCY PHYSICIANS OF GRAYS HARBOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-04",
        "last_updated": "2014-02-04",
        "status": "A",
        "authorized_official_last_name": "JESTER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "360-637-9263",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "OP00000936",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "WA",
            "license": "OP00000936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "David Jester, DO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aberdeen, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2014; 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.