Washington Orthopaedic Center, Inc, PS

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

WASHINGTON ORTHOPAEDIC CENTER, INC, PS

Practice address

600 E Main St
Elma, WA 98541-9560

Phone

(360) 736-2889

NPI assigned

Jul 10, 2019

Last updated

Jul 10, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tabitha Northrup

Title

Medical Office Manager

Phone

(360) 330-1874

Specialties & licenses 1

Addresses

Other names 1

• Washington Orthopaedic Center Other name

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Washington Orthopaedic Center, Inc, PS

  • Durable Medical Equipment & Medical Supplies
  • Olympia, WA
  • NPI 1598294779

  O20040308000977

  Same enrollment
• Washington Orthopaedic Center, Inc., PS

  • Orthopaedic Surgery Physician
  • Centralia, WA
  • NPI 1689787103

  O20040308000977

  Same enrollment

Practitioners 4

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.

• Joshua B Mayes, PA-C

  • Surgical Physician Assistant
  • Centralia, WA
  • NPI 1578632238
  NPD
• Kirsten Erica Redborg, M.D.

  • Anesthesiology Physician
  • Olympia, WA
  • NPI 1023105764
  NPD
• Elis-Ry Sassi

  • Physical Therapist
  • Oak Harbor, WA
  • NPI 1013654862
  NPD
• Elizabeth Stone, PA

  • Physician Assistant
  • Kailua Kona, HI
  • NPI 1700658671
  NPD

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

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562716800000",
    "number": "1437701463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 COOKS HILL RD",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985319073",
            "telephone_number": "360-330-1874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E MAIN ST",
            "city": "ELMA",
            "state": "WA",
            "postal_code": "985419560",
            "telephone_number": "360-736-2889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON ORTHOPAEDIC CENTER, INC, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-10",
        "last_updated": "2019-07-10",
        "status": "A",
        "authorized_official_last_name": "NORTHRUP",
        "authorized_official_first_name": "TABITHA",
        "authorized_official_title_or_position": "MEDICAL OFFICE MANAGER",
        "authorized_official_telephone_number": "360-330-1874"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Washington Orthopaedic Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sandra Ramsey Todd, CDP
• Chris Paul Totten, PA-C
• Durganjali Tummala, M.B.B.S
• John E Tyner, D.C.
• Aaron Ward, DPT
• Kaylyn Wayman, ARNP
• Chrystal Renee Weld, LMP
• Miranda Whipple
• Joanne I Wieser, MA
• Laurie Wilson, SLP

• Orthopaedic Surgery Physician in Elma, WA
• Providers in Elma, WA by specialty
• Orthopaedic Surgery Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.