Organization Active NPI

Washington Medical Center

  • Multi-Specialty Clinic/Center
  • Washington, MO
National Provider Identifier
1386229011
Registry record updated May 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
WASHINGTON MEDICAL CENTER
Practice address
1351 Jefferson St Ste 16
Washington, MO 63090-6449
Phone
(636) 202-9400
NPI assigned
Mar 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2022

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

Authorized official

Name
Tina Ryan, FNP-C
Title
Provider
Phone
(636) 202-9400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

1351 Jefferson St Ste 16
Washington, MO 63090-6449

Mailing address

1351 Jefferson St Ste 16
Washington, MO 63090-6449
Phone (636) 202-9400

National Provider Directory

National Provider Directory

Locations

190 Carondelet Plz
Ste 1250
Clayton, MO 63105

1351 Jefferson St
Ste 115
Washington, MO 63090
Phone (636) 202-9400

1351 Jefferson St
Ste 16
Washington, MO 63090
Phone (636) 202-9400

NPI Registry JSON

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

{
    "created_epoch": "1615766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653264000000",
    "number": "1386229011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1351 JEFFERSON ST STE 16",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630906449",
            "telephone_number": "636-202-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 JEFFERSON ST STE 16",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630906449",
            "telephone_number": "636-202-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-15",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "636-202-9400",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.