NPIMap

Organization Active NPI

Ridgefield Family Medicine, PLLC

  • Family Medicine Physician
  • Ridgefield, WA
National Provider Identifier
1407229719
Registry record updated Oct 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
RIDGEFIELD FAMILY MEDICINE, PLLC
Practice address
8507 S 5TH St
Suite 113
Ridgefield, WA 98642-3421
Phone
(360) 887-9494
Fax
(360) 887-9498
NPI assigned
Nov 9, 2015
Last updated
Oct 8, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2019

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

Authorized official

Name
Josephine Elizabeth Drew, MDNPI 1881636629
Title
Owner
Phone
(360) 887-9494

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

8507 S 5TH St
Suite 113
Ridgefield, WA 98642-3421

Mailing address

8507 S 5TH St
Suite 113
Ridgefield, WA 98642-3421
Phone (360) 887-9494

Other practice location 1

1331 N Goerig St Ste C
Woodland, WA 98674-8414
Phone (360) 887-9494

National Provider Directory

National Provider Directory

Locations

1331 N Goerig St
Woodland, WA 98674
Phone (360) 887-9494

1331 N Goerig St
Ste C
Woodland, WA 98674
Phone (360) 887-9494

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1447027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570492800000",
    "number": "1407229719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8507 S 5TH ST",
            "address_2": "SUITE 113",
            "city": "RIDGEFIELD",
            "state": "WA",
            "postal_code": "986423421",
            "telephone_number": "360-887-9494",
            "fax_number": "360-887-9498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8507 S 5TH ST",
            "address_2": "SUITE 113",
            "city": "RIDGEFIELD",
            "state": "WA",
            "postal_code": "986423421",
            "telephone_number": "360-887-9494",
            "fax_number": "360-887-9498"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1331 N Goerig St Ste C",
            "address_purpose": "LOCATION",
            "city": "Woodland",
            "state": "WA",
            "postal_code": "986748414",
            "country_code": "US",
            "telephone_number": "360-887-9494",
            "fax_number": "360-887-9498",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RIDGEFIELD FAMILY MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-09",
        "last_updated": "2019-10-08",
        "status": "A",
        "authorized_official_last_name": "DREW",
        "authorized_official_first_name": "JOSEPHINE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-887-9494",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgefield, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; 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.