Active NPI
Jamie S Khaw, MD
- Surgery Physician
- Vancouver, WA
National Provider Identifier
1437129012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD00048511
- Practice address
- 8614 E Mill Plain #201
Vancouver, WA 98664 - Phone
- (360) 254-9991
- Fax
- (360) 254-9997
- NPI assigned
- Jan 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD00048511 | WA | Primary |
| Surgery Physician | 208600000X | MD427182 | PA |
Addresses
Primary practice location
8614 E Mill Plain #201
Vancouver, WA 98664
Mailing address
8614 E Mill Plain #201
Vancouver, WA 98664
Phone (360) 254-9991
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1014143190001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prospect Health Access Network, Inc. | Past | Accepting new patients | |
| Columbia Surgical Specialists, PLLC | Surgery | Past | Accepting new patients |
| Surgical Care Associates | Surgery | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Portland, OR
- NPI 1184786527
-
- Surgery Physician
- Vancouver, WA
- NPI 1184780884
-
- Gynecologic Oncology Physician
- Chester, PA
- NPI 1134574775
-
- Surgery Physician
- Upland, PA
- NPI 1962415885
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186012800000",
"number": "1437129012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8614 E MILL PLAIN #201",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "98664",
"telephone_number": "360-254-9991",
"fax_number": "360-254-9997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8614 E MILL PLAIN #201",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "98664",
"telephone_number": "360-254-9991",
"fax_number": "360-254-9997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAW",
"first_name": "JAMIE",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-25",
"last_updated": "2007-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WA",
"license": "MD00048511",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "MD427182",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1014143190001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.