Aaron M Demeyere MD

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

MD00033091 Issued in WA

Legal business name

AARON M DEMEYERE MD

Practice address

1623 5TH St
Ste a
Clarkston, WA 99403-3001

Phone

(509) 758-1102

Fax

(509) 758-1361

NPI assigned

Jun 18, 2009

Organization subpart

Yes

Parent organization

AARON M DEMEYERE MDAs reported in NPPES

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

Authorized official

Name

Aaron M Demeyere, MD

Title

Owner

Phone

(509) 758-1102

Specialties & licenses 1

Addresses

Other identifiers 2

Part of

Aaron M Demeyere MD

Locations

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

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245283200000",
    "number": "1437386331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1623 5TH ST",
            "address_2": "STE A",
            "city": "CLARKSTON",
            "state": "WA",
            "postal_code": "994033001",
            "telephone_number": "509-758-1102",
            "fax_number": "509-758-1361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1623 5TH ST",
            "address_2": "STE A",
            "city": "CLARKSTON",
            "state": "WA",
            "postal_code": "994033001",
            "telephone_number": "509-758-1102",
            "fax_number": "509-758-1361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AARON M DEMEYERE MD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AARON M DEMEYERE MD",
        "enumeration_date": "2009-06-18",
        "last_updated": "2009-06-18",
        "status": "A",
        "authorized_official_last_name": "DEMEYERE",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-758-1102",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "WA",
            "license": "MD00033091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000254500",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000298",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Teresa Lynn Abel, MSW
• Melody Jean Acey, LMP LICENSED MASSAGE
• Kristen Clarissa Adams, RPH
• Ryan Samuel Adams, DMD
• Kiesha Ade

• Gynecology Physician in Clarkston, WA
• Providers in Clarkston, WA by specialty
• Gynecology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2009; 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.