Active NPI
Mount Vernon Womens Clinc Inc PS
- Obstetrics & Gynecology Physician
- Mount Vernon, WA
National Provider Identifier
1487872388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- MOUNT VERNON WOMENS CLINC INC PS
- Practice address
- 111 N. 17TH Street
Mount Vernon, WA 98273 - Phone
- (360) 424-4627
- NPI assigned
- Apr 23, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sara C Rowland, M.D.
- Title
- President
- Phone
- (360) 424-4627
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
111 N. 17TH Street
Mount Vernon, WA 98273
Mailing address
111 N. 17TH Street
Mount Vernon, WA 98273
Phone (360) 424-4627
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2841 | Other | PREMERA | |
| S75822 | Other | REGENCE | |
| 7244908 | Medicaid | WA |
National Provider Directory
National Provider DirectoryLocations
111 N 17th St
Mount Vernon, WA 98273
Phone (360) 424-4627
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1184112000000",
"number": "1487872388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 N. 17TH STREET",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "98273",
"telephone_number": "360-424-4627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 N. 17TH STREET",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "98273",
"telephone_number": "360-424-4627"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOUNT VERNON WOMENS CLINC INC PS",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-23",
"last_updated": "2007-07-11",
"status": "A",
"authorized_official_last_name": "ROWLAND",
"authorized_official_first_name": "SARA",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "360-424-4627",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREMERA",
"identifier": "2841",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE",
"identifier": "S75822",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7244908",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mount Vernon, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.